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  #41  
Old 22.11.2021, 11:18
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Re: Unsure about dentist consultation... should I go get a second opinion?

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Chuff,

Just got to this post. The invoice looks ok; just couple of points:

- not clear why they did fluoridation at the end of the 1st appointment (where 2 fillings were done); typically you should not do fluoridation if you expect to do fillings work within 14 days, as the probability of filling failure increases (impacts the adhesive strength). Also, likely fluoridation was done already when you did the dental cleaning.

- not clear why they did the panoramic x-ray - it likely depends on the reason you went there in the first place; i.e. if the dentist saw caries (or suspected) s/he will do bitewing x-ray. Panoramic x-ray is typically done for surgical cases (tooth extraction) or looking for for tumors / cysts, or for orthodontic work, etc. Probably they explained it to you why they decided to do panoramic x-ray.

- the tax punkt of 1.2 is on the higher-end (we are at 1.1), but that is probably normal level in Zurich.
Thanks for the feedback joro! I believe they did the panoramic as they wanted to do the wisdom teeth extractions (which I didn't go through with, at least not yet).
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  #42  
Old 22.11.2021, 21:05
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Re: Unsure about dentist consultation... should I go get a second opinion?

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Thanks for the feedback joro! I believe they did the panoramic as they wanted to do the wisdom teeth extractions (which I didn't go through with, at least not yet).
Ok, then the panoramic x-rays were totally justified if you went in for wisdom teeth extractions.
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  #43  
Old 23.11.2021, 00:01
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Re: Unsure about dentist consultation... should I go get a second opinion?

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- the tax punkt of 1.2 is on the higher-end (we are at 1.1), but that is probably normal level in Zurich.
On your FB page it says something like 3 or something, so maybe you should correct that?

What's the highest possible, 1.6?
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  #44  
Old 24.11.2021, 08:26
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Re: Unsure about dentist consultation... should I go get a second opinion?

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On your FB page it says something like 3 or something, so maybe you should correct that?

What's the highest possible, 1.6?
Thanks for the reminder! We have not updated the website in ages! The 3 was from the old system (which worked differently) prior to the SSO pricing reform of 2018. Will let our IT guy know this should be updated. Thanks for the heads up.

Don't know what the highest TP is; don't believe SSO set the limit on the upside.
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  #45  
Old 24.11.2021, 11:33
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Re: Unsure about dentist consultation... should I go get a second opinion?

If your wisdom teeth are not bothering you, then don't have them removed. I'm assuming you're an adult over 25 years, and if so there s unlikely to be more bone growth. Most wisdom teeth if they give trouble will be mid to late teens up to about age 25. Not saying it doesn't affect older people but it's much rarer. My son is 18 and just had 3 removed and was told this by the dentist.

As for the 4th one, its giving him no trouble so the dentist said to leave it and wait and see.

As to the crown, I've had many of those and gained a lot of experience over the years. My first crown, fitted in London when I was 20, came off 20 years later (I'm told they have an average life of 10-15 years) thanks to an American hard gum. When to the dentist (same one) and two visits later had a new crown fitted. It's not as disastrous as it seems.

However, when I lost another crown, the Swiss dentist said I would now have to have an implant. And that's a totally different story and about 5 times the cost!! Back to London where the dentist said nonsense, he'd fit another one. He also suggested I have two others replaced, even though it was not needed just then, they would soon need replacing, but it was my decision. I had them replaced.

Fast forward and my London dentist had retired, I went back to the Swiss one. When he did a crown for me, he first made a temporary tooth - on the spot, which seemed fine to me, at a cost of CHF800, before fitting the permanent crown at a cost of CHF 2000. My London dentist just fitted a metal cap and that was fine for the 5 days it took to make the crown. Zero extra cost!

So again, just wait for the crown to come off, unless you can really feel it's getting loose. You can also buy some dental glue and a metal cap in case it comes off when you're traveling or on a long weekend.
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  #46  
Old Yesterday, 08:24
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Re: Unsure about dentist consultation... should I go get a second opinion?

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Fast forward and my London dentist had retired, I went back to the Swiss one. When he did a crown for me, he first made a temporary tooth - on the spot, which seemed fine to me, at a cost of CHF800, before fitting the permanent crown at a cost of CHF 2000. My London dentist just fitted a metal cap and that was fine for the 5 days it took to make the crown. Zero extra cost!

So again, just wait for the crown to come off, unless you can really feel it's getting loose. You can also buy some dental glue and a metal cap in case it comes off when you're traveling or on a long weekend.
LuganoPirate, the prices you are quoting are a bit puzzling. An 800 CHF for a temp crown is quite a bit off the current pricing in Switzerland. Putting a fitted temporary plastic crown should cost about 150 CHF. And this is a much more preferred option compared to a metal cap, especially if you have amalgam fillings in your mouth as well. With all due respect to your retired London dentist, but surely he learned in dental school (or at least heard) of oral galvanism - there were several large studies done in the 1980s (probably even earlier). And there is this social awareness issue of a metallic shine when you smile ... Metal temporary crowns are still used today, but only for children (presumably there is no crazy dentist somewhere who would still put an amalgam filling on kids these days).

Finally, a crown for 2000 CHF is also high-end pricing. A typical crown should cost 1500 CHF (including the plastic temporary). Thus your charge of 2800 for both seems almost double the cost. Either time has passed since then and you have forgotten the specifics of the charge or your dentist had really high-end pricing.
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  #47  
Old Yesterday, 10:00
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Re: Unsure about dentist consultation... should I go get a second opinion?

Money aside, a dentist is just like any other medical practitioner you seek treatment from. You need to trust them. I often seek a second opinion from a medical specialist and very often the diagnosis and / or treatment plan varies. My health insurance company has never discouraged me from seeking a second or third opinion.

Considering that all the doctors are looking at the same test results, (scans, xrays, etc) I think it comes down to experience and a doctor's preferred approach.

As a patient it can be a bit mind boggling. Who is right? Sometimes initially you don't know. As most people don't have extensive dental insurance coverage, costs are a factor in making a decision. This shouldn't be the case, in my opinion. Treat your dental health as you would the rest of your body. Find a dentist you trust, even if it takes 3 consults, ask lots of questions and weigh all the options before making a decision.

Good luck!
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