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Old 03.10.2021, 22:05
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Unsure about dentist consultation... should I go get a second opinion?

Hi guys. last week I went for my first check up and cleaning at Centerdent next to Sihl City. This was ironically my first ever visit to a Swiss dentist, having usually gone in the UK while on business. During the check up, I was informed by the dentist who saw me and analyzed my X-rays that I needed 2 fillings and potentially a wisdom tooth or two taking out. The reason for the extractions being that they make my mouth cramped and thus a lot harder to clean my back teeth, which could lead to future problems. All my wisdom teeth have emerged and I feel no pain or discomfort from them.

I then went for the two fillings a few days later and the dentist who performed the work (a different one to the initial check up) told me that they had now also spotted an extra filling that I need, that the initial check-up apparently missed, and booked me in for another appointment. After running a full mouth scan, the dentist also said that they think that all four of my wisdom teeth "definitely" need to come out to prevent future problems. They then told me that an existing crown will also likely need replacing. In total, I am likely looking at several thousand francs of work doing, maybe between 4000-5000chf.

Now, I am not saying that the dentist is not being truthful, or that all of my wisdom teeth do not need extracting or the crown replacing, but I do not like the fact that they are just very quickly telling me I that need a lot doing and then immediately taking me to the front desk to book appointments without giving me time to think and digest and without really discussing the costs with me unless I specifically ask them. That kind of thing very quickly raises my hackles, and while I booked the appointment for the filling, I told them I would need to come back to them about the wisdom teeth, as that is a comparatively significant operation that needs 1-2 weeks recovery time and I need to think carefully about timing.

Given the scale and expense of what I am told needs doing, would it be prudent to go and get a second opinion at another local dentist to make sure that I am getting good advice?

Cheers.
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Old 03.10.2021, 22:13
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Re: Unsure about dentist consultation... should I go get a second opinion?

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Given the scale of what I am told needs doing, would it be prudent to go and get a second opinion at another local dentist?

Cheers.
Did the doctor show you detailed x-rays and photos and explain everything while pointing out issues on screen? If not and you're going on solely on their word, absolutely seek another opinion. It might cost you an office visit out of pocket but could save thousands.

If your wisdom teeth are in and have been in for a long time I don't see why they need to come out now.

I would also be skeptical if the discussion was brief and it was straight to the front desk for an appointment.

Edit - and you don't need to tell the second dentist about the first. They might be Jass buddies.
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Old 03.10.2021, 22:22
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Re: Unsure about dentist consultation... should I go get a second opinion?

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Did the doctor show you detailed x-rays and photos and explain everything while pointing out issues on screen? If not and you're going on solely on their word, absolutely seek another opinion. It might cost you an office visit out of pocket but could save thousands.

If your wisdom teeth are in and have been in for a long time I don't see why they need to come out now.

I would also be skeptical if the discussion was brief and it was straight to the front desk for an appointment.

Edit - and you don't need to tell the second dentist about the first. They might be Jass buddies.
Hi 3W yes they did have the Xray and did take some time to explain. The fillings of course made sense as I could see them. However, the wisdom teeth extractions were speculating about the future impact of keeping them (poor cleaning leading to more cavities) and while of course I can't argue with the logic, from my perspective I have no pain or discomfort so it's hard to judge how soon it would need doing. The crown replacement is also news to me as I have zero problems with it.

In the end I am not a dentist so I have to largely trust what they are saying and take it in good faith (as with any medical practitioner), but when we are dealing with significant dental procedures and associated costs like this I really would like to be sure, and the fact that the two dentists opinions were different has got my spider senses tingling.
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Old 03.10.2021, 22:34
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Re: Unsure about dentist consultation... should I go get a second opinion?

I would definitely get a second opinion. Especially in case no other dentist has never mentioned before that you could get problems with your wisdom teeth.

Also, as it's not urgent you can easily wait and have it done in the UK next time when you're there.
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Old 03.10.2021, 22:39
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Re: Unsure about dentist consultation... should I go get a second opinion?

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I would definitely get a second opinion. Especially in case no other dentist has never mentioned before that you could get problems with your wisdom teeth.

Also, as it's not urgent you can easily wait and have it done in the UK next time when you're there.
You are correct k_and_e, it's not urgent so I should take my time and investigate before committing.

Hmm, I wonder if I can ask them to give me the Xrays/scans that IO paid for, or if those considered their property and they don't generally share them.
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Old 03.10.2021, 22:58
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Re: Unsure about dentist consultation... should I go get a second opinion?

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Hmm, I wonder if I can ask them to give me the Xrays/scans that IO paid for, or if those considered their property and they don't generally share them.

From a Patient Information Brochure from the Swiss Dental Association:
https://www.sso.ch/fileadmin/upload_...arztpraxis.pdf


Wem gehört das Röntgenbild?
Das Röntgenbild wird der Patientin bzw. dem Patienten auf Verlangen ausgehändigt. Bei digitalen Aufnahmen kann dies ein Ausdruck oder ein digitales Bild sein, das auf ein Spei- chermedium kopiert wird. Bei Röntgenfilmen wird der Originalfilm ausgehändigt, wobei der Zahnarzt eine Kopie zu seiner Dokumentation behalten kann. Die Aufbewahrungspflicht übernimmt in diesem Fall der Patient.



DeepL translation:
Who does the X-ray image belong to?
The X-ray image is given to the patient upon request. In the case of digital exposures, this can be a printout or a digital image copied onto a storage medium. In the case of X-ray films, the original film is handed over, whereby the dentist may retain a copy for his documentation. In this case, the patient assumes the duty of storage.

---

Most definitely get a second opinion. And a third if necessary.
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Old 03.10.2021, 23:01
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Re: Unsure about dentist consultation... should I go get a second opinion?

I have had a lot of dental treatment in the past ten years due to a genetic condition, and I have to say that the impression I got with my last couple of appointments i that the dentists really missed out on a lot work due to lockdown, and are really lacking in customers..and pushing hard to get as much work as they can...



Normally it would take me at least 3-4 weeks to get a regular appointment....but not now...



Yes, I would definitely go for a second opinion...


But you've also technically just had two opinions already - from the first, and from the second dentist that you saw.... but as they were from the same 'practice' they are probably not neutral.



I can suggest cosmodent near the zurich Hauptbahnhof as a local team of dentists, but they won't be the cheapest, that's for sure - and you will get the same slick treatment - fast in, fast out and book your next appointment... but if you want a treatment plan, I chose them as I needed implants and my treatment is quite compley - and the main dentist there is a Swiss trained implant specialist...



I could be wrong, but there seem to be three models of dental practice in Zurich:
1. individual dentists with small teams who run their own business.
2. Head dentists who run a 'group practice' but own/run their own business, and these are usually locally trained.
3. Commercial dental practices which have large teams but are more likely to be employing foreign-trained dentists - with longer opening hours and more staff, but less experience.


It costs a huge amount of money to set up your own dental practice. From what I understand, although I could be wrong, the fastest way to get from working from 3. to 1. is to work for one of these larger/higher turnover places which pay better hourly salaries and you work longer hours, save up your cash, get plenty of experience, then switch to 1. And if you are lucky, or you already have your own wealth, or you have the local connections to get financial backing, then you can go from 1. to 2.



I'd avoid a 3. practice. I tried a 1. but ended up with 2 - as I said, because I was specifically looking for a long-term treatment plan with a locally trained specialist.
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Old 03.10.2021, 22:34
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Re: Unsure about dentist consultation... should I go get a second opinion?

Not sure my opinion will matter that much.
I also cant be bothered writing any detail about my visits but I went to that same dental practice at sihlcity and had a terrible experience. They also traumatised my 5 son. I would go somewhere else.
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