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Old 22.01.2010, 08:12
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Dental surgery, at CHUV (or other Swiss hospitals)

Hi all

Has anyone had dental surgery at CHUV?

My 6 yr old daughter needs work doing on her teeth. We've tried 3 times at 2 different dentists, but each time my daughter is adamant that she can still feel pain from the drill even after a truckload of local anaesthetic (she's otherwise very well-behaved for dentists, sits still, has injections no bother - it's not a question of dentist fear). So her regular dentist eventually sent us to CHUV.

We had our appt yesterday, and she needs work doing on ALL her molars, which will take place under a general anaesthetic. As you can imagine, I was a bit taken aback during this conversation, what with the suggested treatment, doing it all in French, looking after my daughter, etc, and it was only afterwards that I realised I had no real idea of what will happen next.

All I know is that I will be sent a quotation, which I sign to accept and return, and that kickstarts the process for my daughter to get into the queue for the procedure, which will probably then take place in a couple of months.

What I want to know is if and when in that process I will have a chance to talk to the person who will actually be carrying out the treatment, to discuss options, possible causes, what to do the future, etc. The rapid and extensive damage and the fact that the local pain meds don't work all point towards an underlying (probably genetic) condition, which is likely to cause her problems for ever, both with her baby teeth and her permanent ones.

I don't want to spend untold thousands of francs putting her through a stressful procedure with a GA, only to be back in this position within a year. I know there are alternative (but slightly new-fangled) treatments, such as putting covers on the teeth to protect them - I want to make sure all options have been considered, and that they're not just thinking that she's had too much Cola and lollies and are only treating the problem in front of them today. (Truly, I know all the rules about sweets, fizzy drinks, water between meals, frequency of eating, etc, and her brother has great teeth!)

So... now that she's had a check-up there and is 'in the books', will she now be allocated a consultant that I can go and speak to before finally committing to this course of treatment? Or am I just expected to be posted an appt, turn up on the day, and hand her over to be knocked out?

Thanks for any help on this.

kodokan
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Old 22.01.2010, 08:52
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Re: Dental surgery, at CHUV (or other Swiss hospitals)

Can't offer specific advice, but I would definitely seek out the opinion of a second, English-speaking, dentist before committing to something so drastic.
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Old 22.01.2010, 10:23
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Re: Dental surgery, at CHUV (or other Swiss hospitals)

Oh, there's no question she needs the work - this is the third dentist she's seen, and even I can see it from the x-rays. And there's no question of doing it all whilst she's conscious, as she clearly feels pain from the drill (she's super-calm otherwise, even when having her teeth cleaned with the polishing pad on the end of the drill, so it's not just the sound/vibration stressing her out; she's adamant it hurts).

I'm just fretting, and would like a little reassurance that there will be a consultation step in the process between 'she needs all this work doing under a GA' and 'bring her here at 7am on such and such date with an empty stomach'. I don't even mind having the conversation in French, as long as I do a bit of prep first on dental and surgical vocab, and plan my questions in advance.

But if no such step would normally exist, then I have to start working out how I can hop up and down until it does.

It's one of those 'expat feeling a bit overwhelmed due to stress of sick kid and not understanding the system' days. I know that in the UK she would now be nominally allocated to a consultant, whose name would be on any letters I receive (even if I've never previously met them) and who I could speak to with questions. Is it the same here, does anyone know?

Fret fret, sigh, sigh...

kodokan
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Old 22.01.2010, 11:38
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Re: Dental surgery, at CHUV (or other Swiss hospitals)

I don't know about dental surgery but I had surgery on my hand last year. Like you I was referred to the hospital for an assessment. That was followed by a written quote and then an appointment came through the post. I turned up on the due date and the job was done by the surgeon who'd done the initial assessment. I didn't have any other consultations between to initial rdv and the op. Maybe I'm wrong but the risk is that unless you initiate something you might find that there is no meeting set up on their side to meet the surgeon. They've probably seen all they need to see.

However I wouldn't fret just now. Sign and return the quote, then if they haven't invited you in, contact the hospital and request a meeting with the surgeon. It might delay things a bit but sounds like you have a lot of questions to clear up.

Good luck.
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