dental costs nhs emergency?

Hiya!

Now, I haven't seen your x-rays and so I don't know what condition nyour teeth are in at the moment, but if you're developing an abcess anywhere in your mouth, I'm sure you're aware that infection is the cause of this.

Abcess' tend to be caused by the nerve of the tooth dying of due to decay or trauma. Resolving this issue involves a root canal treatment or extraction of the tooth (a forwarning, dentists don't tend to do root canal treatment on wisdom teeth), although it's you're choice and you have every right to want to save it.

A dentists job is to help you to maintain a healthy mouth and to save teeth - not to remove them. So I'd consult another NHS dentist if possible and see what they'd recommend. If they too recommend removing the teeth, and that there's no other possible treatment, then I'm afraid that that would be the only option.

If your tooth is in a healthy enough state to cope with a new crown or bridge, and the fix isn't cosmetic, they're obliged to (and should, really) do the work for you.

If you were to need implants, you may only need one. You could have one implant and have a bridge held on by the implant, which is a cheaper solution (something to think about).

Bare in mind that you have to be able to qualify (health wise) for an implant, too, which includes having healthy gums and enough bone level, as well as being fit and well generally.

Hope this was of help and that you're all sorted soon!!

(If that wasn't clear feel free to inbox me.)

Prices for NHS UK treatment:- Root canal/fillings £39, Crowns/bridges/dentures £177 (You'd pay for the highest treatment ONLY).

Implants start from £2000. xxx

Part of your problem is the current dental contracts. A dentist will get paid just under £200 at the top band to say make a crown, bridge or denture. He cannot cover his time, costs and materials and pay the laboratory fees to make the crown, bridge or denture. The work overall ends up costing him money. An NHS dentist cannot afford to do all that work for a single payment of just under £200.

You have infections, which means more treatment or root canals or apicectomies or whatever before they even look at crowns, bridges and dentures. That amount of infection will more than likely mean there is some bone loss as well which is why extraction may actually be the best bet. No dentist can afford to do that amount of work for £200.

It is not relevant at how much the NHS has paid out to date on your treatment either. Time will not stand still and dental health alters, we age, our teeth age and problems occur and it becomes an ever changing circle of circumstances.

You could have a nice partial plate made to wear after extraction to buy yourself some thinking time on this one. You might even find an NHS dentist to make you one at the top rate fee band (along with all the extractions and everything else he is going to have to do for that fee!) but it will be base line quality and not half as good as a nice lightweight partial plate made in different materials that private money will buy.

It is why the current contracts do not work. Had you been an insurance based patient like Denplan then all you would have had to pay on top of your monthly fee would have been the lab fees, but even insurance dentistry is not available to you until you are dentally fit.

You could try a second opinion with another NHS dentist if you can find one, but would benefits by paying for a consultation with a good private dentist and you will find one by asking everyone you know who they go and visit and why.

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