What would you do?

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13 Feb 2010
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Bournemouth
Hi all
Hope you're all well.

I asking for a bit of advice if possible as I've been in a situation that I never have before and some advice or insight would be helpful right now.

I went in for a filling to my private dentist, on 30th July, was told it was deep and near to the nerve, so may need root canal treatment in the future.No worries I thought. I had the filling first thing in the morning and the anaesthetic wore off by late afternoon, it was a little sore, which i expected as my dentist said it was deep, so took some painkillers, and thought nothing of it.
Now the next morning, my face had started to swell up, the pain was unbearable, so I started taking the maximum allowed dosage of paracetamol and brufen until Tuesday morning, I didn't have very good sleep the whole time due to the pain, I struggled to get to sleep and then kept waking up after I did get to sleep. So on Tuesday morning, I rang up the dental surgery and ask for an emergency appointment, my dentist is off so I see someone else who just says I have an infection, took an x-ray and prescribed me 5 days of amoxicillin antibiotics. The swelling had started to subside, but not by much, and by the end of day 5, my face was still swollen still very painful, and I'd been taking the maximum allowed dosage of painkillers for a week now. I still couldn't sleep, kept waking up after I managed to get to sleep and was really suffering. Now, the day after the antibiotics finished, on the Saturday, the infection / swelling is getting worse, so Monday morning, I'm straight back onto the dentist to get another emergency appointment, this time, I see my dentist, the swelling was worse this time, and without examining me, he said "you just have an infection, I'm going to prescribe you another 5 days of antibiotics, but this time, amoxicillin and metronidazole" and I was told he would be very surprised if they didn't cure the infection, and that the infection needs to be gone before he can do anything, and to come back in a couple of weeks for a review, but on the chance of the antibiotics now helping things, that I'd have to book an emergency appointment at the dental hospital as there was nothing else he could do for me. I mentioned that I thought the tooth was loose, and he just said it would feel like that as there was an infection.
So, I book the review, go get the prescription and start the double course of antibiotics, now my face is seriously swollen, and its getting worse by the day, I thought to myself I'd give it until Wednesday night / Thursday morning and wait for the antibiotics to kick in and start working, still max dose of painkillers, I'm using oralgel, mouthwash with TCP, Corsodyl, salt water rinse, co-codamol, pain not going, still not able to sleep well at all and just getting worse, it was so bad that I could barely open my mouth, I couldn't even brush my teeth, the swelling was down the whole side of my jaw, on the underside of my jaw, my lips had started to swell up and and pain had started to work its way down my neck too.
So Wednesday morning I get up, I was in even more pain, it was the worse day so far, I even broke down in tears on the way to work, I'd had enough, and I had been taking the double dose of anti biotics since Monday, so I rang up the emergency dental hospital in the morning, told them about what's happened, what's going on, describing the symptoms, the swelling, whst ive been taking etc etc, and they were questioning what my dentist was doing about it, and that usually they wouldn't see people this way, but due to the severe swelling I had described to them, they said to get down to the hospital as soon as I could and I will be seen as soon as possible.

So arrive at the dental hospital, was seen fairly quickly, had a brief introduction with the nurse and then when I removed my mask, she was shocked by how bad the swelling was and she knew that it was now very serious. She was concerned the swelling / infection could be spreading up towards my brain or down to my heart, which she said could be fatal, which wasn't nice to hear!
So i had to have a number of tests done, to make sure my vital organs weren't infected, I didn't have a fever or anything to worry about, had to have another x ray, then back to the nurse, then they confirmed it was the tooth that had just been filled, which turned out to be loose, as I suspected, now I didn't think about it until she said, but there was a lot of pressure and pushing from my dentist while he was doing his work, which I just assumed was normal, but obviously had loosened the tooth, and I hadn't had any issues with the tooth before hand.
So, by this point, the nurse says your tooth HAS to come out today, we've booked the appointment with the surgeon and will be this afternoon.

So came back, got called up, after a lot of anesthetic, the dental surgeon removed the tooth, and very luckily was able to see where the infection was, so was able to cut into it and drain some of the infection out, it could have been much worse, as if they couldn't find the infection and drain anything out, I would have had to be admitted to the hospital, put to sleep and put on IV antibiotics to fight the infection, but very fortunate it didn't come to that!

So tooth was taken out, infection drained and washed out with saline, then sent on my way after the clot had formed.
Thankfully I had no pain after the anaesthetic had worn off, probably due to the amount of pain killers I had been taking for nearly 2 weeks! But the swelling had significantly reduced and is slowly getting better, but there is still some swelling im waiting to heal.

So, what would YOU do after this situation?
Ideally I'm looking to speak to the surgery and request a refund for the work I had done which resulted in this mess, but unsure how to go about it.
It was a private dentist and wasn't cheap, so certainly would like to ask for my money back.

Apologies for the long post.

Many thanks in advanced.
Jason
 
That sounds absolutely awful, I would definitely be speaking with the General Dental Council in the first instance before contacting the dentist and see what their suggestion is
 
Def need to get to the root of the problem. Your dentist had a right nerve saying it wasnt loose. He needs a filling of his own! He should brace himself ready for some comeback!
 
This should have been addressed as serious long before it got to the point it did.

I've had (not dental) infection before. I'm fortunate my degree taught me all about infections and how it can invisibly progress to something fatal. Almost without you knowing if it's in your blood.

I got super stroppy with the doctors and eventually someone takes it seriously.
But if you don't know, arnt pushy, well, it can soon get dangerous if you're fobbed off.


Anyway. I'd absolutely pursue that for negligence. I'd think there was a strong case


Never let medical professionals fob you off when a bacterial infection is spreading!
 
This should have been addressed as serious long before it got to the point it did.

I've had (not dental) infection before. I'm fortunate my degree taught me all about infections and how it can invisibly progress to something fatal. Almost without you knowing if it's in your blood.

I got super stroppy with the doctors and eventually someone takes it seriously.
But if you don't know, arnt pushy, well, it can soon get dangerous if you're fobbed off.


Anyway. I'd absolutely pursue that for negligence. I'd think there was a strong case


Never let medical professionals fob you off when a bacterial infection is spreading!

I'd tend to agree, also never take doctors merely at their word, had too many people I know dead from what I believe is negligence.
 
I’d write them a letter, detailing the above, suggest that before you take it further with your home insurance, with whom you have legal cover and the dental council under grounds of negligence, you would invite their feedback, whilst setting out how you would like the situation resolved.
 
Get all the facts of the procedure and aftermath down on paper with dates, times etc for future reference first then see what the dentist comes back with. They will probably try and cover themselves first before offering any refund. Then it’s up to you if you want to go the litigation route and sue them using one of these where’s there’s blame there’s a claim medical negligence solicitors. They will advise if you have a good enough case against them to sue for costs and compensation.
 
I had something similar but not as horrific as your ordeal!

I went in for a routine filling albeit the dentist did say it was quite deep and would possibly need root canal treatment. Normally when i get a filling i don't get the anaesthetic so continued in this vein. Eventually though after the third time touching the nerve the pain got too much so got a temporary filling and had to go back for the root canal treatment a week or so afterwards. Things went fine, tooth all filled in and no issue. Fast forward a month or two and i was eating away normally and i felt a big crack in my mouth. This i found out was the tooth snapping off at the root. The following day my jaw line and part of my neck started to swell so got in touch with NHS24 then the dentist and i think it was the following Monday (phoned on Friday) that i got seen to and the dentist (my old denstist as my current one was on holiday) took one look and said it needs to come out and looking at the previous x-ray probably should have been taken out before instead of trying to be filled (albeit everything went well for the filling and there was no cause to think otherwise). A course of anti biotics and everything was sorted.

In terms of payment / refund, the initial work needed to be done regardless but the subsequent removal wasn't charged as it was rectifying my issue. From the point of your infection and swelling to the time taken for it to be sorted i would suggest that there may well be a case to be answered and you could possibly claim for that as the dentist you saw should have just got it removed rather than continue with the antibiotics. Seek proper medical / legal advice as mentioned above rather than going in all guns blazing in the first instance and take it from there.
 
Thank you for all your replies so far guys, it's much appreciated!
I think I'll contact the general dentist council first and see that they say.
I had planned to politely write to the dental surgery requesting a refund for the work that was done and go from there, I hadn't really planned to take it further but a lot of people have all said I should take it further, but it's something I've never had to deal with.
But I will write to the GDC first and go from there!

Many thanks guys, your replies are really appreciated.
Jason
 
Thank you for all your replies so far guys, it's much appreciated!
I think I'll contact the general dentist council first and see that they say.
I had planned to politely write to the dental surgery requesting a refund for the work that was done and go from there, I hadn't really planned to take it further but a lot of people have all said I should take it further, but it's something I've never had to deal with.
But I will write to the GDC first and go from there!

Many thanks guys, your replies are really appreciated.
Jason

Take it further. Whilst you have gone through a lot of pain, your complaint might save others from doing so.
 
too much text didn't read :D
So, by this point, the nurse says your tooth HAS to come out today, we've booked the appointment with the surgeon and will be this afternoon.
Emergency dentists hospitals don't try to save teeth or do root canal surgery their main priority is alleviating the pain for as little cost as possible.
if it's a big job they don't bother.

just because she said it has to come out doesn't mean an actual dental practise would have came to the same conclusion.

she is working to different rules.

I feel your pain, I had an abscess on one of my teeth in my teen and needed root cancal.

the pain from the swelling was insane, felt like my gum was going to explode, felt like my jaw had been hit with a sledge hammer after the root canal surgery too.
IDK if the guy did it properly because I've had it done since and it wasn't bad at all
 
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I've worked in Clinical Negligence for 13 years so here's my advice:

1) Write a letter of Complaint to the Dental Practice detailing everything and ask for a refund
2) If you get nowhere write a Letter of Complaint to the GDC
3) If you get nowhere find a Solicitor that deals with Clinical Negligence especially dental work.
 
I haven't had any similar experiences, but that sounds worthy of compensation rather than just a refund. Proper nasty and could have been very serious if it wasn't picked up when it was.
 
Similar to my ex-missus whose dentist missed a crack in a tooth for five years despite heavy jaw pain and hemicranial headaches (one side of the head). For three years she was having hemicranial nerve block injections in the neck. Eventually it got infected and she went straight to metronidazole and they found the crack. She had root canal treatment and still got occasional infections until they decided to whip it out very recently.

Understandably they were quite conservative with their escalation, given the pain was being managed and the infections weren't too serious. You were very unlucky that you went straight to a serious infection very quickly. Maybe they could have gone straight to metronidazole, but that may not have done the trick anyway. It is probs worth a complaint just to get your money back, even if the dentists are not reprimanded.
 
I've worked in Clinical Negligence for 13 years so here's my advice:

1) Write a letter of Complaint to the Dental Practice detailing everything and ask for a refund
2) If you get nowhere write a Letter of Complaint to the GDC
3) If you get nowhere find a Solicitor that deals with Clinical Negligence especially dental work.


Hi mate
Thanks for your reply it's much appreciated.
I was just wondering if I could ask you a quick question?
You mention I should write a letter of complaint to the dental surgery, just to confirm, should this letter be addressed to the surgery and not my actual dentist?

Thanks in advanced
Jason
 
Def need to get to the root of the problem. Your dentist had a right nerve saying it wasnt loose. He needs a filling of his own! He should brace himself ready for some comeback!

Amazed/ impressed that on a sat eve people read the entire thread. Kudos GD. That looked like a lot of words.

I know we troll on GD sometimes. I troll on GD too. However, this isn't the thread to do it.

I think @SexyGreyFox has nailed it for private dentistry.

If it was NHS dentistry, then the 3 stages would have been:

1) Via the Trust's PALS
2) Via the Trust's formal complaints procedure
3) Via the Ombudsman
 
Hi mate
Thanks for your reply it's much appreciated.
I was just wondering if I could ask you a quick question?
You mention I should write a letter of complaint to the dental surgery, just to confirm, should this letter be addressed to the surgery and not my actual dentist?

Thanks in advanced
Jason

Do both, one to the Dentist and one to the Practice Manager

I know we troll on GD sometimes. I troll on GD too. However, this isn't the thread to do it.

I think @SexyGreyFox has nailed it for private dentistry.

If it was NHS dentistry, then the 3 stages would have been:

1) Via the Trust's PALS
2) Via the Trust's formal complaints procedure
3) Via the Ombudsman

You missed out going to a Solicitor and sending it to me :)
About 7 years ago I was involved in a massive case of over 200 patients involving maxillofacial and dentistry and we still have the odd case even now.
 
Ibuprofen.

But yeah, serious negligence by your dentist. I personally wouldn't be happy just with a refund for the work, but it is a minimum as a start.

Unfortunately all too common. Even privately it is hard to find a good dentist unfortunately. My mother worked as a hygienist for about 40 odd years and some of the stories...... And these are people earning significant sums of money. Alas that doesn't seem to correlate with quality of work.
 
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