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Dental drama - what can I do?!

37 replies

hereismydog · 25/03/2025 10:30

Bit long and boring, sorry!

I lost a filling recently and had a temporary one done by an emergency dentist as it was quite painful (excellent service) and was advised to see my own dentist ASAP for a new permanent filling, she didn’t think I would need a root canal as it wasn’t deep.

I booked in with my dental surgery as advised and was seen yesterday by a ‘dental therapist’, which seems to be the dental equivalent of a physician associate. She took an X-ray and announced that she couldn’t do the filling because she thought it was too deep and that I needed to book in with a qualified dentist for a second opinion as I might need a root canal. She couldn’t book me in for this so asked me to speak to the receptionist, who couldn’t offer me anything prebookable until the end of May and told me to call at 8am today to ask for an emergency appointment. I called at 8am and was told I couldn’t have an appointment because I wasn’t in pain. I politely asked why I had been booked in with someone who could not undertake the treatment required and that I was concerned there was no continuity of care as I was being asked to sort it out myself, the receptionist was quite rude and snippy and told me that they had offered me an appointment and it ‘wasn’t her problem’ if I didn’t want to accept it. I explained that I was concerned the temporary filling wouldn’t last 8 weeks and that it would become an emergency that may cause me to lose my tooth entirely. She told me again that I couldn’t have an appointment because I wasn’t currently in pain. I asked if she was telling me I needed to suffer before they would resolve the mistake they made and she hung up on me 😯

This is quite stressful for me as I have quite bad dental phobia (they know this because it’s all over my records and I sometimes get a bit tearful just giving my name when I book in at the desk!) and I’m petrified of having to be in pain before they will help me. WIBU to lie and tell them I am in pain? I hate lying but I don’t know what else to do as I’m so worried I’ll end up losing my tooth altogether if I have to wait 8 weeks.

OP posts:
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FlyingHighFlyingLow · 16/04/2025 12:49

LBFseBrom · 16/04/2025 02:02

NHS maternity pay is not bad at all.

I'm surprised you are even considering root canal if you have dental phobia. Have you ever had one? They can cause all sorts of problems later on too. I'd rather lose a tooth.

Thank goodness you are now on antibiotics, your pain will go. If you do go ahead with root canal be as sure as you can that you are free of infection and get some more antibiotics to cover you.

Good luck.

This is supremely unhelpful for someone anxious regarding dentists. Root canals are done very routinely. If there is a problem later on it can be removed then, why lose a tooth when it can be fine for decades to come?

Also maternity pay is not bad? It's £187 a week - less than half of what someone would make full time on minimum wage. If you want to try living on £750 a month to cover rent/mortgage, bills, food etc please do!

cryinginthechapel · 16/04/2025 10:13

hereismydog · 16/04/2025 00:48

I started this thread three weeks ago. An abscess has developed within the last three days, which is why I updated the thread. I called on Saturday, nobody answered the phone (they are open), I called yesterday and the published opening hours were incorrect so no appointments available when I phoned at the time published on the website. I went to the desk at 8am this morning, a dentist had phoned in sick so no appointments. I saw the out of hours again this evening because my own practice couldn’t help, yet again. I can’t agree that they ‘handled it well’ Confused

I am an HCP and I cannot imagine telling a patient to arrange their own follow-up if I couldn’t provide the level of care they needed. Seems dentistry works very differently as all follow-up would be arranged by me so the patient didn’t have to do the extra legwork to get the required care.

I am anxious but I’m not demanding. I get upset in the dentist’s chair because I have a phobia, surely you’ve come across patients like me? I don’t shout and scream at receptionists. The receptionist hung up on me yesterday when I begged her to help me. If a patient came to me and explained that our receptionist had done that, I would be absolutely mortified. Again, I don’t agree that that was her doing her ‘very best’. Incidentally, I saw her this morning when I tried to book an appointment and asked her why she’d done that to me and to her credit, she apologised and admitted she could have been kinder.

Sure, some people don’t look after their teeth so have many self-inflicted dental diseases. I brush, floss and mouthwash like I’m supposed to, but unfortunately still have some tooth decay. However, it’s a two-way street and people need to be able to access timely dental care to ensure their teeth remain in good shape. As a dentist, you are obviously keen to defend your profession (I’m the same when people complain about the NHS) but I cannot see how I am to blame for what I’ve outlined above.

All the best at getting this sorted. Feel free to pm me if you want any advice in the meantime x

LBFseBrom · 16/04/2025 02:02

NHS maternity pay is not bad at all.

I'm surprised you are even considering root canal if you have dental phobia. Have you ever had one? They can cause all sorts of problems later on too. I'd rather lose a tooth.

Thank goodness you are now on antibiotics, your pain will go. If you do go ahead with root canal be as sure as you can that you are free of infection and get some more antibiotics to cover you.

Good luck.

hereismydog · 16/04/2025 01:11

Picklelily99 · 16/04/2025 00:57

I take it you ARE joking? £59 Routine appointment, £99 emergency appointment, £125 access appointment!!!

Yup 😫 I’m on maternity leave so 1) I qualify for free treatment at the moment, and 2) I can’t afford to go private anyway because NHS maternity pay isn’t exactly generous 😄

OP posts:
Picklelily99 · 16/04/2025 00:57

andHelenknowsimmiserablenow · 25/03/2025 15:17

Are you entitled to free NHS dentist treatment OP?
If not, could you consider going private instead for this? It costs so much for NHS treatment at the moment, I found it isn't so much more to go private, also it's a lot easier to get an appointment! They may also help more with your treatment anxiety.

I take it you ARE joking? £59 Routine appointment, £99 emergency appointment, £125 access appointment!!!

hereismydog · 16/04/2025 00:48

cryinginthechapel · 15/04/2025 23:47

Dentist here.
I think everything that has been done here is standard good practice.
you saw an emergency dentist at out of hours. They correctly placed a temporary filling. A decent temp can last weeks, if not months, as long as you don’t eat any toffees! They can’t do permanent filings at this clinic so they did the right thing to temporise.
A dental therapist is qualified to do permanent fillings in adult teeth. He/ she did exactly the right thing getting an xray and assessing the tooth. You said you weren’t in pain at this point in time. Only dentists can do root canal. Again the therapist made the right call by referring you to the dentist.

there really is no way of knowing ( in this particular case ) if the tooth required root canal treatment prior to the assessment and radiograph with the therapist.

its pretty standard to wait for 8 weeks to see a dentist for routine treatment in any part of the country. There is a recruitment crisis and generally not enough dentists to go round. It’s not their fault.
root treatment generally can take two appointments both 45 minutes to an hour, so it’s not an easy one to schedule at short notice.

I'm a bit confused by your post as you initially said you weren’t in pain. But then subsequently today developed an abscess? Is that correct? And you were seen today. So all the boxes were ticked. The practiced handled it well I think.

you sound like you were annoyed with the receptionist. However you also admit you’re very anxious. Sometimes it can be tricky for receptionists to deal with anxious and demanding patients. And with the greatest of respect, and I’m sure you were lovely and polite, but sometimes those interactions can be tense. Who knows? None of us were witness to this.

finally, and it’s not aimed at the OP, but receptionists, therapists and dentists are doing their very best. We are treating disease that has generally been self inflicted. With a few exceptions.
patients can complain until they are blue in the face about this, that and the other. But there needs to be spme personal
accountability for dental issues without always trying to find someone else to blame.

I started this thread three weeks ago. An abscess has developed within the last three days, which is why I updated the thread. I called on Saturday, nobody answered the phone (they are open), I called yesterday and the published opening hours were incorrect so no appointments available when I phoned at the time published on the website. I went to the desk at 8am this morning, a dentist had phoned in sick so no appointments. I saw the out of hours again this evening because my own practice couldn’t help, yet again. I can’t agree that they ‘handled it well’ Confused

I am an HCP and I cannot imagine telling a patient to arrange their own follow-up if I couldn’t provide the level of care they needed. Seems dentistry works very differently as all follow-up would be arranged by me so the patient didn’t have to do the extra legwork to get the required care.

I am anxious but I’m not demanding. I get upset in the dentist’s chair because I have a phobia, surely you’ve come across patients like me? I don’t shout and scream at receptionists. The receptionist hung up on me yesterday when I begged her to help me. If a patient came to me and explained that our receptionist had done that, I would be absolutely mortified. Again, I don’t agree that that was her doing her ‘very best’. Incidentally, I saw her this morning when I tried to book an appointment and asked her why she’d done that to me and to her credit, she apologised and admitted she could have been kinder.

Sure, some people don’t look after their teeth so have many self-inflicted dental diseases. I brush, floss and mouthwash like I’m supposed to, but unfortunately still have some tooth decay. However, it’s a two-way street and people need to be able to access timely dental care to ensure their teeth remain in good shape. As a dentist, you are obviously keen to defend your profession (I’m the same when people complain about the NHS) but I cannot see how I am to blame for what I’ve outlined above.

OP posts:
cryinginthechapel · 15/04/2025 23:47

Dentist here.
I think everything that has been done here is standard good practice.
you saw an emergency dentist at out of hours. They correctly placed a temporary filling. A decent temp can last weeks, if not months, as long as you don’t eat any toffees! They can’t do permanent filings at this clinic so they did the right thing to temporise.
A dental therapist is qualified to do permanent fillings in adult teeth. He/ she did exactly the right thing getting an xray and assessing the tooth. You said you weren’t in pain at this point in time. Only dentists can do root canal. Again the therapist made the right call by referring you to the dentist.

there really is no way of knowing ( in this particular case ) if the tooth required root canal treatment prior to the assessment and radiograph with the therapist.

its pretty standard to wait for 8 weeks to see a dentist for routine treatment in any part of the country. There is a recruitment crisis and generally not enough dentists to go round. It’s not their fault.
root treatment generally can take two appointments both 45 minutes to an hour, so it’s not an easy one to schedule at short notice.

I'm a bit confused by your post as you initially said you weren’t in pain. But then subsequently today developed an abscess? Is that correct? And you were seen today. So all the boxes were ticked. The practiced handled it well I think.

you sound like you were annoyed with the receptionist. However you also admit you’re very anxious. Sometimes it can be tricky for receptionists to deal with anxious and demanding patients. And with the greatest of respect, and I’m sure you were lovely and polite, but sometimes those interactions can be tense. Who knows? None of us were witness to this.

finally, and it’s not aimed at the OP, but receptionists, therapists and dentists are doing their very best. We are treating disease that has generally been self inflicted. With a few exceptions.
patients can complain until they are blue in the face about this, that and the other. But there needs to be spme personal
accountability for dental issues without always trying to find someone else to blame.

hereismydog · 15/04/2025 23:13

Finally been seen. I have an abscess causing inflammation of my facial muscles, which is why I can’t open my mouth, but thankfully no bone involvement. Now on a hefty whack of antibiotics.

If only there’d been some way of avoiding getting to this stage…

OP posts:
hereismydog · 14/04/2025 16:02

FlyingHighFlyingLow · 14/04/2025 15:32

You need to ring 111 for an emergency appointment to deal with the fact you're in pain.

I did, they can’t help until 6pm as the out of hours service doesn’t operate until then 😫

OP posts:
FlyingHighFlyingLow · 14/04/2025 15:32

You need to ring 111 for an emergency appointment to deal with the fact you're in pain.

hereismydog · 14/04/2025 12:48

Well, I did as I was told and waited until I was in pain. Rang this morning at the exact opening time stated on their website and was told they had changed their opening time but that it hadn’t been updated on the website so all the appointments have now gone. I explained that my face is swollen, I can taste pus and I can’t open my mouth more than a finger width due to pain and swelling so I can’t actually eat anything and the receptionist just fucking hung up on me again. No compassion, no signposting to alternative care, just hung up.

I’m not usually one to make an official complaint, but the ‘service’ has been truly awful so I will be attending the practice tomorrow morning in person to ask for an appointment and to speak to the practice manager.

Also cheers @HundredMilesAnHour for your sneery post, hope it made you feel better Smile

OP posts:
HundredMilesAnHour · 25/03/2025 17:12

I don’t think your dental surgery did anything wrong. They offered you an appt but you aren’t willing to wait 8 weeks. That’s your choice but that means you need to go privately if you want to see a dentist sooner.

You’re not going to lose your tooth, not even if the temporary filling falls out (which is very unlikely). You’ll just have toothache.

Your dental anxiety is behind most of this. Maybe you need to look at getting some help for it as sobbing at the dentist is most definitely not normal. None of us like the dentist but your phobia is turning you into a nightmare client and you risk losing your place at the NHS dentist if you continue like this. If you can afford it, you would be better off going privately so they can spend more time handholding you.

HalfasleepChrisintheMorning · 25/03/2025 17:11

LatteLady · 25/03/2025 15:46

OK, @hereismydog you have been misinformed. A dental hygienist, although often qualified to take radiographs, is not qualified to fill teeth, their role is to show you how to clean teeth and to remove calculus and to clean teeth and polish teeth. Dental Auxilleries are allowed to fill primary dentition but are not permitted to give an ID block but may give very local anaesthetics, their work is under the supervision of a qualified dentist, they do not touch secondary dentition.

You need to ask for an appointment with a dentist for a filling... and yes, you are in pain as you have a temporary filling.

You’re wrong. If they have a degree in Hygiene Therapy then they can extract deciduous teeth and fill both permanent and deciduous teeth either under the prescription of a dentist or under direct access arrangements. They cannot do permanent extractions or root canal. I guess the therapist was concerned that the OP’s filling may actually need a root canal, in which case the right thing is for them to dress the tooth and refer to a dentist.
The therapist seems to have acted entirely correctly and there was no issue with offering a direct access appointment for a lost filling.
The issue seems to be that the receptionist is rude and unhelpful and that they are booking 2 months ahead- although booking 2 months ahead is fairly standard for an NHS practice.
Ask to speak to the practice manager, but your complaint is the attitude of the receptionist and not the clinical care being offered.
HTH

Boomer55 · 25/03/2025 17:02

Just book the pre-bookable, It’s not an emergency. If it becomes one then phone them.

ThinWomansBrain · 25/03/2025 16:59

did you get an exit letter or anything from the hospital detailing who treated you, or do you remember her name? Or call the hospital to ask?

Improbable that she only does emergency night cover, likely to work elsewhere & work additional shifts - must be possible to track her down.
Or ask for a hospital referral - my extraction under GA was not because I am especially nervous, but I have a huge gag reflex, and trying to do it at the dental surgery was unsuccessful.

hereismydog · 25/03/2025 16:50

rainbowunicorn · 25/03/2025 16:22

The dental therapist can do certain fillings so with the information they had you were allocated the correct person. Once the xray was taken it became apparent that it was something that would need to be done by the dentist. You were offered an appointment for the end of May. This is all just standard.

It shouldn’t be ‘standard’, that’s the problem. I’m a nurse and if I see a patient who I think needs to see a doctor, I arrange all the follow-up for them if I can’t get a doctor to come in and see them there and then. It shouldn’t just be a case of just shrugging your shoulders and leaving the patient to sort it out.

I also don’t agree with them not making it clear on booking that you are not seeing a dentist and that treatment options may be limited.

OP posts:
hereismydog · 25/03/2025 16:44

ThinWomansBrain · 25/03/2025 16:20

"temporary" fillings can last for ages.
I had a filling fall out, leaving a steel post sticking out from the remains of the tooth; I got a temporary filling the next day.
Long story, but ended up needing the tooth removed in hospital rather than the dental surgery, which took around ten months for the appointment. the temp filling was fine.

Why not try too make an appointment with the emergency dentist that you liked if you're considering going private?

I’ve no idea where she works, I saw her in a minor injuries unit at 10pm! The emergency appointment was made by the dental version of 111.

My worry is that it does need a root canal and by the time this 8 week wait is up, it’ll be too late to save the tooth and I’ll lose it.

OP posts:
rainbowunicorn · 25/03/2025 16:22

hereismydog · 25/03/2025 16:01

It wasn’t a hygienist, it was a dental therapist. The appointment I had yesterday was booked for a replacement filling so they knew why I was attending and I was under the impression that I would be seeing an actual dentist! If the person I saw was not qualified to perform the treatment I was booked in for, I should never have been booked in to see them and the onus should not be on me to call at 8am every day to beg them to correct their error.

The dental therapist can do certain fillings so with the information they had you were allocated the correct person. Once the xray was taken it became apparent that it was something that would need to be done by the dentist. You were offered an appointment for the end of May. This is all just standard.

ThinWomansBrain · 25/03/2025 16:20

"temporary" fillings can last for ages.
I had a filling fall out, leaving a steel post sticking out from the remains of the tooth; I got a temporary filling the next day.
Long story, but ended up needing the tooth removed in hospital rather than the dental surgery, which took around ten months for the appointment. the temp filling was fine.

Why not try too make an appointment with the emergency dentist that you liked if you're considering going private?

hereismydog · 25/03/2025 16:01

LatteLady · 25/03/2025 15:46

OK, @hereismydog you have been misinformed. A dental hygienist, although often qualified to take radiographs, is not qualified to fill teeth, their role is to show you how to clean teeth and to remove calculus and to clean teeth and polish teeth. Dental Auxilleries are allowed to fill primary dentition but are not permitted to give an ID block but may give very local anaesthetics, their work is under the supervision of a qualified dentist, they do not touch secondary dentition.

You need to ask for an appointment with a dentist for a filling... and yes, you are in pain as you have a temporary filling.

It wasn’t a hygienist, it was a dental therapist. The appointment I had yesterday was booked for a replacement filling so they knew why I was attending and I was under the impression that I would be seeing an actual dentist! If the person I saw was not qualified to perform the treatment I was booked in for, I should never have been booked in to see them and the onus should not be on me to call at 8am every day to beg them to correct their error.

OP posts:
CuriousGeorge80 · 25/03/2025 15:59

My “temporary” filling lasted over two years (Covid) with no issues and I wasn’t even that careful. Take the May appointment and if you have issues before then call up, in pain, and get an emergency appointment.

FlyingHighFlyingLow · 25/03/2025 15:57

Honestly that's NHS dentistry now. Same story, pregnancy with horrific morning sickness and reflux. Couldn't do dentist while pregnant as if so much as touched my mouth I'd be gagging and retching.

Lost a filling, 5 other teeth need fillings. Had an emergency dentist fill the tooth that lost the filling and it was 4 months before I got an appointment to fix it. 3 of the teeth still haven't been done as can only do one side at a time and only for so long. My next appointment will be 11 months from my filling falling out.

rainbowunicorn · 25/03/2025 15:51

The temporary filling isn't likely to fall out in 8 weeks. You were offered an appointment for the end of May. That is pretty standard for NHS that isn't an emergency. You are no longer an emergency as you had the emergency treatment with the first dentist.
Possibly it was that that the dental associate was the correct person to do the treatment untill the xray was looked at.
If you don't want to wait until the end of May you are probably best booking a private appointment with another dentist.

allthepeoplethatcomearound · 25/03/2025 15:51

Also just to add - the dental therapist is qualified to replace lost fillings under direct access (without dentist prescription). It’s best practice for them to encourage you to see the dentist if they feel as if the job is out of their scope of practice. They cannot diagnose you to be in need of a root canal or extraction etc. only the dentist can do that.

allthepeoplethatcomearound · 25/03/2025 15:48

Dental nurse here 👋
Your temporary filling should absolutely last a couple of months until you are able to attend the ‘bookable’ appointment.
Some people have them as standard fillings, depending on which surface of the tooth is in question.
Your own dentist won’t be in a hurry to replace a temporary filling done elsewhere if there is nothing wrong with it/you aren’t in pain/you don’t have facial swelling. Hopefully none of these things will develop but at that point you could certainly call the surgery for an emergency appointment and they should provide one.
good luck op!