Monthly Archives: October 2018

Sedation Dental Work without Permission

I don’t know what to do. I’d developed some pretty severe anxiety and have been neglecting some important things as a result, including my dental care. I’ve been seeing a therapist and one thing he suggested just to get my oral health back on track was to see a sedation dentist until I’ve got my anxiety more under control. I thought it was a good idea. I saw a dentist and they listed out all the work I’d need. It was more than I anticipated so we set up a schedule where we’d do something called phased treatments. I’d do so much each visit and can take a break to save up for the next visit. Everything seemed to go fine with my first visit and I really thought this was going to be my answer. He was supposed to do a root canal treatment and crown along with three fillings. When I got home I was thrilled because I didn’t even remember the appointment so there was no trauma to increase my anxiety. However, the next morning, they called to tell me he was able to fit in a second dental crown in the time they had and they want submit the additional payment. I mentioned we had a set schedule for the work and I wouldn’t have the money for the additional procedure until the next scheduled time. She threatened not to bond the permanent crowns once they came in. I’m not sure this is fair because we had an agreement. What do I do?


Dear Odessa,

A woman lsleeping in a dental chair from dental sedation
Dental sedation is designed to give you peace of mind.

This is highly unethical on the part of your dentist. In fact, I’d go so far as to say he could get into legal trouble for his actions. A dentist is to have your express permission before doing any dental work. There’s no way he can obtain your permission while you’re under sedation.

I’d call and ask to speak directly to the dentist. Remind him you had a schedule for the work and did not approve the additional crown. Let him know what the front office threatened. If he has integrity, he’ll agree to place the crowns and not charge you for the one done without your permission.

If he gives you any problems with that, feel free to tell him you’ll be speaking with the dental board. That should put things back into perspective for him.

Find a Different Sedation Dentist

You should not allow this office to continue to do your care. I wouldn’t trust them. They’ve already violated dental ethics on a couple of levels. There are plenty of legitimate sedation dentists out there who are worthy of your trust. I’d not waste another moment on a practice which isn’t.

Make a list of dentists who offer the services you need in your area. Then, be certain to check their reviews to see what type of service patient’s have received from them. If they check out, then give them a try. Your current dentist is required to turn over all notes, x-rays, etc., that will be useful in your continued care. Though, this dentist should place the permanent porcelain crowns for you.

Please don’t let this one bad apple spoil you off getting the care you actually need.

This blog is brought to you by Libertyville Dentist Dr. David Potts.

Saving a Knocked Out Tooth

I was at a hockey game and saw one of the young men lose a tooth. I always heard the mothers joking about needing a good dental plan if your son joins the team. It got me wondering. Can those teeth be saved or do they have to get replacements for all the teeth they have knocked out?


Dear Patty,

hockey player with missing tooth

There’s is always a possibility the tooth can be saved. However, conditions have to be in its favor. Here’s what you need to know:

This is a Dental Emergency

Call your dentist and let the office know what happened. It’s important you get treatment within 30 minutes. If they know you’re coming, they’ll be prepared for you when you get there and can start treatment right away. If you don’t have a dentist, then you need to call an emergency dentist. They’ll see non-established patients in cases such as this.

Only Hold the Tooth by the Crown

Never touch the root of the tooth. THat could damage it. Instead, hold it by the crown (the visible part of your tooth).

Keep the Tooth Moist

It’s very important the tooth be kept moist. If you have access to a glass of milk, you can place the tooth there. If that’s unavailable, then you can place the tooth gently between your cheek and gums. This should keep it moist enough.

Preventing Tooth Loss

Of course, ideally, you don’t want to lose a tooth. Here are some tips to make sure you keep those chompers for a long time:

  • Always wear a mouthguard during sports
  • See your dentist for regular checkups to prevent gum disease and decay
  • Brush and floss daily

Following these simple tips will help keep your smile bright and healthy for your lifetime.

Other Types of Dental Emergencies

A tooth being knocked out isn’t the only reason you’d need an emergency dental appointment. The most common reason is pain. This is your body’s way of warning you there’s an infection somewhere. Dental infections can’t just be dealt with by using a simple antibiotic. Your dentist has to get in there and physically remove the infected pulp. This requires a root canal treatment.

Another common issue is a broken or cracked tooth. Your dentist will place a dental crown over the damaged tooth in order to protect it.

It’s always best to know those things in order to be prepared ahead of time.

This blog is brought to you by Libertyville Dentist Dr. David Potts.