Curvy root canal.. or straight?

mal4mac

Maybe justme111 has been lucky to find a good dentist, who just happens to be private. But is there any evidence that private dentist are better than NHS dentists, on average? Here's a Which report from someone who loves his NHS dentist:

https://conversation.which.co.uk/health/nhs-dentists-why-go-private/

"I’ve also heard stories of people who’ve paid a fortune for private work only to have it corrected at an NHS practice later on..."

justme111

Do you need a proof that someone that has to decide whether to do something
- -without being paid for it but because authorities tell them to do so
-- when it is said it is up to them to decide what needs to be done
--while not being controlled
is not going to do as good a job as someone who is being paid for their services the same way as any other trade is paid , by people who they sell their services to?

mal4mac

"The NHS has been declared the best healthcare system by an international panel of experts who rated its care superior to countries which spend far more on health."

http://www.theguardian.com/society/2014/jun/17/nhs-health

If we spent as much as these countries on the NHS, imagine what kind of health service we could have! For a start we could bring dentists properly into the NHS.

justme111

You did not reply my question.
You disagreed with my statement that out of perverse system one has better chances of finding proper care asking for "proof". When I pointed how self evident it is you changed the topic as I noticed you often do in your posts here.

silvercar

I'm confused.

Are you saying your dentist has 2 machines on the shelf and for those that pay an extra £200, he will get one machine down and for those that won't he will leave the better machine on the shelf and use the cheaper machine?

So he will sit there performing the root canal, in the knowledge that the machine that will do the job best is within arms reach but not use it?

Please tell me I have misunderstood.

justme111

So why does car hire company not give one BMW when one paid for vauxhall?
One is free to chose on cost/benefit ratio between two options , what is wrong with it ?

brake

silvercar wrote: »

I'm confused.

Are you saying your dentist has 2 machines on the shelf and for those that pay an extra £200, he will get one machine down and for those that won't he will leave the better machine on the shelf and use the cheaper machine?

So he will sit there performing the root canal, in the knowledge that the machine that will do the job best is within arms reach but not use it?

Please tell me I have misunderstood.

That was what I was thinking too. Seemed strange to me, but the machine belongs to the dentist so it's their decision.

justme111

You likely misunderstood. The usual circumstances are that there are hand instruments for nhs work and machine with corresponding instruments for private. So that's where they draw the line. To do it best one needs not only "machine " but many other gadgets.Costing thousands of pounds. Some practices have some of them for all. Some do not. Some dentists buy them even if practice does not provide them. Some use some of them for all. It is very unlikely practice or dentist will have all or most of them and do NHS work without them because of one is advanced enough to source them and work to the best standard they would not do work without them. They would either do it to the best of their ability using all gadgets or not do it at all. Hence my doubts in competency of your dentist. Still it may suit you .

brake

I searched for an endodontics spec, but none would do rct on nhs (as we all expected I think).

My appointment with my dentist was this afternoon at 2.00pm. It went very well indeed. I asked about the dam and was told that my dentist prefers to not use them. All tools were attached and no chemicals were being used- only corsodyl. I received a briefing before and after, using xrays. Not a twinge of pain and a wonderful chair-side manner.

This was RCT on the NHS and I feel very happy and well taken care of. Blessings on our tremendous NHS! I feel a bit silly to have been so concerned earlier, but thanks to all for your kind advice and helping me to be prepared.

brook2jack

NHS or not rubber dam should be used for endodontics. The success rates are far better and it is safer with small instruments. Your dentist should be using it whether NHS or private , particularly as it is a back tooth.