Re: A file broken inside tube while being root canal treated

From: Mark & Steven Bornfeld DDS (bornfeldmung_at_dentaltwins.com)
Date: 11/11/04 

Date: Thu, 11 Nov 2004 10:36:54 -0500

Adenosine wrote:
>
>
> I give my opinion because they asked for opinions. Do you honestly
> think that you can give a 100% rock solid opinion without seeing
> radiographs and the patient in person? If you always take the advice
> of random crazies on the internet, you'll have this tooth pulled out!

        Let me try to give a reasoned response, since you've already
acknowledged that you wish to make sure it's known that you are a
consumer and not a dentist.
        The OP posted (in part)

"Aftermath: Other than angry by being fooled, I am afraid of long term
side effect of the broken file. Can any one help me out here. Do I
need to insist on removing the broken file? Is 3 core good enough for
the tooth? what kind of possible consequence the broken file could
bring if just leave it there?"

        This may seem to beg an "opinion", but to me it asks for a clinical
judgement. The problem is exactly what you acknowledge--that there is
nothing close to a rock-solid judgement that can be made in this case.
It is a clinical judgement, and one that one can comment on only by
stating that "this is generally accepted to be true or false" or that
"this is the thought process that I'd go into to decide what actions (if
any) to take based upon my clinical experience of cases like this.
        My objection (and forgive me if you think I'm in error) is that your
posts frequently sound more like the latter than they do like the
former. And from this feeling I started to think that perhaps you were
in fact a dentist.
        You are an intelligent (I presume) man and I'm sure you can appreciate
that a little knowledge can be a dangerous thing.
>
>
>> I had wondered (not having read all your postings) if you were a
>>dentist--it was not always clear one way or another.
>
>
> Well, if I forget to make it clear, I'm sorry.
>
>
>> Why do you feel you have standing to reply to this poster? Do you see
>>how this could be a problem if you don't make clear (as you frequently
>>do not) that you aren't a dentist?
>
>
> I feel I have a standing because I pay for usenet access! If Jan can
> post and give her opinions, certainly I can.
I'll even respond in a
> reasonable manner, and admit any errors I have made. I think that you
> need both sides to a story. One side (yours) is the dentist
> perspective. The other (mine) is the perspective of a patient.

        Well, leaving aside for now the question as to whether you wish to be
compared to Jan, just realize that your responsibility in giving advice
is of a very different nature to mine. I don't have the luxury of
simply admitting a mistake and moving on. While my responsibilities in
this newsgroup are certainly not equivalent to those I may have to a
patient sitting in my chair, I must take any advice given here in a very
  serious manner--I am not only ethically and morally bound not to
mislead, but professionally responsible to keep my mouth shut when I
don't know.
        While I don't understand (nor is it my business to know) your interest
in this newsgroup (you clearly must have seen that there are dentists,
hygienists, patients asking questions related to their own personal
situation, crusaders, salespeople), as long as there is no question that
you are not giving professional advice there is nothing wrong with
sharing your knowledge here.
>
>
>> BTW, if the infection hasn't responded to the antibiotic after 15
>>days--it's not going to.
>
>
> I thought it had already worked. If not, why would anybody be putting
> a core build up over it? I see nothing in the original post indicating
> the the antibiotics were not effective.

        That may well be. My comment related to your statement about promoting
bacterial resistance.

Steve 

-- 
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

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