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Dental trauma response -- perspective wanted from dental "insiders"  

post #1 of 7
Thread Starter 
I'm hoping someone can give me an idea of the standard response to a dental emergency. We've been with our current pediatric dentist for 3 1/2 years and I've always been happy with him. But we just had our first dental emergency, and I'm not happy with him at all. I need someone to tell me if my anger is justified or if I just need to simmer down because this is just how it is in the dental field.

Shortened version of the story: My 3 year old daughter fell and hurt her mouth on Sunday night. The urgent care center patched up her cuts and told me to follow up with our dentist ASAP. She has an intrusion injury and one of the worries was the proximity of the jammed tooth to the permanent teeth. Our dentist doesn't have office hours on Monday, but he has an emergency phone number, so I started paging him at 7:30 Monday morning. He finally responded after I paged him 3 times (waiting an hour between pages) and told me that he couldn't see my daughter until Friday. I hadn't expected him to go into the office on a non-office day, but I had expected him to say something along the lines of "If you come first thing on Tuesday, you may have to wait awhile, but I'll squeeze her in." I agreed to Friday since I didn't have much choice (I had already called several other dentists and they either weren't in the office, were booked up and wouldn't see a new patient, or wouldn't see someone as young as my daughter.)

Yesterday, my girl was in even more pain than the day before (even with the pain relievers) and she wasn't eating or drinking. So I called my pediatrician's office. They made a few calls and found a dentist to see her immediately -- she got "sqeezed in." They took xrays and determined that they didn't need to pull any teeth (the permanent teeth weren't in danger), but she may lose 4 teeth. I know they didn't do more than would have been done on Friday, but they did relieve the main worry about the permanent teeth and the dentist talked to my daughter about the importance of eating and drinking (she was on the verge of hospitalization and IVs). My daughter responded to their caring (she had been asking to go have her teeth fixed because they hurt so much) and started drinking last night.

So back to my question. Is it considered "normal" for a dentist to make a 3-year old in pain wait for several days? Again, I realize that waiting wouldn't have made a difference in treatment, but we didn't know that until a dentist actually saw my daughter. I'm tempted to leave our previous practice for the new one, but I also know that I'm too upset to make a decision about that right now. Any input from people who know about this stuff would be greatly appreciated.

Tara
post #2 of 7
Quote:
Originally Posted by thoesly

So back to my question. Is it considered "normal" for a dentist to make a 3-year old in pain wait for several days?

Tara

Absolutely not! : I wouldn't even consider it "normal" for a dentist to make an adult wait in pain for several days! My husband is a dentist (general - not specifically peds) and even if he is not in the office he answers his pager immediately and responds to emergencies fast. He'll be shocked when I share your story with him. Your poor little one - I'm glad you bypassed the dentist and went to your ped. If you do switch practices (I know I would) you may want to consider a group practice - that way someone is always available to come in for emergencies.
post #3 of 7
Quote:
Originally Posted by thoesly
So back to my question. Is it considered "normal" for a dentist to make a 3-year old in pain wait for several days?
Tara
I don't know about normal, but it's unacceptable to me!!

Our dentist (not pediatric, just really good with kids) doesn't have an answering service. He has a machine and the recording asks you to call another number if it's an emergency. The first time I did this, I was shocked to find that it was his cell phone number. He was at home, in the middle of a party (I could hear it in the background) and he spent about 10--15 min on the phone with me. The few emergencies (nothing like yours, we're talking a chipped tooth or a toothache here) have always resulted in a same-day appointment.

I would definately look for someone else.
post #4 of 7
Thread Starter 
Thank you for the responses. I needed to hear opinions from someone impartial (my husband wants the dentist drawn and quartered for not helping his baby girl *now*). I'm still a little shocked since we've always gotten such good care -- and a dentist who relates well to kids with special needs (all three of mine do) isn't easy to come by here. I cancelled the appointment for tomorrow and I have nearly two months before we have another appointment scheduled with him (the follow up for my daughter is for the "new" dentist). In that time, I'm sure I can make some more decisions and take some action.

Thanks again,

Tara
post #5 of 7
Tara, I'm so sorry for this. And I can't believe that that is the doc's normal response to a dental emergency. My dad is a pediatric dentist and he takes pages seriously, responds fast, and usually at least goes in to see the kid and what's going on that day/night. But admittedly, sometimes pagers don't work or go through, so I wouldn't kill your doc on that alone, but the fact of not even seeing you until Friday...that's rediculous! Was he out of town or something? Anyway, you need someone who will care for you when you need it. Good luck in your search for a new dentist!!! I know it's hard. I've been blessed w/ the best! )
post #6 of 7
Thread Starter 
Quote:
Originally Posted by EmmaJean
Was he out of town or something?
No -- he said he couldn't see her because he was booked up for the week. Even after I pointed out the worry about her permanent teeth and the fact that she was in pain now. I'm still a little shocked by this -- after 3 1/2 years of care (including good care when my oldest had to be put under general anesthesia for work at age 2), this was the last thing I expected. I do understand about pages not going through -- I've had technology fail me before and I usually blame that simply because that way, I don't get mad at anyone. Thanks for the words of encouragement!

Tara
post #7 of 7
I agree that what happened to you is unacceptable. My DD chiped a tooth and I called the emergency #...Her dentist th0ught it was minor, but told me to bring her in the next a.m. . I was in and out in an hour....including X-rays, filing her tooth and he did her routine check up while we were there. Maybe we were lucky , but I expect that now.We see a pediatric group...3 dentists and 1 orthadonist...and sometimes thry share call with another practice....but the a.m. I went in they were expecting us...and though it was minor, they were great.
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