Tooth 14 crown replacement request and pushback from dentist

November 21, 2019

In my dental notes, on November 21, 2019, Dr Nguyen of Willamette Dental (Gresham) writes

‘Patient recently saw ENDO for consultation, Dr. Saito mentioned “tooth is mostly likely sympatomatic from mesial wall, recommended exo.”‘

This is not exactly how I remember the situation being presented to me. Once the tooth was extracted, carefully examining it, I did see a crack along the side of it, though, at least by January 2020, this wasn’t the only structural problem I saw – there was also a hole (cavity) on top of the crown. But I don’t recall the dentist emphasizing to me that the tooth or crown was broken or unstable – quite the opposite. While I don’t remember the details of the July 2019 visits other than that I was having discomfort with tooth 14 and surrounding tissue of head and neck that I identified as being linked to radiation (frequencies, directed energy, etc) attacks, I do have a good recollection of the November 21 visit, and Dr Nguyen’s stance which was very firmly that the crown was intact and in good condition and therefore she would not remove and replace it. She did mention extraction as an alternative, but it without giving any kind of scientific support for why the tooth should be extracted. Her position was that the crowned tooth was in good shape.

In reality, I don’t know if the crack in the tooth was a factor or to what extent it was a factor. It does make sense to me that removing a cemented crown might cause an already damaged tooth to further deteriorate, but none of this was explained to or discussed with me. Willamette’s recommendation was to leave the tooth as it was, despite the agony I was experiencing. I didn’t want to extract the tooth if I didn’t have to.

After reaching a sort of stalemate with Dr Nguyen, she recommended that I speak with the clinic manager Dr Sheida Kharrazi, which I tried to do. Dr Kharrazi echoed Dr Nguyen’s sentiment that the crowned tooth was fine, but if I insisted on wanting to replace the crown, she could bring it up with an administrative board, indicating that I’d have an answer from them later that afternoon. In fact, they initiated a type of investigation, gave themselves a month to respond, and took nearly the entire month before responding. Meanwhile, I was suffering tremendously.

In the end, they concluded that the crown could not be replaced and the only alternative was extraction which I then moved to do as quickly as possible. The extraction was completed on January 10, 2020. At that time, the oral surgeon Dr Patel noted, the crowned tooth was “carious” – there was a hole in the crown – and I had developed an infection in the sinus cavity near the root of the crowned tooth. Was the hole not present on November 21?

Willamette Dental chart notes November 21, 2019
Willamette Dental chart notes November 21, 2019
Willamette Dental, Gresham, November 2019. A TCBY Yogurt had just been torn down next door, and was being replaced with a bank. Construction was audible during my 11/21/19 visit.

web page updated 10 August 2022