Hello, while on

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Hello, while on holidays abroad, I had to visit a dentist, and he said the quality of my fillings was very low. He strongly recommended to replace them all as soon as possible. I’ve been having problems with my fillings for a while: almost every time I visit local (London) dentist practise, they says there is some problem with my fillings (they have made most of them). I’m now pretty confused what to do.

Thanks

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Asked on 27/11/2011 12:00 am
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Private answer

Fillings can be replaced in various ways , from composite to ceramic fillings ,

The governing factor will be your budget .

You must first establish why they are failing be it caries or occlusal trauma , look at occlusion on this site .

Once you know why then have your treatment , the most important factor is that whatever you have done can be done to strengthen your remaining teeth ,This strength is maximised by the materials used and the fit of the materials used as well as the accuracy of the dentist ability and the way your bite is left after the restorations are done .

You must bear in mind the design and the depth , Well polished accurate tooth coloured restorations are possible and if you have the finance they can look better than your original teeth . Amalgams are the entry level , they do release mercury on placement and removal , in some cases patients are known to be ill if too many are done at once , dietary supplements to minimise the toxic effects of amalgam (mercury)should be understood . (seaweed extracts )

Composites done in careful layers with minimal shrinkage really work well with the right kind of composite that is colour stable , they must be polished well and left smooth , especially if there is glass filler in it (reduces the shrinkage ) Any rough surfaces are abrasive to opposing teeth . Well polished porcelain is the strongest with the least shrinkage as it is cemented on . Look at well made Cerec crowns and onlays , these do cost the same as a crown or on-lay or inlay .

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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Dear Martin
It is worth getting an opinion as to how best to proceed.
A treatment plan will be governed by your treatment needs,what you expect from the treatment and any limitation you have as to time and budget.
If you always need fillings it would be wise to review the way you maintain your oral hygiene and the suitability of the filling material used for each individual tooth.
The more precise the detail of how your teeth are restored and better you take care of your teeth ,the longer the fillings/crowns will last.
A comprehensive examination and consultation will help you decide what is best.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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When making decision to redecorate your wooden front door there is a point where the problem is purely cosmetic but if one leaves the paint to flake then then wood becomes rotten
Filled teeth are similar to this and rate of breakdown will depend on what you eat and how well you clean
Some dentists will be happy to just cover the front door with any colour of paint and not worry if it is done well where as others will obsess if there is a single brush stroke visible in the perfect gloss finish or redo the work every year because the shade has faded due to sunlight
Discuss with your dentist what they dislike about the existing fillings and explain what you dislike about them and then decide what can b done by him/her and what they feel could be achieved by a specialist

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am