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Many times, when we encounter a filling fails, we recommend restoring that failed filling with a dental crown. This is the often best way to protect a tooth. A filling is not going to protect and strengthen a tooth as much as a crown will. Can you replace a filling with something else? We can replace a filling with another filling. However, the constant refilling of teeth can weaken them. This is because more tooth structure must be removed each time a tooth is filled. The larger the filling is; the weaker your tooth becomes, and the more vulnerable it will be to cracking or breaking off.
Can’t you use composite dental resin? Yes, but keep in mind that a very large hole in your tooth may need more than cosmetic dental resin can fix.
How do you know when replacing a failed filling can only be done with a crown? If there is sufficient tooth mass to support normal biting and chewing, and if we do not have to remove a great deal of this to refill the tooth, we will use cosmetic dental resin. However, like we have already said, the danger here is no matter how good the resin does the trick, there will be insufficient tooth mass remaining to support normal biting and chewing.
In order to determine if we need to replace the filling with resin, or replace the filling with a crown, we have to thoroughly examine the tooth and make and accurate assessment of its current viability. A tooth that is clearly not going to make it with a new filling alone is going to need to be crowned.
This is not to say that cosmetic resin may not be used for a procedure such as a core buildup, but the exterior or the tooth will still be crowned to protect what is left of its enamel and dentin.
What other benefits does replacing a failed filling with a dental crown offer? It seals the tooth. It keeps out plaque and bacteria. It also enhances cosmetic appeal by restoring the shape and the strength of the tooth.
What types of crowns do you use? There are gold crowns still in use that many people like because they are very easy on opposing teeth (due to the softness of gold itself). There are also porcelain-fused-to-metal crowns which are very strong, but which are beginning to be phased out for newer forms of all porcelain crowns that look nearly identical to tooth enamel and are so hard they can handle all the normal pressures of daily chewing and biting without breaking or cracking.
How long does it take to replace a filling? Normally, it takes two appointments to restore your tooth with a crown. During the first appointment, we have to remove what is left of the old filling and any decay that may have ensued since its failure. We also have to take impressions of your teeth to send to the dental lab that will make your new dental crown.
When the crown is ready, we will call you back to our office and fit your tooth with the crown. Labels: benefits of cosmetic porcelain dental crowns, dental fillings
Infant tooth care Pediatric dentistry begins as soon as your child gets his or her first tooth. As teeth come in, you should begin cleaning them after each feeding with a moist gauze pad or washcloth. You should also clean the gums. As your child grows, be sure to also floss his or her teeth, and pay attention to places where the teeth are close together.
Flossing Flossing to plaque where a toothbrush cannot reach and is essential to keeping teeth and gums healthy.
Space maintainers If a baby tooth is prematurely lost, it can cause a loss of space in the dental arch. Pediatric dentists use space maintainers to keep this from happening. It only takes two appointments, on the average, to make a space maintainer.
Disclosing tablets are used to expose hidden plaque Plaque is the main culprit for cavities and gum disease, but it is virtually invisible to the naked eye. Dentists use disclosing tablets, made from bio-friendly vegetable dye, to stain the teeth bright red and expose the plaque.
Repair of fractured anterior teeth New bonding techniques and materials used in pediatric dentistry now allow cosmetic dentists to restore a fractured tooth to virtually new condition.Braces Braces make it hard for children to remove all of the plaque from their teeth. Children should use a soft toothbrush with fluoride toothpaste. They should brush after every meal in a circular pattern.
Ankylosis If a primary tooth loses its normal ligament connection to the jaw, it becomes fused directly to the bone. This often occurs with lower first molars. If this happens to your child, schedule a visit to a dentist immediately.
Stainless steel crowns Pediatric dentists use stainless steel crowns to repair primary teeth that have been damaged by large cavities. These crowns are much less expensive than porcelain equivalents and can be placed in a single visit.
Filling procedure A rubber dam, made from a stretchy, rubbery material, is placed in the mouth to act as a safety net against debris. The dentist then removes the decay from the tooth and reshapes its surface with the handpiece. He or she molds the composite bonding material to fit the shape of the tooth and presses it into its surface.
Cavities Cavities are possibly the biggest problem that growing children face. Dental hygiene and regular trips to the dentist are the best way to protect your children against rampant tooth decay, pain, and alignment problems that can result from teeth that are left unattended.
Pulpectomy In pediatric dentistry, a pulpectomy is the equivalent of a root canal in an adult tooth. It removes the infected nerve and fills the space with bonding material.
Pulpotomy This procedure is less intensive than a pulpectomy. It involves removing only some of the irritated portion of the pulp and leaves the remainder of healthy root canals intact. Labels: cavities, cosmetic dental braces, dental fillings, pediatric dentistry, pulpectomy, pulpotomy, stainles steel crowns
Hi doctor, Is it possible for a teeth's nerve to die off after putting braces? I have my ceramic braces on for about 2 months now. Recently, I have been experiencing sharp pain on two of my teeth after drinking cold drinks for a week. I understand that the movement of the teeth would cause sensitivity issue. However, the pain which I was experiencing was somehow different. I went back to see my dentist and was told that this was an unusual encounter that the worse scenario is that my nerve may have possibility died off. Nevertheless, he give me some anti-swelling oral medication and ensure me that the problem will be resolve in a few days time.However, 2 weeks later the same symptom happen again, but this time it lasted for 5 hrs. I went back to the dentist again and I was told that the nerve is going to died off soon. I was so shocked and disappointed after hearing that. He said that I have exceptionally sensitive tooth and that the force he applied to tighten the braces was generally acceptable by all his patients. He told me that the only solution now is to undergo root canal treatment. I was so shocked to hear that. How can a set of teeth that was previously healthy become bad teeth after putting these braces? Is this true? How can it happen and is the root canal treatment the only solution? Kindly reply to me. Thank you for your time.Regards,John
Good question – Your story is not unusual. The nerves of the teeth can respond negatively to trauma, whether the trauma is from a blow, a fall, grinding your teeth, deep decay, deep fillings, fractured root, gingival recession, orthodontic movement – sometimes it just seems to be nothing in particular, the simplest thing, that triggers nerve sensitivity. Nerve sensitivity can be reversible and slowly go away, or it can respond to treatments for sensitivity such as topical fluoride, topical fluoride varnish, Sensodyne tooth paste, bite adjustment, etc. Or, sensitivity can be irreversible – such that nothing that is done will make it better… and in this case, root canal treatment is the most common treatment.
Tooth sensitivity is our most common complaint in general dentistry. It is sometimes obvious as to the cause, but it is also common to have the cause very vague and hard to figure out. Your dentist is doing appropriate conservative treatments, trying to allow some time to pass, since sometimes the problem goes away without treatment. He is also correct in telling you that sometimes these problems will only resolve with root canal treatment…true. Nothing has been done wrong, it is just that some people have very sensitive teeth – if you look around your mouth, you will probably find other signs that predispose you to tooth sensitivity:Ø Large, deep fillings Ø Muscular grinding / clenching habits Ø Gingival recession Ø Gingival abfractions Ø Fractures in teeth Ø Old trauma – falls, etc.
This is all difficult to predict and very different from person to person. Sit down and have a discussion with your dentist about your situation relative to other teeth that might have similar potential problems. It is much more complicated than you are assuming.Labels: dental abfraction, dental fillings, gingival recession, tooth fractures, tooth sensitivity
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