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Dental Health Message Board


Dental Health Board Index


Hi there. I will try to answer your questions as much as I can.
1. Without seeing the tooth and a radiograph, I can't entirely answer this question. If there is decay under the filling and it is close to the nerve, you may need a root canal and a crown. If there is no decay under the filling, but it is just a large filling, a crown may be a good option to prevent further breakage. A crown is basically a tooth colored porcelain jacket that completely surrounds the tooth. Unfortunately removing the filling altogether and leaving a big hole in your tooth would only cause pain and would look terrible.
2. The only reason for drilling deeper and deeper would be because you have decay/unhealthy dentin that has formed under the filling. If the dentist has to go deeper to remove decay, he/she get closer to the pulp (the nerve of the tooth). One thing they can do is place a special liner that releases fluoride into the tooth and helps protect the nerve before placing the composite.
3. We're getting closer, but I wouldn't count on it any time soon. As it stands, recaldent and xylitol can both help to remineralize enamel, but not dentin and even the enamel cannot be remineralized once a cavitation is formed.
4. I don't think your first dentist did an unnecessary procedure. It sounds to me like you had a cavity that needed to be fixed. If the dentist had left the cavity there, it would just continue to get worse and worse until it evenually infected the pulp and you either lost the tooth or at the very least needed a root canal. The hard thing for dentists is that many times a patient will not be having any pain with the tooth that needs work. This makes it very difficult for the patient to understand why the tooth needs to be worked on. In fact, sometimes, removing the cavity completely can cause the patient to have pain and they assume that the dentist did something wrong. This is not the case. The fact is that sometimes the cavity doesn't hurt because the nerve is covered by something regardless of the fact that it is diseased tooth structure. Or, in some cases, the decay has actually killed the nerve, resulting in a dead tooth. Unfortunately, removing that diseased tooth structure can irritate the nerve. But, if the nerve becomes irritated from this, the tooth would have started to ache in the near future regardless.

It's a bummer that you are so young and are having such trouble, but it sounds like it was unavoidable. My suggestion to you is to see your dentist every 6 months so that any future problems can be fixed while they are small. I hope this helped.

Becky



[QUOTE=onthetopo;4022269]I am in my 20s and had a compositing filling done on the side of my central incisor but it cracked after 4 years. Already replaced once but it would only be a matter of time before this one also fails.

The second dentist said there is a chance I need to get root canal if the new filling fails again. I feel so duped by my first dentist. It shouldn't have been drilled and filled in the first place.

1.Is there any permanent solution to this? Remove the filling altogether and hope for the saliva to redeposit enough minerals?
2.Everytime the fillings gets replaced, the dentist drilled deeper and deeper into dentin and removed more natural teeth structure. Is there anyway around this?
3.There is some report that says scientists are trying to use calcium ion solution to regrow dentin naturally? When do you guys think that new technology will happen?
4.Can I sue my first dentist for doing unnecessary procedure that would creates so many problems for the rest of my life?[/QUOTE]





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