My dental fillings from my dentist in Salisbury keep falling out

Q. Dear Dr Caplan, I moved to Salisbury from Glasgow about 4 years ago. During the time in Scotland, my dentist had occasion to fill certain teeth (in the ‘normal’ manner and to bridge my upper right incisor. One filling in question and the bridge cement lasted at least six years but, on my move to Salisbury, the filling had to be replaced but then replaced again twice within a matter of months of each other. The bridgework also loosened on one side and was re-bonded about two months ago. It has just come away again after biting normally on an oatmeal biscuit. I do not wish to cast aspersions on my dental surgery in Salisbury but I have not previously experienced such replacements in such a short period of time. Are there different grades of dental filling materials/cements for cavities and bridgework? Thank you, J

A. Dear J,

This is a difficult question to answer without seeing your mouth. Many problems that you are describing can be due to the way your teeth bite and function together. The fact that your bridge loosened due to an oat meal biscuit is purely due to the last straw scenario – other factors loosened the bridge prior to your snack. A stronger cement will not solve the problem. The dentist may well have tried their best with your old bridge but it sounds likely that a new bridge is required – perhaps with a new design to make it last even longer than 6 years.

There are different types of filling material that have different strengths , ranging from white ( composite) fillings to gold fillings. Although you appear to have had minimal problems in the past your mouth is by no means in a static position – as life goes on your teeth wear and your bite changes from year to year. This may mean you have reached a point where your whole mouth needs to be looked at rather than so called ” single tooth ” dentistry carried out ( I realise one of your problems is a bridge but the same whole mouth idea applies).

My best advice would be to return to your dentist , voice your concerns and see what options they come up with.

Regards,

Dr Julian Caplan – Director on the board of the BACD View My Profile Dr Caplan

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