Posts Tagged ‘amalgam+fillings’

Explain more on different types of braces available

Thursday, November 5th, 2009

Q. HI Dr Andrew Moore,I was just wanting to know what is the cost of braces? My Own dentist has never advised i need them but i think myself i do? i do work full time and 19? could you possible help ! Thanks

A. Hello, thanks for your question. There are lots of different types of braces for different degree’s of crowding and what you want to wear during the treatment. There are invisable braces such as Invisalign, fixed braces including 6 month smiles and removable braces such as the Inman aligner. I would recommend a free smile consultation to give you a better idea of what we can do for you. If you would like me to take a look please e-mail enquiry@advancedentalclinic.com or call my clinic on 01245 268 494
Regards  Andrew

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

My teeth are not straight could amalgam filling be causing it?

Thursday, November 5th, 2009

Q. Hallo Dr Moore, I have many of amalgan plombes.All of my back teeths are plombed,also my dentist in austria remooved one.I hate that,my teeths are not straight..although i alwasy brush my teeths regulary,my dentist told me it is genetic.Is there a possibility to do someting?I heard about keramik inlays,how much would it be to do all of this things,what is not very expensive???thank u

A. Ceramic inlays are a good substitute to amalgam fillings. At my clinic in the UK they cost from £400.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Pain post tooth filling

Tuesday, November 3rd, 2009

Q. I’ve just had a filling – there was decay under an existing filling (spotted via X-Ray) and some of the original filling had to be removed to remove the decay underneath and then place new filling on top. It has been 18 hours since the filling and I am still very sore. Is this normal? It’s 4am in the morning and I cannot sleep because of the pain/soreness. I could not brush over the recently filled area before going to bed either as it felt very sore/sensitive. I have had fillings before and cannot remember the pain post-filling lasting this long. Thank you

A. Thanks for your questions, I am sorry to hear that you are suffering. I would advise that you return to your dentist at your earliest convenience to have the filling checked, as it is keeping you awake. It is possible that the filling may just need some slight adjustments, but I would encourage you to have it checked.
Kind regards
Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Can I have silver fillings to be replaced with composite materials in molar tooth?

Monday, November 2nd, 2009

Q. I thought of going to have my silver fillings to be replaced with composite materials in one of my molar tooths. But some of the current silver fillings stick to my gums, how does the dentist going to remove it? Will it cause my gums to bleed during the drilling? I am concern that the harmful silver particles will get into my gums.

A. hi many thanks for your email, the silver fillings that are placed close to your gums will still be removed and can be replaced with the white filling material. the silver filling material will not harm your gums.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

My discolouring teeth needs to be whitened

Sunday, November 1st, 2009

Q. Dear Dr Caplan, have the fillings in my front front teeth an the look horrible i have had them since a child an now i am 23, however on my left hand side im missing a canine so i have a latral.An on my right i have a canine which has been made to look like a latral. both side have centrals. my right side has a root cannl which has started looking darker is there anything i can do ie whitening all my teeth or have crowns an these but i want my other teeth to look whiter to please help

A. A combination of bleaching , crowns and veners should give you the stunning smile you are looking for

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

Is crown the most suitable treatment due to the risk of fillings falling out?

Friday, October 23rd, 2009

Q. Hi Dr. Solanki, I’m a bit clueless when it comes to dental treatments to be honest. I had an absolute butcher of a dentist in my teens which resulted in me having to go along to the hospital to fix all of the random holes she’s drilled into my teeth. (Of course they were filled with lovely silver fillings and I now have a hideous metal mouth). She also hit nerves left right and centre so as you can imagine I wasn’t in a hurry to go back. I haven’t seen a dentist for quite a few years now – I was holding out until I’d finished university, at which point I planned to get the whole works privately. However, yesterday evening (ironically, I was chewing a piece of gum to freshen my mouth a bit before I could get home to brush my teeth) quite a substanial piece of tooth broke off. It came from a molar which consists mainly of amalgam filling actually. There is no pain but as the filling is quite exposed and at risk of falling out I realise I need to get it seen to asap. I know it’s difficult for you to say without seeing the tooth but do you think a crown is likely to be the most suitable treatment here? If so, I want to get the best looking and most durable type, which I’m led to believe is a CEREC one, is that correct? I know I will need some other teeth seen to as well, for which I’d like some white fillings. My problem is that this is all a bit costly for someone on a student budget! If I were to register as an NHS patient at a surgery which provided these services would I pay only for the treatments not available on the NHS (ie not have to pay full examination charges etc) or would I have to pay the same as a fully private patient? Sorry this email is so long, but as I said, I really don’t have a clue. Many thanks!

A. hi many thanks for your email, the tooth which has broken sounds as if you may need a crown, a crown is usually advocated if the filling is over half the size of the tooth.

Secondly you can register with an NHS dentist and the options that are not available on the NHS will be available on a private basis but just at a higher cost.

CEREC is an option but if we look at data the best type of crown on a molar is a gold crown followed by a porcelain bonded to metal. If you want an all porcelain crown on a back tooth i would recommend a material called zirconia.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Cost for silver tooth Plz advice

Monday, October 19th, 2009

Q. hello! I really want a silver tooth, and was curious on how its done, cost and if i dont like it can i have it removed? Thanks for you time!

A. hi many thanks for your email a silver tooth is usually placed over your existing tooth but so not to look too bulky the tooth inquestion is prepared down a little to accomodate room, therefore if you did not like it you would then probably have to replace it with a porcelain veneer. the cost of a silver tooth varies from £600 – £1000 dependant on where you go for the treatment.

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

What would be the cost to replace silver fillings with white?

Thursday, October 15th, 2009

Q. Hi, i have about 11 silver fillings i want to get removed and replaced with white, can you tell me roughly how much you thing this would cost and if its adviseable? The dentist i went to did not give me a choice of white or silver and im so depressed with my mouth like this as my teeth are perfect on the outside…. thanks

A.

Hi

Thanks for your e-mail. The cost of replacing each amalgam filling for a white filling will vary between practices, I can only advise that at my practice the cost of white fillings starts from around £80. As you seem to be seriously considering this course of treatment, I would advise that you see a dental professional to assess whether this is adviseable as I would be unable to answer this question without a consultation. If I can be of any further assistance, please do not hesitate to contact me again.

Kindest Regards

Dr Kailesh Solanki

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Is its possible to replace amalgam fillings?

Monday, October 12th, 2009

Q. Hi, I am 15 and have suffered from amelogenesis imperfecta my whole life. At the moment, all of my molars have stainless steel caps on them and most of my teeth are heavily restored with amalgam fillings. Apparently, these restorations were stronger when I was younger, but now I am getting bullied at school because it looks like I am chewing tin foil all the time! Is it possible to get these replaced with tooth coloured restorations and can this be done on the NHS?

A. It might be possible to get porcelain crowns on these teeth, ask your dentist to see what he might be able to do on the NHS for you.

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Can amalgam fillings be replaced with composite fillings?

Sunday, October 11th, 2009

Q. In my most recent dentist visit, my dentist had replaced several of my silver amalgam fillings with composite ones (not sure which exact type but it did involve UV light and some sort of bonding agent). One of the teeth was a Molar with pretty big cavity the filling covered most of the top of the tooth/chewing surface). Afterwards, I read online that specifically for Molars and certain cavities (not sure which ones) composite fillings are recommended less than silver (amalgam) ones due to increased problems with leakage, less longetivity (about 5 yrs less than amalgam), and if compromised higher chances of having to do a root canal to fix it. At the same time, I am pretty sure he used the most recent version of composite filling used in US – because he just recently started using it and was REALLY proud of it. So the material was the latest version, not sure about his technique though since its my first experience with this particular filling method. This made me concerned, since the cavity I had was pretty deep and another dentist (couple of years back) warned me that next time I might have to do a root canal because of the depth of the cavity. My question is was my current dentist right in replacing my old amalgam fillings for a big cavity in my molar – the cavity was at the top of the tooth (chewing surface) with composite fillings instead of using silver amalgam again?

A. I do not use amalgam in my practice, i only use composite for fillings, or if the cavity covers a large part of the tooth surface then i will use a lab made restoration called a porcelian inlay. However this restoration is a lot more costly.
 Without seeing your teeth, in my opinion your dentist did the right thing by replacing your fillings with composite as amalgam is not adhesive and in some cases more of the tooth surface has to be taken away in order for the filling to stay in. For this reason i do not use amalgam, along with the obvious reason of its appearance.

Kind regards
Dr Justin Glaister

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

Gum swollen and numbness problems after Molar filled

Tuesday, October 6th, 2009

Q.

I got my upper left Molar filled about two weeks ago it was a deep filling I was told almost to the nerve. Now I am having numbness on my left side tongue, all the outer parts of my cheek, and only half of my lips,and some of the outer skin surrounding my lips. This is all however on my left side only. My gum is a little swollen around the tooth but nothing very prominant. Will this go away or has there been trauma to the nerve? I have had it for about a week now. I also have Multiple Sclerosis and want to make sure it is not related to this since the pain came on a week later. Please help!! I do not have dental insurance so I don’t want waste a trip to the dentist if I don’t need to. This also has affected my taste of things.

A.

there are a few possibilities. the most frequent cause is temporary bruising around the injection site used to block lower molars. as you have ms I would check with your doctor if you have numbness that hasn’t improved 1 week after the fillings Robtennet

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ

How would brace affect the composite fillings in my teeth advice?

Sunday, October 4th, 2009

Q. Hi, I had two composite fillings in my two front teeth a month ago…I wanted to know, if i wanted to get braces how would that affect my teeth…aslo the tooth that had the most composite in it, feels slightly thinner (in width) than the other. It feels as if its not as durable as the other, like its more prone to breakage; would u give me some advice pleasseeee!!! Thank You

A. Please seek an opinion of an orthontist. It shouldnt affect your fillings, however this may depend on the type of brace you have.
Kind regards
Dr Justin Glaister

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

How to safely remove amalgam fillings?

Tuesday, September 22nd, 2009

Q. I would like to have my amalgam fillings removed safely. Can you advise me about the procedure as different dentists use different techniques.

A.

Whenever I replace Amalgam fillings I always use a rubber-dam. This ensure no amalgam infested water is swallowed by the patient.

Kind regards
www.umbrellasmiles.com

dr justin glaister

Dr Justin Glaister
Umbrella
www.umbrellasmiles.com
Tel: 020 7612 9810
11 Harley Street
London W1G 9PF

How much does it cost to do a dental refilling?

Sunday, September 20th, 2009

Q. Due to an old filling falling out, but not giving any pain, just a hole,at the base of the tooth. I told the Dentist that I was able to still eat nuts with this tooth! The Dentist gave me a white filling. I rested the new filling for two days. However I am now unable to eat anything using that tooth. I went back to the Dentist complaing about the filling. The Dentist removed some of the top part of the filling incase it was a bit proud. I went back again a few days later with the same problem, he shaved a bit more off the top of the filling. Still no change re eating with this tooth. Could it be that a nerve has been pinched when the filling was done? Can it be put right? Will this be a costly thing? and should I return to the same Dentist or find another local one?

A. I would remopve the whole filling and place a temporary filling. Once the tooth has settled another filling could be placed perhaps the bond between filling and tooth isn’t strong enough?

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Is it normal for cotton wool to be placed in the tooth before filling it?

Tuesday, September 1st, 2009

Q. is it normal for cotton wool to be placed in the tooth then the filling on top?? as i have just had my tooth out and keept it i scraped out the filling to see how big the hole was and to my suprise at the bottom was a lump of cotton wool could this have cause my infection i had.. waiting your reply

A. The cotton wool is used to hold the antiseptic in the tooth. By the way why would you scape out the filling??

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

Is there a negative effects of drilling away the amalgam fillings?

Thursday, July 30th, 2009

Q. 2-3 years ago, my last molar on the left side had a big cavity and reached the nerve. my dentist advised me to do a root canal but i decided not to and asked her to do a filling instead. i did a composite one, and another time when it wore down, and switched to amalgam the third time when it had to be replaced (just this year). now, part of my amalgam filling has chipped off. i am not sure how big the chip is in comparison to the cavity but i don’t feel any pain. i think my dentist will want to replace it again but i am concerned about the negative effects of drilling away the amalgam (it releases harmful mercury vapour). what should i do? should i still get the filling replaced? can the chipped part just be filled up with another filling?

A.

You need to ideally discuss your concerns with your dentist. The filling can be re-done or patched up. This is entirely your call. To patch it up, you can expect it to chip off again- and having it re-done may be the best option- but still not guaranteed to NOT chip again. Make sense? If you have concerns regarding the mercury vapour, then discuss this with the dentist. If you have a new amalagma filling, then not much of the amalgam has to be removed in order for more to be added. In order to do a composite filling, then ALL the amalgam has to be removed. It can also be patched up with a materila called glass ionomer that will repair the filling.  If the tooth is heavily filled, then it is always advised to have a crown for protection. Hope this has helped.

dr kailesh solanki

Dr Kailesh Solanki
Kissdental
www.kissdental.co.uk
Tel: 0161 748 5250
157 Woodsend Road
Flixton Manchester
M41 8GN
UK Practice of the Year 2007

Half of my new amalgam filling has fallen out and my teeth are sensitive what is wrong in my teeth

Thursday, July 9th, 2009

Q. I have had the same amalgam fillings for 35 years and I never had any trouble with them. Last week my new dentist told me I had a small cavity on the side of one of my teeth and suggested that since I was already going to be numb from the novacane, that I could replace the silver filling with a clear one. Once I was numb he asked if I wanted the tooth next to it replace as well. He replaced that amalgam filling too. The next morning half of the new filling fell out. I called the doc and he didn’t believe me, said he’s never heard of such a thing. Went in the next day and half the filling was gone as I told him. He drilled the entire “new” filling out and replaced it again. Now my tooth is extremely sensitive and throbs. I NEVER had problems with this tooth prior, none. I wish I had not given him permission to replace a perfectly good tooth. Why do you think half my filling fell out and will I always have this pain? Thank you.

A. The decay in your tooth may have been deep and close to your tooth nerve.  This can make your nerve less than in perfect health. When the decay is removed this can irritate the nerve even more and make the tooth sensitive.  This usually settles down if the dentist is able to seal the tooth wilth a filling.  Hopefully this is the situation for you. 

dr julian caplan

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

Do you know any dentist located in belfast area who can properly remove the algamalm

Wednesday, June 24th, 2009

Q. I would like to ask you a question about silver- Algamalm. irecently got my tooth filled today about 4 hours ago with a silver/mercury filling. I was looking about on the web and it says these can cause a number of problems? What i am asking you is do you know a dentist located in the Belfast Area in northern ireland. That can properly remove the algamalm with the safety precautions ie oxygen nose mask vitamins, as i do not know where to look for a competant dentist who isn’t going to fill me up with poisoness metals. thanks.

A. Hi The evidence against Amalgam is at best anecdotal, saying that I personally don’t use amalgam because of the effects it has on the enviromnet and now there are more viable alternatives with a better cosmetic appearance.

I don’t know of a specailised practice in this area although you could try Belmore Dental in Enniskillin as they have a very good reputation

dr andrew moore

Dr Andrew Moore
Advance Dental Clinic
Clinical Director
www.advancedentalclinic.com
Tel: 01245 268 494
104 Moulsham Street
Chelmsford Essex
CM2 0JG

My molar teeth filled with amalgum is slightly loose do i need a crown or do it need a root canal

Sunday, June 21st, 2009

Q. I have a molar which had been filled with amalgum about 8 years ago in a cross shape. Recently two p[ieces of the tooth around the edge have broken off leaving the filling and the front part of the tooth. The filling is slightly loose. There is no pain in the tooth atall. Do you think this would need crowning or can it just be built up and smoothed off with white stuff. And if a crown in required would it need a post, as its a molar. Also what is the criteria for doing a root canal, was wondering if this would be necessary aswell. Thanks

A. hi
the chance of needing root canal is dependent on if there are any nerve symptoms which your dentist should be able to confirm with tests and an x ray.
if you have lost that much tooth you will be advised to have a crown, a post is only used when there is not enough tooth and a root canal has been done

dr safeer butt

Dr Safeer Butt
S3 Dental Studios
www.s3dental.co.uk
Surrey Kent Sussex

Is it able to cover unsitely amalgam fillings with a thin porcelian onlay and what does it called as

Wednesday, May 27th, 2009

Q. I know that some cosmetic dentist are able to cover unsitely amalgam fillings with a thin porcelian onlay. I would like to research this procedure to see if I would like to have it done to my teeth; Could you tell me tell me the specific name for this procedure?

A. there is no specific term for your description. it covers a few different procedures. if you would like a free assesment of what procedures would be suitable in your case, please contact our practice on 01216430610 regards Rob

dr rob tennet

Dr Rob Tennet
St Johns Dental Practice
www.e-dentalpractice.co.uk
Tel: 0121 643 0610
18 Bennett’s Hill
Birmingham B2 5QJ