Posts Tagged ‘onlay’

I’ve Had Crohn’s Disease Since The Age Of 18 And My Teeth Are Becoming Weaker. Which Treatments Should I Consider Before My Wedding?

Tuesday, October 21st, 2014
Q.

Dear Sir, I was diagnosed with CD at the age of 18 and prior to this, had fissure sealant treatment and had not had a single filling. My teeth were regularly checked and in good condition, strong and white.

Over the years, my teeth have become visibly more yellow, I have had fillings and the enamel has eroded and exposed the very unsightly dentine on many of my teeth. Some of them have uneven biting edges and are sharp. Until this year, my front teeth remained fairly unaffected, but now I’m getting marks on them, between them and they are getting thinned and more sensitive.

I’m getting married next year and am determined to have a better smile than I currently do. I bit the bullet and made an appointment to visit a local dentist earlier this year, who suggested using bonding to just even out the edges of my teeth, but mentioned this would be to the colour that my teeth are currently, which I’m very unhappy with.

My CD is now stable and I am mainly healthy, but hate the fact that my teeth continue to get worse – possible down to stomach acid? Do you have a suggestion as to what treatments may work to help me finally get the smile I dream of? Thank you in advance for reading and I look forward to receiving your response.

Kindest regards.


Dr Marcus Gambroudes Changing Faces Dentistry & Facial Rejuvenation, 51 Station Road Knowle House Knowle Solihull B93 0HN Web: www.changingfacesandsmiles.co.uk Tel: 01564 320 024 View My Profile Dr Gambroudes

Is It Possible To Remove Onlays And Start Again? Will This Damage My Natural Teeth?

Tuesday, October 14th, 2014
Q.

Hi Mark. I’ve just recently had 2 onlays next to each other to on my upper set of teeth but the dentist filed them down too low after fitting them in. He then topped them up again with a filling material but they are still too low and do not meet the lower teeth. Is it possible to remove the onlays to start again? Will this damage my natural teeth? Is it bad to keep adding layers of filling over the onlays? My dentist is having difficulty and seems stuck with what to do. Thank you for your time. 


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

My Front Tooth Cracked After Root Canal Treatment. I’m Always Scared Of Going To The Dentist. What Do You Think I Should Do?

Friday, June 20th, 2014
Q.

Hello Mark. My front tooth has cracked and a piece has fallen out, but this tooth has also had root treatment done to it and since then has started to rot at the back and two bits of tooth have fell off. What would be best for me to do? I always have to get sedation when I go to the dentist and I’m very scared of going. I don’t know what would be best or what I can get as the tooth is rotten. What do you think I should get done and when should I get it done? Due to work I can’t get time off for about 2 weeks.


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

My Dentist Told Me That The Decay In My Tooth Will Not Be Removed Before Before An Onlay Is Fitted. Is This Correct?

Friday, December 13th, 2013
Q.

Hello Dr Hughes, I hope you can help me. I have just been to the dentist and it turns out that I require an onlay. I used to have a crown over the tooth but this is no longer possible. My crown recently came out and contained some of my tooth. The tooth is still live. I have no constant pain although at times it is quite sensitive. I was told that the decay in the tooth will not be removed before the fitting. An impression has been taken. Is this correct? Thank you in advance for any advice you can provide.


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Would an onlay stop food becoming trapped in my back teeth?

Friday, December 7th, 2012
Q.

Hi, dr moore. I have a filling which spans the back 2 upper left molars. I have noticed that when I eat I get food trapped, I presumably underneath the filling, which is causing pain and it smells really bad.
My dentist told me that it is because my gum line has shrunk and the food is getting stuck between the gum and the filling.

She said replacing the filling would not necessarily stop the food becoming trapped. another dentist told me that instead I could have a dental onlay but it is much more expensive. Would an onlay stop the food being trap or will it always happen because of a shrunken gum line? I don’t know which option to go for and I need it fixing ASAP. Thank you for any help, kind regards. 


Dr Andrew Moore Advance Dental Clinic 104 Moulsham Street, Chelmsford, Essex, CM2 0JG Web: www.advancedentalclinic.com Tel: 08443 87 87 88 View My Profile Dr Moore

How much would it cost for a composite inlay/onlay?

Wednesday, March 30th, 2011
Q.

I’d like to get treatment for composite on/inlay? and how much cost me?
Thank you 


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

Could I get an onlay instead of a crown?

Friday, March 18th, 2011
Q.

I have been told by my dentist that I will need a crown on one of my lower molars. This is due to cracking of the white filling I had over the top of the molar and down one side next to another tooth. It seems if I have this done privately it will cost me £500 (not pure gold crown though). Can I not have an onlay instead (she didnt mention this possibility) and would it be cheaper than a crown. I am 69 yrs of age.


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

Is there a problem with my onlay? should I get a second opinion?

Wednesday, February 23rd, 2011
Q.

Hi – I had an onlay fitted last June and it has been sensitive to cold (especially) ever since and there has been no improvement. I went back to my dentist in July and said it felt like there was a gap in the join as I felt sensitivity down to the root. He gave me a flouride toothpaste but this did not help. I went back in Sep last year for a second opinion after making a complaint. I was told by the senior dentist that she couldn’t find any gaps and that given time the sensitivity would go away and to come back in 6 months. She said that I was fortunate to have been given an onlay as they were expensive for the NHS. I had an appointment yesterday and told the dentist that the sensitivity had not improved and I felt there was something wrong. She gave me the impression that I was making too much of it and that I wasn’t comparing like with like as I had no other sensitive teeth. I told her that I had sensitivity to cold when eating fruit and she told me not to eat cold things on that side of my mouth! She said that sensitivity was often worse in cold weather even though I have had the problem since summer of last year. I asked if I an xray would show up if there were any gaps and she said it might and might not but grudgingly agreed to do one. When the xray came through she pointed out that the onlay on one side was very close to the nerve of my tooth which could be causing the sensitivity. At this point she looked as though she was finally taking me seriously. I said to her “so the dentist cut too much of my tooth away?” she didn’t give a direct answer but said that the dentist had to create a stable platform for the onlay which the previous dentist felt was the best option for me. Again the advice was to monitor it and come back again in 6 months. She was quite flippant explaining that I could have the tooth taken out which would take the sensitivity away completely or the nerves could be killed and it was not a difficult procedure. I said that I did not want this and I did not want a gap. I said I did not want a bridge which would damage the teeth either side. I asked if the onlay could be removed and something placed over the exposed nerve to protect it which she said was an option when I came back next time.
I would really appreciate your impartial advice on this. I have no other fillings and have always looked after my teeth. If I lose this tooth it will be because of poor treatment by the dentist. Would a white filling have been better option although I was advised at the time that an onlay was the best long term solution.
I would like to retain what tooth I have left and need advice on whether I should insist that the onlay be removed straight away and the exposed nerve protected as I am concerned that every time I eat or drink something cold it is traumatising the nerve further. I would also like to complain about the dentist who carried out the initial work and the response by the senior dentist as both seemed to have shrugged their shoulders at the problem. Losing a tooth is a big deal to me and I feel as though as I am being fobbed off and any further delay would result in the definite loss of my tooth.
I would be grateful for your comments.


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

Are white fillings suitable or recommended for large fillings?

Wednesday, November 24th, 2010
Q.

Hi,
I would like to have my amalgam fillings removed for the newer type ones. I have 3, 1 of them is small one is large in the center of the tooth and one is very large taking up most of the tooth. The two large ones are also maun chewing teeth. Are the newer white fillings strong enough for such a big hole or would I need to have teeth removed?
Also how can I be sure that the dentist I choose removes them in a safe manner?


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

Should I get legal recourse for dental treatments I am unhappy with?

Thursday, November 18th, 2010
Q.
Dear Dr Caplan, About 18 months ago I had two lower molars filled with Cerec inlays. One has been absolutely fine, but the other snapped in half after 7 months. My dentist replaced this with a second inlay, which snapped after 5 months. I suspected at that time that it indicated a problem with the inlay treatment, but rather than removing the inlay altogether and arranging a crown or onlay, my dentist chose to leave the greater portion of the inlay in situ and build a layered filling in the remaining cavity, free of charge. Shortly after this, I began to experience acute pain when the tooth came into contact with liquids, even of room temperature. I reported this to my dentist on an ongoing basis over 18 months, but he was unable to locate any obvious cause, even under x-ray, and attributed the pain to general sensitivity stemming from gum recession. I queried the integrity of the restorations repeatedly, and even other members of his practice hinted that if I was having such problems the restorations needed examination, but my dentist was unwilling to consider this option. In September, the tooth became extremely painful and infected and I was told I needed root canal treatment. The specialist I was referred to thought it better to try to clean and save the tooth, but that treatment appears to have been ineffective. Having paid £350 for the initial inlay, and a further £275 for the specialist’s “investigations”, I’m now facing root canal treatment at £600 and the cost of the subsequent crown. I’m really unhappy with the situation because I believe that with different treatment at an earlier stage, the death of the nerve could have been avoided. My dentist knows that I’m not convinced that this tooth has been treated correctly, but is suggesting that teeth can just die….. Should the dentist’s opinion always outweigh the patient’s opinion? How can I approach my dentist to secure treatment on a basis which we both consider fair? Should I simply change my dentist and have the work completed elsewhere? And finally, should I consider legal recourse to reclaim these costs if I can’t reach a compromise with my current dentist? It’s so difficult to challenge members of the medical profession, I really need some advice.,

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