Bonded tooth keeps breaking off

Discussion in 'Dental Archive' started by, Dec 31, 2004.

  1. Guest

    I have a front tooth with a discoloration that occurred when I was very
    young. My dentist bonded it about a month ago with a "white filling."
    After a week and half or so, the edge cracked off in my sleep. I went
    back and had it redone, but two weeks later, it broke again in the same

    They weren't able to see me until after the holidays, so I went to
    another recommended dentist to have it rebonded (I actually asked if
    maybe there was some better solution than bonding, especially since
    it's a front tooth). He said that bonding was definitely the best
    solution for the tooth, but that the bonding had to cover the entire
    tooth in order to avoid breakage at the edges. So, he bonded the entire
    tooth from gum to bottom, making kind of a large tooth, but if it would
    stay on, it was fine with me.

    Well, this new, stronger bonding lasted a whole two days! I was talking
    on the phone at work today when the whole thing fell off, it looked
    like a white, pinkie-sized Lee Press-On nail. :)

    So, my questions really are:

    - Both dentists are very nice, but I'm now very wary--would it be wise
    to see yet another dentist to get a third opinion?

    - Is a cap a better option and if so, how the heck do I convince my
    dentists that it's the best solution? (I had a cap put on as a teenager
    and it stayed put for at least 11 years--the bonding has broken three
    times in just 28 days).

    - When I got the initial bonding, the dentist ground down the front of
    my tooth a lot--can I still get a porcelain cap put on if there's a pit

    - Now that the second bonding has fallen off, it appears that some
    bonding material has remained (only a small pit in the middle). My
    tooth feels a lot more natural to me and actually doesn't look
    abnormal, it just shows the discoloration and is a little
    dull/not-shiny. Can I leave it this way for awhile (at this point, the
    discoloration is more desirable to me than a cracked-looking shiny
    white tooth) or will there be some problem because there may be enamel
    missing in places?

    I appreciate any advice you can spare, I am spending so much money and
    time at the dentist, and it only seems to lead towards spending more
    money and time at the dentist...
    , Dec 31, 2004
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  2. On 30 Dec 2004 17:03:36 -0800, wrote:
    It can be done but both of these dentists may not be "Masters of

    This might lead to some interesting discussions right here, such as
    what bonding system is best, etc.

    A better dentist ... is this some kind of dental plan?

    Joel M. Eichen DDS

    Joel M. Eichen, Dec 31, 2004
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  3. Guest

    Both dentists are on my insurance, but that's somewhat irrelevant--I'm
    paying for this all out-of-pocket because insurance doesn't cover
    "cosmetic" procedures. I'm going to be driving 40 miles out of the way
    to go to an out-of-network dentist recommended by other family, because
    I just don't know what else to do.

    Any input on the other questions re: getting a cap? I really don't
    think that bonding is the right solution for this tooth, but am not an

    Also, as per my previous question that wasn't answered--can I just
    leave the tooth like this for awhile?
    , Dec 31, 2004
  4. On 31 Dec 2004 07:17:03 -0800, wrote:
    Bonding is the BEST solution. Some "crown-happy dentists" ~ sorry, I
    hate using that term, its so pejorative ~ but I do not know how else
    to say it. Some rely on the bonding falling off to create a need for
    more expensive crownwork.

    A minimally invasive procedure is BEST. Can you take a picture of the
    tooth and post it at and perhaps some of the
    BONDOdontists (expert BONDSmen and BONDSwomen) right here can give you
    suggestions and an idea what to ask the new dentist to get a solid

    I have some piccies of cracked front teeth a lot worse than yours and
    how beautiful they look afterwards. I gotta search my <My Pictures>
    folder .....


    Joel M. Eichen, Dec 31, 2004
  5. StovePipe Guest

    <> wrote:

    There is no risk in leaving the tooth as is if the enamel is not broken.
    Consider having the bonding material filed off and polished. After the
    holidays, consider having a porcelain veneer done. There is a reason
    that the bonding material broke so quickly after two different dentists
    did the bonding. I am sure the problem is the way your teeth come
    together, or you clench your teeth together, causing breakage.

    If you get a porcelain veneer and an anticlenching device (NTI, which
    will be covered at least in part by your insurance) you have the best
    possible assurance that the thing will stay on and with good and lasting
    esthetics. Ask the dentist doing the work if s/he will give you two
    years' warranty on the veneer. S/he probably will, if you agree to wear
    the NTI EVERY NIGHT, NO EXCEPTIONS, and have twice yearly checkups and
    cleaning as necessary. That way s/he can monitor what is going on.

    Do realize that you have not posted any photos, so this is a general
    answer, and seeing the thing in your mouth may modify what is suggested
    Not a real Addy, yet
    StovePipe, Dec 31, 2004
  6. W_B Guest

    On 31 Dec 2004 07:17:03 -0800, wrote:
    OK here's my input:

    No matter the cause of the original cause of the fracture
    the repeated history of fracture of new restorations leads
    us to a diagnosis of nocturnal parafunction.
    That means you grind your teeth in your sleep.
    (and as well may be the original cause*)

    So both conditions must be treated *at the same time*.
    Repair the tooth in question and then...
    prevent further nocturnal parafunction.

    In laymens terms, make a device that prevents
    night-time grinding immediately after restoring the tooth.
    Some restorative materials are better than others;
    the same holds true of a specific dental practitioners skill.
    As well as any other vocation/profession that you may select.
    As long as you have no appreciable pain, and the appearance doesn't
    bother you... Leave it be, but get it checked by a dentist for active
    decay at least 2x/year, maybe more.

    You may contact me privately if you wish.


    Take out the G'RBAGE
    W_B, Jan 1, 2005
  7. On Sat, 01 Jan 2005 08:37:45 GMT, W_B <> wrote:



    Ever see a busted front tooth? Its real.

    Joel M. Eichen, Jan 1, 2005
  8. carabelli Guest

    "perduetodo" <> wrote ..................

    I RAN FOR YEARS.............

    Run Forrest, Run

    carabelli, Jan 5, 2005
  9. StovePipe Guest

    perduetodo <> wrote:
    Oh... I didn't realize you were one of my patients.... ;-)
    Not a real Addy, yet
    StovePipe, Jan 5, 2005
  10. On 05 Jan 2005 01:49:29 GMT, ojunk (perduetodo)

    Exactly. Same as a stone mason or a brick layer. They all use mortar
    and bricks ........ some is excellent, others no.

    Joel M. Eichen, Jan 5, 2005
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