Is it really neccessary to fill up molar cavity for very small area ?

Discussion in 'Dental Archive' started by Sanjay, Dec 9, 2004.

  1. Sanjay

    Sanjay Guest

    I visited dentist today for teeth cleaning and he told me to fill up
    one of my molar cavity. I saw the cavity and it's very small black
    area on the molar. Also I did not feel any kind of pain during the
    molar cleaning. So my main questions are,

    is it really ncessary to fill up the cavity ?
    is there any side effect if I want to fill it up now ?
    or If in case I don't fill, will it be more problematic later ?

    I have been seeing this black area on the molar since 2-3 years and I
    don't feel any prbolem with that.

    Please advise... I will appreciate that.

    Thanks
    Sanjay
     
    Sanjay, Dec 9, 2004
    #1
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  2. Sanjay

    Adenosine Guest

    On 9 Dec 2004 07:12:30 -0800, (Sanjay) wrote:
    No, not unless you want to control the disease in your tooth.
    Yeah, bacteria keep on destroying more and more tooth structure.
    Leave it long enough and the decay will reach the pulp, and it will
    abscess. This will not feel good. Then you will be in for a root canal
    and crown that costs many many times more than a filling and is a much
    more complex procedure.
    Sounds like you want to live in Egypt.
    Look at it from this perspective. A one surface filling now is
    probably under $200. A root canal and crown will easily run you over
    $1,000. If you see a rust spot on your car do you wait until you have
    a 3 foot hole in your vehicle to do something about it?
     
    Adenosine, Dec 9, 2004
    #2
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  3. On 9 Dec 2004 07:12:30 -0800, (Sanjay) wrote:
    Probably .....
    Then possibly its okay. Why not try another dentist .. .for a second
    opinion. But fake him out. Do not say nuttin' at all.


    Joel
     
    Joel M. Eichen, Dec 9, 2004
    #3
  4. On Thu, 09 Dec 2004 16:33:14 GMT, Steven Fawks
     
    Joel M. Eichen, Dec 9, 2004
    #4
  5. Sanjay

    Sanjay Guest

    Thanks for quick reply and your opinions I appreciate that. I am agree
    with you regarding not to wait until infection go up to root.

    However, I have one more question. is filling process has any side
    effects ? or is it sure filling will stop infection (stop rusting) ?
    Best Regards,
    Sanjay
     
    Sanjay, Dec 10, 2004
    #5
  6. The big question is, "Is it into the nerve or not?"
     
    Joel M. Eichen, Dec 10, 2004
    #6
  7. Sanjay

    StovePipe Guest

    Not to mention the fact that usually, the smaller it is, the stronger
    the tooth is. The tooth will support the filling and there is a good
    chance you will never have to touch it again. If you wait until the
    tooth is weakened by the caries undermining it, then you'll need a
    filling or crown that will support the tooth. (The filling has to
    support the tooth, instead of having a naturally strong tooth with a
    small filling).

    In one phrase: being conservative usually means treat it now when it's
    small and easy to do.

    Re: side effects: Chances are you won't even need to be frozen for this
    procedure. No side effects of anesthesia (itching, small irritation at
    the site of injection, usually minor and of no consequence). I would try
    to place a composite (more conservative than an Amalgam filling, unless
    the hole is already a couple of mm wide.

    Side effects of Amalgam: there is Mercury in it and we don't know what
    that really does, although the only real scientifically controlled
    studies I've seen point to more risk to the dentist than to the patient.
    That's because when we drill out and place Amalgam fillings in your
    mouth, we inhale the dust. That's why you see pictures of dentists with
    oxygen masks on their faces in some of these web sites. (rediculous,
    IMO, if the treatment rooms are well ventilated).

    Side effects of composite: the resins we use contain monomers and
    chemicals that resemble estrogen compounds. This means you may be
    exposed to weakly estrogenic activity coming from the filling. I first
    heard of this a few years ago, but it does not seem to have become a
    real issue: Patients with a lot of composite fillings in their mouths
    don't seem to be affected by any estrogenic activity of the materials.
    This makes my question whether or not there is any real effect. It's
    getting to the point where I don't listen to laboratory researchers
    much, any more, as the work they do and the findings they report are
    often not really relevant.

    The bottom line: if it were my tooth, I'd say treat it now with
    composite with no hesitation what so ever. The same recommendations
    would apply if it was my young children. If the caries was in an area
    where the gum tissue would produce bleeding when cleaning the decay out,
    I would not hesitate (in the adult) to place an Amalgam, if I couldn't
    control the bleeding or the saliva.
    Hope I've helped you decide.
    SP
     
    StovePipe, Dec 11, 2004
    #7
  8. Sanjay

    all4sanjay Guest

    Nice to have this kind of group and supporting people like you, thank
    you. I felt comfartable by reading your opinions and decided to go
    dentist again. I had gone today and filled out the rusty spot on the
    molar.

    Thanks again
    Sanjay
     
    all4sanjay, Dec 13, 2004
    #8
  9. Sanjay

    StovePipe Guest

    Gee, thanks, TRP!... <nyuck, nyuck, nyuck!> ... <sniff, square
    shoulders, brush back hair, snap suspenders....>.... ;-)

    SP
     
    StovePipe, Dec 15, 2004
    #9
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