Is this broken tooth safe to leave as is?

Discussion in 'Patient Forum' started by Jethro, Dec 4, 2017.

  1. Jethro

    Jethro

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    The side of my tooth broke away a few days ago, revealing the filling and unprotected centre. My dentist gave me three options. 1. Its OK to leave as it is. 2. Add a filling to the existing filling. 3. Remove the old filling and fit a new one. I was amazed when she said it was OK to leave as it was, even though it was not causing any pain.
    Is she correct in saying its OK to leave as is? (I'm a UK NHS patient)


    Broken-Tooth-web.jpg
     
    Jethro, Dec 4, 2017
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  2. Jethro

    apl789

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    no. Get it seen to asap.
     
    apl789, Dec 6, 2017
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  3. Jethro

    Jethro

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    I thought so, fairly obvious really but wanted a second opinion. I went to see another NHS dentist and they put some temporary white fill material to stop bacteria getting in (see photo). I wonder why my regular dentist didn't think of doing that. They said if a full crown was fitted the remaining tooth would soon crumble, so I would be better off with a partial metal crown or alternatively a white filling. I think I will go with the white filling.

    crop-web.jpg
     
    Jethro, Dec 7, 2017
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  4. Jethro

    Busybee

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    I am surprised any dentist would want to leave it as it is. Strange they cannot crown it but then different dentists have different approaches and they have seen your underlying tooth structure so we can't really comment. You should be able to have a partial crown. Gold is probably best but not sure if the NHS do it. Whatever you choose get it done by a good dentist. They can probably make a filling of the whole area or the white filling but it wouldn't be as strong as a gold onlay and might break away in the future. Depends on the skill of the dentist.
     
    Busybee, Dec 9, 2017
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  5. Jethro

    Jethro

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    My regular dentist was favouring her first option, to the point it felt like she was recommending leaving as it was. Only when she could see I thought it odd did she then mention the other two options. And don't forget she still let me walk away saying it will be OK if I kept it clean and did not offer a protective filling to keep out the bacteria that would develop, as clearly it was a food trap. Others here and on another forum have said it needs sorting asap as the remaining filling will most likely come out and take the attached piece of tooth with it.

    The second dentist gave two options and said it needed a partial crown (something my regular dentist never mentioned), as a full crown would cause the remaining tooth to crumble, but then said I would have to go private if I wanted a white filling. However a white filling has been offered free on the NHS at my regular dentist. Clearly she knew she had to do something to replace the piece of missing tooth and thankfully fitted a temporary filling to protect it while I made up my mind. For patients it is a horrible mine field at times.
     
    Jethro, Dec 9, 2017
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  6. Jethro

    Busybee

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    If you leave as is the surrounding teeth will suffer as it's weak and doesn't protect the remaining tooth structure. If it were my tooth I'd go for a partial crown. I'd get someone good to do the work as the filling you have doesn't look high quality. You don't want to lose that tooth, go to a decent dentist and have it done well.
     
    Busybee, Dec 9, 2017
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  7. Jethro

    Jethro

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    How do you find a decent dentist?
     
    Jethro, Dec 10, 2017
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  8. Jethro

    Busybee

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    Personal recommendation is the best route. If you are going to the NHS then the NHS choices site has reviews. You can also check the care quality commission site to see if there has been a satisfactory inspection, although that does not mean that the dentist's work is guaranteed as high quality, just that they have ticked the boxes of maintaining health and safety rules. Check their general dental council registration. NHS dentists don't have as much flexibility because of the way the contract works. They rush too much and with a problem like yours you need someone to take their time and get it right in order to save the tooth.
     
    Busybee, Dec 10, 2017
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