Unusual filling concerns - HELP

Discussion in 'Dental Restoration' started by Artmonkey, Aug 10, 2018.

  1. Artmonkey

    Artmonkey

    Joined:
    Aug 10, 2018
    Messages:
    3
    Likes Received:
    0
    I had an NHS filling two days ago that gave me concerns regarding the manner it was executed. The proceedure was to a lower molar which is fairly loose due to gum disease and the decay was on the gum line. The filling was done without the removal of any of the existing decay, by merely cleaning out the cavity and then filling straight away with a paste. No anaesthetic was used and the whole procedure took around 5 minutes. I am still in pain nearly 48 hours later.
    Is it accepted practise to fill a cavity without removing the decay. I am puzzled, please advise.
     
    Artmonkey, Aug 10, 2018
    #1
    1. Advertisements

  2. Artmonkey

    MattKW Verified Dentist

    Joined:
    Mar 18, 2018
    Messages:
    679
    Likes Received:
    175
    It depends. If the tooth is doomed from perio problems, then a simple filling might be useful as a short term measure. Really, treatment depends on why you are having pain, and then determining the best way to treat it. In your case, the main aim is to relieve pain and if this was not achievable, then it should've been explained to you, and you should've been given options. Sometimes I'll do a simple filling without anaesthetic if the tooth is going to be lost anyway, or if the full treatment is too costly for the patient - they have to understand why, and agree. An example might be a front tooth and the patient wants to hold onto the dodgy tooth until they can get an immediate denture arranged.
     
    MattKW, Aug 10, 2018
    #2
    honestdoc likes this.
    1. Advertisements

  3. Artmonkey

    Artmonkey

    Joined:
    Aug 10, 2018
    Messages:
    3
    Likes Received:
    0
    Thanks, that does help clarify the situation. As I said, the tooth is loose and so I assume doomed. My main concern is that the decay remains present under the filling and I imagine will continue to cause pain?
     
    Artmonkey, Aug 10, 2018
    #3
  4. Artmonkey

    MattKW Verified Dentist

    Joined:
    Mar 18, 2018
    Messages:
    679
    Likes Received:
    175
    Decay in of itself won't cause pain. It's mostly a case of preventing fluids from getting down deep. If the bacteria are starved of nutrients, then decay can be halted, and it is a recognised technique where the bulk of decay is removed, the tooth sealed well, then reopened months later when the tooth has had chance of repair. I think it more likely your pain comes from the loosening of the tooth (gum disease) allowing exposure of root surfaces than the decay itself. Just an educated guess without benefit of Xrays etc.
     
    MattKW, Aug 11, 2018
    #4
  5. Artmonkey

    Artmonkey

    Joined:
    Aug 10, 2018
    Messages:
    3
    Likes Received:
    0
    Hi MattKW, Thanks again for taking the time to explain, that is very reassuring. I would have appreciated that from my dentist, who by the way, was working without the benefit of Xrays too.
     
    Artmonkey, Aug 11, 2018
    #5
    1. Advertisements

Ask a Question

Want to reply to this thread or ask your own question?

You'll need to choose a username for the site, which only take a couple of moments (here). After that, you can post your question and our members will help you out.