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Medical Forum / General / Dentistry / April 2005Inlay vs filling
Hi, I have recently moved to a new dentist on recommendation. As part of initial appointment, I had an x-ray which pointed out that I have decay on 3teeth. The dentist wants to use an inlay rather than filling on these teeth, which I find surprising as none of these teeth had any previous fillings. Do inlays require more tooth removal than fillings and do they last longer? From information I saw inlays are generally used where larger path of the tooth is being replaced. While obviously I don't want to pay for unnecessary treatment, my primary concern is that I get the best possible treatment rather than the cost of the treatment. > Hi, > [quoted text clipped - 8 lines] > that I get the best possible treatment rather than the cost of the > treatment. This is a judgement call, based on the size of the decay. If the defect after removing decay and shaping is wide, it is better to onlay the cusps, and a laboratory-make (or CEREC-made, if you're Steve Mancuso) restoration will be more durable and long-lasting. If the defect is narrow, either will work fine. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Sometimes the restoration which removes less tooth structure lasts longer,,,,, other times, the restoration which removes more tooth structure lasts longer. Sometimes undercuts are desired, other times they are not. Too many if's to comment from a distance. Get a second opinion from a local dentist is you are worried. We can talk about statistics for various restoration choices, but there is no way to know if it applies to you or not. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> Hi, [quoted text clipped - 17 lines] > > Steve > Sometimes the restoration which removes less tooth structure lasts > longer,,,,, other times, the restoration which removes more tooth structure > lasts longer. Sometimes undercuts are desired, other times they are not. > > Too many if's to comment from a distance. Get a second opinion from a local > dentist is you are worried. YUP. Too many "IFS" here. I agree. Joel > We can talk about statistics for various restoration choices, but there is > no way to know if it applies to you or not. [quoted text clipped - 38 lines] > > Brooklyn, NY > > 718-258-5001 Depends ...... years ago, we had the choice of amalgam (ok, but not great material) or gold or porcelain inlay. There it made lots of sense to "UPGRADE your order" when patients wanted the best. Today, composites are kinda decent, especially when the size of the cavity is small. Still, "FRIES WITH THAT" may produce a better result. Is it overkill? I'd have to see the x-ray for that! Joel > Hi, > [quoted text clipped - 8 lines] > that I get the best possible treatment rather than the cost of the > treatment. I bet that new dentist has a Cerec 3D! What do you think, Joel? Flap http://flapsblog.blogspot.com > I bet that new dentist has a Cerec 3D! > [quoted text clipped - 3 lines] > > http://flapsblog.blogspot.com Could be, but we cut the CEREC guys lots of slack over here ....... So sh-h-h-h-h-h-h-hh-h--h-h-h! If he did, he would have treatment planed onlays. Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... >I bet that new dentist has a Cerec 3D! > [quoted text clipped - 3 lines] > > http://flapsblog.blogspot.com > If he did, he would have treatment planed onlays. We prefer to use the router instead! Joel > -- > ~+--~+--~+--~+--~+-- [quoted text clipped - 15 lines] > > > > http://flapsblog.blogspot.com |
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