Plus, even though I have a
post, I cannot floss on one side of it and around the cavity, so it
feels
uncomfortable. Is it true that neither fillings nor crowns can be done
immediately prior to deep scaling procedure or shortly thereafter
(within
these 4-6 weeks that I have to wait for a follow-up with the
periodontist)?

Thanks.
=============

I, for one, would certainly want to try, even if local conditions make
for an imperfect seal. One could inject the area with flowable/packable
material such as Fuji 9. If after surgery or after the adjacent tooth
is cut down for the crown your dentist finds that the filling needs to
be re-done, I would say that at least the Fuji 9 will have arrested the
carious progress and soothed the tooth at the same time.

I can't see leaving a carious lesion to continue if it is possible to
arrest it or at least slow it down. If this cavity is subgengival (goes
under the gum, you may have to have two procedures to get it done: one
to dig out the caries and one a few days later to fill it in. If you
don't mind having a ( HORRORS!!!) Amalgam filling put in, that can be
very satisfactory in these situations.

I think your dentist wants to wait and do it when the gums will behave
themselves better (after scaling/root planing the inflammed gums shrink
back and bleed less) and because after cutting down the adjacent tooth
for a crown, access will be easier. However, if you try rinsing for
three to five minutes per day with a product such as OxyFresh (Chlorine
Dioxide) or Gum Tonic (essential oils) you can get a temporary soothing
of the inflammation and that, along with various hemostatic agents, may
be enough to get that filling done. The ClO2 stuff shouldn't be used
long term, IMO, as it is reactive and so there just may be a slight
augmentation of oral cancers with long term use. This is controversial,
but worth considering.

One more thing: Ask your dentist to look into Fuji 9 (GC America or GC
WhatEverCountryYouAreIn). It is simple: you shake it up in the same
contraption you use to mix up Amalgam, and then put it in a gun/pliers
thing-y, and then inject it into that hard to reach area using the
spigot. I've done this before on teeth with difficult access. Sometimes
putting the insulating steel band on the adjacent tooth instead of the
one needing the filling, and brush-stroking the stuff till it hardens
gives acceptable results.

I ain't sayin' this is 100pc do-able in your particular case. If you
could post a radiograph, it would be easier to give an opinion.

Hope this helps
SP

Oh I would love a second opinion ......

K......

Ahemmmmmmmmm. Why?

I agree with you .......

Something else is going on here ...... sorry.

Joel

Joel M. Eichen DDS

1. How does dental insurance impact or influence all this advice?

    Just answered over at sci.med.

Steve

Nope it is just the preference of your dentist.

Amatus

..

Amatus

.