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Medical Forum / General / Dentistry / December 2006

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Cerec Inlay Bothering me

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Ihatemyjog - 14 Dec 2006 18:08 GMT
I had 2 cerec inlays put into the 2 rear teeth on the left side bottom,
the last 2 teeth in the back.  Anyway I posted back in May about this
being a new dentist I am going to, due to moving to  a different state.
Although I had no problems with the 2 teeth and a third not done yet.
Back in June he showed me close up pictures of the teeth (not a pretty
sight) with a camera , and an xray showing what he says is a cavity in
the tooth that  he has not done yet.  I don't remember him saying the 2
with the inlay had decay, but he claims he told me he did.  It's funny
to me how specifically I remember the decay he pointed out on the one
tooth not done , but not the other 2.

After the inlay was done I had significant pain in the back most tooth
for 6 weeks after, which after calling and making a followup
appointment he claimed the pain was normal.  He intimidated me into not
calling again, or following up.  He and his staff made me feel (this is
my perception to be fair) that I was being a wimp for aking about the
pain.  I let it go and over time (it's been 7 months ) the pain has
subsided, but when I chew over the inlay (just the one tooth) anything
hard (toast crispy bread,etc) I feel a dull pain.  This pain usually
goes away after a few hours.

When I went in for my cleaning about a month ago I decided to tell the
assistant and the dentist about this, they basically ignored the
question, and changed the subject to getting a night guard, and about
the other tooth they claimed needed to be done soon.  Except this time
he claims since I am sensitive he will need to crown the other tooth
instead of putting in an inlay.  This leads to a couple of questions:

1) Does the sensitivity in with the inlay tooth, mean that the nerve
was damaged and will need a root canal eventually or extraction?  Are
these Cerec inlays removable?  I was wondering if I went to another
dentist if he could take out the inlay check if all the decay was
removed and put in a normal filling.

2) The other tooth he wants to crown is structually sound, there is a
lot of tooth material, with a big metal filling in the middle.  Can
this tooth be filled instead?  I'd rather not have a good tooth that
gives me no trouble ground down to a stub accept a crown.

Obviously I'm going to find another dentist.  I'm just looking for some
ideas so when I go to the next dentist I will understand what he is
talking about.  These are my teeth, I would rather a dentist give me
the options and risks and let me make the decision.  I feel like an
idiot for letting this last guy push me down a path he wanted to go.
Mark & Steven Bornfeld - 14 Dec 2006 19:33 GMT
> I had 2 cerec inlays put into the 2 rear teeth on the left side bottom,
> the last 2 teeth in the back.  Anyway I posted back in May about this
[quoted text clipped - 40 lines]
> the options and risks and let me make the decision.  I feel like an
> idiot for letting this last guy push me down a path he wanted to go.

    If your report here is accurate, I agree that you should find another
dentist.  Discounting your pain is enough right there.
    Having said this, there are a couple of take-aways from this experience:
    1) Understand what your dentist is telling you.  If you don't
understand what is being said, stop the dentist and have it explained
again.  If you still can't understand it (I don't mean the metallurgy
here, or the workings of the Cerec machine--I mean exactly why an
apparently functional restoration has to be replaced)--the problem is
probably with the dentist, and not you.  If the dentist has the temerity
to show you your teeth on an intraoral camera (I do this too) make sure
that you see what the dentist is talking about, because the dentist is
ASKIN' fer it!
    2) S**t happens, even when the dentist does everything right.  What
happens, and how the s**t is handled (poor metaphor) can be more telling
than when everything apparently goes well.  You should NEVER be made to
feel unjustified in asking about your teeth.

Good luck,
Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Ihatemyjog - 15 Dec 2006 00:08 GMT
> > I had 2 cerec inlays put into the 2 rear teeth on the left side bottom,
> > the last 2 teeth in the back.  Anyway I posted back in May about this
[quoted text clipped - 66 lines]
> Brooklyn, NY
> 718-258-5001

Thanks for the reply.

The problem I have is the previous dentist never said anything was
wrong and six months later this guy sees 3 teeth that need restoration.
When the dentist showed me the intraoral image and the xrays all the
teeth looked the same to me.   I am not qualified to read these images,
that's why I hire a dentist, for his professional opinion.  So I need
to trust him/her.  I assumed all dentist/doctors would put helping a
patient over making money.  I was naive, I guess I watch too many
medical shows on TV.
dentaltwin@earthlink.net - 15 Dec 2006 02:48 GMT
> Thanks for the reply.
>
[quoted text clipped - 6 lines]
> patient over making money.  I was naive, I guess I watch too many
> medical shows on TV.

This is a common scenario when changing dentists.  You CANNOT assume
that the second dentist was a crook; neither can you assume that the
prior dentist was ignoring existing problems.
However, a dentist who knows you over time may well see possible
problems brewing, but decide to defer treatment (I do this myself) if I
know the patient is in regularly for recalls, or if the situation is
questionable.  The new dentists sees something--may think there is an
active process, and may be more inclined to act because he/she has no
prior knowledge and doesn't know the imperfection may have been present
a long time.
To me, if a dentist shows you a picture or an x-ray, he/she is
obligated to explain it to you in a way you can understand; otherwise
skip the slide show and do what you have to.
This new dentist may be overly aggressive in his treatment; obviously I
have no way of knowing.  But clearly there were problems of
communication that contributed to making this interaction unacceptable.
You must make sure you can communicate on a level of trust with your
next dentist.

Good luck,
Steve Bornfeld
oN - 15 Dec 2006 18:32 GMT
> > Thanks for the reply.
> >
[quoted text clipped - 28 lines]
> Good luck,
> Steve Bornfeld

Hi Steve and Co.
There is one interesting question: relation, "reper", measurement and
harmony.
If you just can find one dentist who really love to do his own work, not
related with the money, keep him well.
Right?
All the best,
Proka
 
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