About 15 years ago I had 4 silver fillings my dentist said needed to
be replaced. He replaced them with composite fillings. The dentist
didn't even ask me if I wanted composite ones, as I can recall, he
just put them in. What is the point of putting 4 composite fillings in
when every other
molar in my mouth has silver. 4 composite fillings vs the rest isn't
really cosmetic. Anyway I got rid of that dentist years ago. Actually
didn't go to another dentist for almost 15 years. Had no tooth
problems just hated going to a dentist.
Finally decided to go to a new dentist, was higly recomended by a
friend of mine. First appt.
was for cleaning and dentist cleared me, no real problems, maybe some
work in the future.
2nd and 3rd, 6 mo. checkups were the same. 4th checkup the dentist
noticed a dark spot under one of my composite fillings, and another
composite was deeply gouged out.
So an appt. was made and today I was there for the work. He said he
had to drill a little
deeper that he thought because there was decay under the composite
fillings. Also said it looked like the dentist that put in the
composite fillings didn't use a bonding agent that would bond the
teeth to the composite filling. Without the bonding agent the
composite fillings will expand and contract differently with the teeth
with cold and hot temps. causing a crack between the teeth and the
composite allowing bacteria to get under the composite and to the
tooth causing decay.
Have two other composites that need to be replaced now.
Thoughts and contradictions wanted.
Thanks, Dan.
George - 06 Apr 2007 09:23 GMT
My first thought would be that it would be almost impossible for a
composite filling to give you 15 years of service without good
bonding. Of course as with all other things, the bonding will
deteriorate with time in the hard conditions inside the mouth.
Considering 15 years is well above the average lifespan of a composite
filling, I would be very pleased with the previous dentist's
workmanship.
Regards,
George
Amatus Cremona - 06 Apr 2007 12:07 GMT
Bonding agent has nothing to do with contraction and expansion. Contraction
and expansion are due to the properties of the resin restoration. The
bonding agent acts to seal it to the tooth. Early bonding agents did not
work as well as modern ones. Average replacement age of a composite filling
on a back tooth is 8 years. That number is moving up as materials and
techniques are improving.
Needing a restoration replaced after 16-17 years is rather normal.

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> About 15 years ago I had 4 silver fillings my dentist said needed to
> be replaced. He replaced them with composite fillings. The dentist
[quoted text clipped - 26 lines]
> Thoughts and contradictions wanted.
> Thanks, Dan.
ahuangdds2@gmail.com - 07 Apr 2007 15:28 GMT
> About 15 years ago I had 4 silver fillings my dentist said needed to
> be replaced. He replaced them with composite fillings. The dentist
[quoted text clipped - 26 lines]
> Thoughts and contradictions wanted.
> Thanks, Dan.
Dear Dan:
Composite is not the best treatment for large decay on
your back tooth. Go for porcelain onlays as a more permanent
treatment.
Al