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Medical Forum / General / Dentistry / May 2007Molar cavities
About 3 weeks ago I went to the Dentist. After my x-rays my Dentist informed me that I had cavities on both sides of my lower mouth, i.e. my second and third molars. I believe the cause of this was my consumption of Mountain Dew about 10 a day for many years. I haven’t had a Mountain Dew in over two years. I suspect that all of my soda drinking days caused my cavities since my teeth have hurt now and again for about 4 years. But each time I went to my old Dentist he told me I didn’t have any cavities. Even when I told him my teeth were some what sensitive to sweets. So with my recent visit to the Dentist, and my four cavities later it was not a big surprise. Could you please answer my next few questions: 1. My teeth are still a little sensitive, how long can this last? 2. When I chew food, i.e. chips or any type of food two of my teeth hurt, i.e. when I bite down. (he told me that my cavities were not that deep) 3. It seems that since my four teeth have been filled that they are like a spoon i.e. when I eat chips, bread, food etc I have to dig the food out of my teeth. This was not a problem before my fillings. Should the Dentist have used more dental material? He used the white filling. Thank your for your responses! Thank you, Charles Pressure sensitivity can sometimes be due to a crack in the tooth, or a bonding problem (more likely since you had white fillings which you say weren't deep). You shouldn't be getting food trapped in those fillings as well. Fortunately these problems are not difficult to deal with, so the first thing you should do is go back to your dentist to have the fillings reassessed. Regards, George True, but if they didn't get it right the first time, what are the odds they will the second time around? I had a fill-in assistant who also works in an office in a nearby town have problems with a class II composite from the other office. It went on for a couple of months, and the other guy was talking about endo. I redid the restoration with Clearfil SE (and a palodent ring). The problem was solved from day one. D > Pressure sensitivity can sometimes be due to a crack in the tooth, or > a bonding problem (more likely since you had white fillings which you [quoted text clipped - 5 lines] > Regards, > George > I redid the restoration with Clearfil SE (and a palodent ring). The > problem was solved from day one. Irrespective of the bonding system used, it could have also been a void in the original resin. John A void *in* the resin would be meaningless. A void between the bonding layer and the dentin would be different and maybe a large enough void between the bonding layer and the main resin could have some effect. Usually, that's just an excuse for poor bonding technique or poor choice of materials. Steve >>I redid the restoration with Clearfil SE (and a palodent ring). The >>problem was solved from day one. [quoted text clipped - 3 lines] > > John >A void *in* the resin would be meaningless. A void between the > bonding layer and the dentin would be different and maybe a large > enough void between the bonding layer and the main resin could > have some effect. Hi Steve, This is in fact what I meant by my post. I agree with you and Dartos that its most likely a bonding issue, but there could be this cause as well. John >I redid the restoration with Clearfil SE (and a palodent ring). The >problem was solved from day one. > >D Have been using CFSE for some time now with very good results and virtually no post op sensitivity. Now about the palodent ring, what are your recommendations and how should a newb start with them ? For preps that extend to the line angles: Palodent, Garrison, or Tri-clip are great methods for gaining a little extra tightness for the contact. You just have to get a few of each system and try them to see which ones you like best. On narrow preps where the preformed matrix will not go between the teeth, I use a section cut from a standard 0.015 band and a Palodent ring. It I can't get a ring to stay on the tooth (rare), or if the prep is too wide for a sectional matrix, I place a regular band, wedge tightly, and go away for a few minutes. When I come back I'll lean on the wedge again before beginning to fill (and use a burnisher or contact pro to push the band against the proximal tooth will hardening the appropriate layer of composite). JME, D >>I redid the restoration with Clearfil SE (and a palodent ring). The >>problem was solved from day one. [quoted text clipped - 6 lines] > Now about the palodent ring, what are your recommendations > and how should a newb start with them ? |
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