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Medical Forum / General / Dentistry / September 2007How good is "composite"?
Back molar, broke small distal part of tooth. Amalgam filing comprises about 80% of the tooth with the shell surrounding it. Dentist wanted to put crown in (i know this is best), but I cannot afford the $1200. So I told him to find some other way and he suggested this composite material that SUPPOSEDLY binds to the tooth with some kind of UV light activation. Had this 3X on a smaller front tooth. First lasted 2 years, 2nd lasted 3 years and 3rd has lasted now over 4 years (all from different dentist). How good is this composite stuff and what factors determine how long it will last? Try mexico? 1/10th the price and it appears that the number of horror stories online from both country's dentists are about equal. At least bauched repairs in Mexico will set you back by factor of ten, minus traveling expenses. To reduce the number of flights to two, do the cheap stuff locally ie xrays, E-mail them with pictures of your teeth and $$$$ave. That's what I'm doing. I've had one too many very costly horror stories here in the U$A. $880 for a 20-minute deep cleaning! Dream on! Yeah this is probably my next move. Except how to find a GOOD, English speaking Mexican dentist and if he does f**k up royally, what recourse do I have? None. > Try mexico? 1/10th the price and it appears that the number of horror > stories online from both country's dentists are about equal. At least [quoted text clipped - 5 lines] > what I'm doing. I've had one too many very costly horror stories here > in the U$A. $880 for a 20-minute deep cleaning! Dream on! >Except how to find a GOOD, English >speaking Mexican dentist No habla Ingles, puta. > Yeah this is probably my next move. Except how to find a GOOD, English > speaking Mexican dentist Many, many all along the US-MEX border. >and if he does f**k up royally, what recourse > do I have? None. Where do you live Turkey? Come on! $184 Round Trip from San Jose to San Diego, $25 cabbie, walk over the bridge and you're there. $25/ motel. This is impossible ?? If you need a pile of work done, even if you have to make a third trip back for "corrective" purposes what's the deal? You'll save a loot. And there's no bad dentists where you live? They're everywhere. They're called humans. GL, Steve > To reduce the number of flights to two, do the cheap stuff locally ie > xrays, E-mail them with pictures of your teeth and $$$$ave. That's > what I'm doing. I've had one too many very costly horror stories here > in the U$A. $880 for a 20-minute deep cleaning! Dream on! Better yet, why not just get it extracted? Like other man-made materials, the restoration will break or wear out from use anyway. No need to even go to Mexico or Turkey. And you said it's a molar, so the extraction will mostly be hidden from view. > Back molar, broke small distal part of tooth. Amalgam filing comprises > about 80% of the tooth with the shell surrounding it. Dentist wanted to [quoted text clipped - 5 lines] > different dentist). How good is this composite stuff and what factors > determine how long it will last? > If the tooth is in fact 80% gone, your chances for long-term success aren't good for either amalgam or composite resin, unless the cusps of the teeth are onlaid. Some kind of laboratory or cerec- made restoration, whether metal, resin or ceramic has a greater chance of holding up. If you are using resin or amalgam, keep in mind that you may buy some time, but you will likely be revisiting this problem. > > Steve >Back molar, broke small distal part of tooth. Amalgam filing comprises >about 80% of the tooth with the shell surrounding it. Dentist wanted to [quoted text clipped - 5 lines] >different dentist). How good is this composite stuff and what factors >determine how long it will last? So now you have had the same tooth operated at least four times. If you had it crowned in the first place all of the additional treatment would have likely been unnecessary. Each treatment adds cumulative trauma to the pulp. Most pulps can only survive 2-3 traumas before irreversible pulpitis sets in. You have been lucky so far. Predict that RCT is in this tooth's future. Why do people not read posts before replying to them? Re read the OP. The other composite was on a front tooth at a stress point, so it's not the same tooth. >>Back molar, broke small distal part of tooth. Amalgam filing comprises >>about 80% of the tooth with the shell surrounding it. Dentist wanted to [quoted text clipped - 16 lines] > > Predict that RCT is in this tooth's future. Why do you post stupid questions ? No bs here mf. >Why do people not read posts before replying to them? > Back molar, broke small distal part of tooth. Amalgam filing comprises > about 80% of the tooth with the shell surrounding it. Dentist wanted to > put crown in (i know this is best), but I cannot afford the $1200. Seems rather pricey- maybe you can shop around and find a dentist who does it for less ? >> Back molar, broke small distal part of tooth. Amalgam filing comprises >> about 80% of the tooth with the shell surrounding it. Dentist wanted to >> put crown in (i know this is best), but I cannot afford the $1200. > >Seems rather pricey- maybe you can shop around and find a dentist who >does it for less ? May include root canal therapy. 80% of the tooth is gone... Around KC in the 'fancy' burbs, $1K and up is pretty routine. 'Course, out in the small towns, $800 is more normal. A 40-50 mile drive may net a considerable savings, but the office building won't be as big and luxurious. D >>>Back molar, broke small distal part of tooth. Amalgam filing comprises >>>about 80% of the tooth with the shell surrounding it. Dentist wanted to [quoted text clipped - 6 lines] > > 80% of the tooth is gone... There is not answer The most expensive prosedure is the best.. Depends on situation the crown and bridges is the last issue. If the decay is not too big and the occlusion is ok the composite could last many years . Everything depends on individual examination regards kris-polanowski >> Back molar, broke small distal part of tooth. Amalgam filing comprises >> about 80% of the tooth with the shell surrounding it. Dentist wanted to >> put crown in (i know this is best), but I cannot afford the $1200. > > Seems rather pricey- maybe you can shop around and find a dentist who > does it for less ? First lasted 2 years, > 2nd lasted 3 years and 3rd has lasted now over 4 years (all from > different dentist). How good is this composite stuff and what factors > determine how long it will last? My clinical experiences with composite: 1) Microscopic shrinkage after a period of time, thereby affecting the margins. 2) Bonding success correlates with ability to keep working view dry. This is the biggie for me, since the patients here are very difficult to work with, do not want rubber dams, and have caries in the worst places ( almost subgingival on 15L, for instance ) to keep sufficiently dry.
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