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Re: caries question

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Re: caries question

Steven Fawks29 Jun 2005 13:52
> The most important thing to keep in mind is when to place [or I should say
> "if to place"] the first filling.  We don't have any filling material that
[quoted text clipped - 3 lines]
> larger, and the tooth gets more irritated by the drilling/filling.
> Eventually, a crown is needed, and sometimes root canal treatment as well.

I have been using sealants and PRR's to some degree for many years.  I
don't have 20 year studies, but I do have 26 years of anecdotal
observation.  I think the early intervention with very small
restorations to eradicate the caries will save a lot of tooth structure
over time.

I believe this idea was more true of the days with GV Black preps and
amalgam use than with todays techniques.  Even with the medium sized
Class I amalgams, the 5 year replacement theory does not often turn into
reality.  I do see a lot of 40-60 yr.-olds who need a few crowns.  Most
of these were not due to an intitial occlusal amalgam.  They may have
had occlusal decay treated with an amalgam in 1964, but new areas of
decay led to an MO, then an MOD, and then cusps began to fracture.  It
is rarely continued replacement of one filling that leads to a crown.

Fawks

Jacob29 Jun 2005 04:33
One important thing is your age  -- in other words, how long these caries
have been present.  If you are middle aged or older, and these have been
this way for years, then the best thing to do is keep an eye on them; they
are not very likely to get worse.

Caries risk analysis is important.  I have seen radiographs of caries that
did not progress over a 15 year period.  Just because there is a "hole" in
the tooth, it is NOT necessarily appropriate to restore the tooth.  There is
a constant remineralization process from the minerals in your saliva, and
caries can acutally "heal" under the right circumstances.

The most important thing to keep in mind is when to place [or I should say
"if to place"] the first filling.  We don't have any filling material that
duplicates natural tooth structure, and once the initial filling is placed,
the usual scenario is that the filling breaks down and needs to be replaced
in 5 or 10 years.  Each time the filling is replaced, the "hole" gets a bit
larger, and the tooth gets more irritated by the drilling/filling.
Eventually, a crown is needed, and sometimes root canal treatment as well.

In my opinion, there are many, many cases where the best thing to do is
watch and see what happens.  As long as you go to the dentist regularly,
there is virtually no risk for problems by just watching.  You may find that
by watching, the caries stays the same over time, and you will not need any
filling.

> I've got a question regarding caries that is being formed on few of my
> teeth.
[quoted text clipped - 8 lines]
>
> Thanks.

viktor011@gmail.com28 Jun 2005 01:03
I've got a question regarding caries that is being formed on few of my
teeth.

In fact they are very very small dots.

Is there any other solution than filing (if i spelled right)?

Are there any tooth pastes, any medicaments, drugs, scrubs?

Please answer on my email: viktor011@gmail.com

Thanks.

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