Dentalnews (en)

How to choose a proper filling material? Pain after dental filling-why? Costs of fillings?!

It is common to develop cavities on the posterior teeth due to several reasons.  The size of the teeth; they are bigger and have deep grooves. Another reason is the lack of proper brushing technique,  or inadequate brushing time. It is also important to floss once a day.  More on this, in the video dental anomalies and brushing techniques.

A Distinction is made between fillings.  Different filling materials change more over the years, regardless of your oral hygiene. –

Amalgam, cements and plastics change their physical compound, therefore these materials will get leak in the course of the years. It is not recommended to use three surface composite fillings on posterior teeth. Frequently patients experience pain after these fillings,  caused by a  chemical irritation of the tooth nerve, which  often results in a root canal  treatment!

Basically these fillings last from 2 to 10 years, which depends on:
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• The shape and size of the filling
• The quality of work
• Your oral hygiene
• Your chewing pressure and eating habits

Every filling replacement causes a loss of the tooth surface, which leads to bigger filling every time. Therefore patients  shall invest in lasting treatments such as:
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• gold inlays/onlays
• ceramic inlays/onlays
• titanium inlays/onlays

These filling materials hardly change, providing that your oral hygiene is good, otherwise the gold inlay may  leak. You can preserve lifelong healthy teeth if you change your brushing habits and one dental investment.
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Inform yourself about the different treatment options, which your dentist usually performs, since the best material is nothing without an appropriate processing!
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How to identify leaking fillings?
If there is a black fissure between the filling and the tooth there is a good possibility the filling might be leaking!

A crown/inlay is broken – what needs to be done?

If a crown or an inlay-we are talking about a technical work (because it is made by a technician), brakes it is no longer available for a long term recement.

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Friction loss between work and tooth/tooth stump is the reason of a loss of technical work.
Friction loss can have many reasons:

1.) Bad polishing
2.) Secondary cavity leads to a crash of walls/tooth stump
3.) Fissures which are innately large-cementfissure due to bad fitting crowns/inlays and thus elution of cement
4.) Root/tooth stump fracture
5.) Combinations of all factors

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Further cementation can stabilize the crown, but only for a short time:

1.) If a tooth stump is polished badly the cement gup will be overloaded and this will result in a loss of the technical work.

2.) Cavity will not be removed by cementing. Cavity grows steadily until the tooth will rot out.

3.) Cement gets lost on a wrong dimensioned crow.

That´s why a lost crown/inlay must not be re-inserted but re-done. Or..

1.)    It must be re-polished for a better fit

2.)    The cavity has to be removed

3.)   The crown have to be tight

and then a new crown/inlay has to be made!

Make sure you are being informed of all the pros and cons so, please, feel free to ask questions!

Crown materials, crown costs, crown pain-a common topic!Does the material play a role in pricing?
No! Are there differences in materials regarding longevity?
No!

 Do crowns cause allergies?
No!
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Cost of a dental crown

The price area of the material is minor, as well as the consumption; only few grams are needed per crown. Consequently, differences between prices up to 100 € are not explicable. Everybody who is asking more money is trying to take advantage of you! Differences between prices play a role when it comes to aesthetic. It makes a difference if the technician is making 10 crowns or just one crown per hour!

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Crown materials
A crown´s lifetime doesn´t depend on the material, but the fringe-tightness and thus the precise work of the dentist. Every material used in the dental industry has a shelf period, which is much longer than a human life. More on this in the video tangent cut, step cut and crown. Each material used in Europe is inspected precisely, otherwise they must not be manufactured.

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Crown pain

The crown is isolated from the tooth stump by a thin cement shift. Usually the ceramic is oral. Only immunocompetent cells cause allergic reactions! Neither in the tooth stump nor in the cementfissure are immunocompetent cells, so no allergic reaction is possible! Bleeding gums, a cauterisation in the mouth, or recession of the gums are not an indication of an allergy, but usually an indication of leaking crown edges, or consequent periodontitis.

The costs of „Ceramic caps“ vary!

A veneer is a thin layer of restorative material – composite or porcelain, placed over a tooth surface to improve the appearance of one or more teeth, or to cover damaged teeth. You can get veneers from 500€/piece to 1500€/piece.
-AA 

The costs have nothing to do with the ceramic caps, but with the effort done before- wax-up, individual shapes checked with the technician, glue procedure,…you´ll get more information about veneers and what to take care of, in the video bonding!
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Basically the terms veneer, lumineer or non prep veneer don´t necessarily mean to prep the teeth. This myth is advertised over and over again-they want to cause ancient fear of the dental drill!
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Be careful if your dentist wants to beautify your dentition without drilling! Here you get the information about when and how to grind down your veneers.
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Moreover you see pictures of veneers before and after in the video veneer on checkdent.com.

Jaw pain-jaw joint pain, what is to be done?

It happens unexpectedly while talking, yawning, or chewing-suddenly you recognise a stitch and the mouth opening area starts hurting and is often restricted. What is to be done?

First of all: Keep calm, cause like every other joint, the jaw joint can be strained. It often happens during mountain hikes with ankles. If it happens in the jaw joint, affected people are more worried about!
Moreover it doesn´t have to be the jaw joint, since muscle pain imitates tooth,- and jaw joint pain very well.
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–You can start with the most important thing, rest and keep calm!

No chewing gums, no chew-intensive dishes, cool it and use pain medication. Moreover you should find a treating person, who is good with face pain. If this person uses the term “craniomandibular dysfunction“ –CMD-forget this person.
The appropriate term is Myoarthropathy-MAP. Through clinical examination the medicating person differentiate between jaw joints and muscle joints and will then start a proper therapy.

What to expect from the therapy? Nothing and everything!
•    Frequently a good clarification and rest are sufficient
•    Optionally physiotherapy
•    Optionally mouth opening practise
•    Optionally a splint therapy-the Michigan splint is well established

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Braces, crowns, bridges are not indicated and are useless-except for the dentist!–

The jaw joint is able to adapt to changed loads-e.g. after tooth loss, new dentures,… it just takes a short time since the biological process is not that fast as the dentist.-
Please don´t get insecure by imaging diagnostics such as MRT, statements such as  “displacement without reduction”. This has nothing to do with your problems…a lot of people suffer from disk displacement without having problems, some have a “broken joint” as per MRT and have no problems, many have picture-book joints with lot´s of problems!

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Today we know that those things are not in relation to eachother and are irrelevant on MAP!
Get well!

jaw joint