Just haven’t had the time to write lately. Here is a nice set of filling replacements I did this week. The old amalgam fillings have cracked and leaked. You can see the decay on the right side of the top filling, the crack in the middle filling, and the downside of large metal fillings is the cracked off cusp in the molar on the bottom.
The molar needs to be crowned to keep the tooth for any length of time. If it isn’t crowned the large tooth coloured filling may crack or leak and end up leaving the tooth in an unsavable state. At this stage it has bought the patient some time to organise for a crown, and allowed me to see what damage lay beneath that old amagam and check that the nerve in the tooth will be ok. The top 2 fillings went very well and should be there for many years if kept clean.
Happy Christmas all.
December 4, 2008 at 6:57 am |
Some nice pictures and nice work too !
February 3, 2009 at 10:44 pm |
Thanks! I still would have preferred to crown the molar but we are just trying to help this patient deal with the large number of failing teeth. Once everything is stable, a crown should give long term strength and stability here.