Dark Root Filled Tooth

October 30, 2011

This fellow’s tooth was wacked when he was young. Wear a mouthguard when playing sport please guys! The existing filling was leaking and broken and the tooth had gone dark.  The blood in teeth stains when the nerve dies, and also the medicaments used in root fillings may stain the tooth.  Ideally the tooth would be bleached as a conservative option.  The filling was failing so the next best option would be a crown.  Unfortunately this tooth is on its way out – it is so hollowed an weak it wont hold a crown but we had to do something because the current filling is failing.

We built him a new tooth using a carbon fibre post into the root, and bonding dental composite resin over the top.  It is much cheaper than a crown, and if the tooth fails he is looking at a gap, denture, or implant.  Hopefully we have delayed these options for some time to come and given back a smile.

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Tooth Trauma

June 13, 2008

Just another routine day in the dental office.  I thought I would quickly post these photos which show a young fellow who fell over a concrete ledge.  The teeth may or may not end up with major consequences – fortunately mum saw the cracks and brought him straight in for an X-ray and check.  See how the enamel is like shattered glass.  The inside of the tooth is flexible and has stopped the cracks running right through.  I have a small chip on one of my teeth which hasn’t changed for 15 years but another patient of mine ended up with the tooth dying and needing root canal treatment.  This was from a small simple fall so it just reinforces why it is so important to wear a custom fitting mouthguard during sports.


Mouthguards

March 15, 2008

A custom fitting mouthguard is one of the wisest decisions you can make for yourself or your children if playing sport.  You have one chance with your adult teeth and trauma can lead to endless expense, pain and heartache.  The minimim damage you may sustain to your teeth would be one tooth getting chipped – and to fix it is the same cost as a custom fitting mouthguard.  Parents say to me that a mouthguard is expensive and they only get one season before kids grow out of it.  It costs less than most sports shoes – and kids grow out of these too!

The second worst scenario is a tooth dying and needing root canal treatment – 3 times cost of a mouthguard

The third is snapped off – root treatment and crown – 11 times cost of a mouthguard – and eventual loss of tooth

The fourth knocked out – root treatment/crown and future implants – 45 times cost of mouthguard

Remember – that is if it is just ONE tooth!   And no replacement will ever look or function as good as the real thing – would you rather a real eye, or a false eye?  We can make pretty good false eye’s – but I wouldn’t want one.  A custom guard fits acurately over the gums and bone around the teeth to distribute any force evenly onto the jaws.  A boil and bite mouthguard transmits force through the guard and onto the teeth leading to a high risk of tooth fracture and limited protection.  Finally a custom guard is laminated and thin meaning comfort and better breathing – many kids lose teeth playing sport because they didn’t wear the guard, stating it was not comfortable.  I try to make the best fitting guard with careful attention to how far it extends into the mouth and under the lips.

And don’t forget they come in some kewl colours 🙂

mouthguard.jpg   mouthguard1.jpg