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Old 07-23-2002, 06:55 AM   #1
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Post Gold Fillings or inlays & comfort

Hi,

I need to get some white fillings(bondings) redone in order to improve my bite. I also grind alot. THe prosthodontist mentioned if I want something that will last a really long time -- gold is the best even though it will show as a possibility.

Does anyone have gold and how do they feel on the teeth????

Thanks
Antonia

 
Old 07-23-2002, 07:03 AM   #2
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Not sure if this helps but...
My husband had to get some gold on his back teeth cause the regular fillings and crowns would not stay on cause he grinds his teeth, anyway it can be seen some times but I think it looks nice and I asked him how it feels and he says it feels ok and definitly better than what he had before. He has had them about 2 years and no problems so far.

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Sher
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Anterior Cervical Fusion w/donor bone & w/plating C5/6 Done March 6-2003

 
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Old 07-23-2002, 09:11 AM   #3
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Thanks Sher

I saw two prosthodontists and one said he could do the gold but he said if he were me he would go with the white fillings. But I mean I only have had them a little more than a year and a half and they need more material added to them???? ANd that prosthodontist wanted to charge me a whole TMJD package. It could be a ripoff. If he knows I grind and history has shown already they didn't work for me-it seems gold would be a more logical choice. SOmetimes these dentist want to get your business back in a year or two. I feel I grind the white fillings down -- they just are not hard enough(feel likes chewy-cement). PRobably your husband found this too. THe white fillings aren't for everyone.

The one prosthondontist who I feel more comfortable with just told me to be patient till he analyzes my bite model and then we can discuss options but he too initially recommends the white bonding. I have an appointment a week from THursday with him so I'll see what he says. The gold last a really long time and being able to grind unabashed is a BIG plus -- it may well be worth the extra money.

 
Old 07-23-2002, 10:39 AM   #4
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I Antonia,

I don't have any gold inlays yet, but am also considering them, as I have to have some very old amalgams replaced in my molars. I am surprised one prosthodontist would recommend white fillings over gold inlays in molars!! I also go to a message board for dentists only (well, you have to answer a dental question to be able to register), and there I repeatedly read that gold inlays/onlays are the best (even though they also place white fillings on molars). I think you can expect the white fillings to leak sooner rather than later, and they are not really intended to withstand the chewing forces in molars; I think they will need to be replaced every few years (from what I read white direct fillings have the lowest life expectancy of any fillings in molars; gold the highest). The one concern I have with gold in my lower molars, especially, is the looks (and, of course, it's expensive!). I don't know how old you are, but that may be something to consider. At any rate, I think in terms of longevity, gold can't be beaten yet (my aunt has lots of gold fillings that are over 30 years old!). I am also going to a prosthodontist on Thursday.

 
Old 07-23-2002, 09:10 PM   #5
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What is a prosthodontist?
Antonio, you sure have had some problems. I can relate. For years I went without any problems and now I have 2 teeth that continue to bother me after lots of work and money. Good luck with your furture dental visits....

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Sher
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Anterior Cervical Fusion w/donor bone & w/plating C5/6 Done March 6-2003

 
Old 07-24-2002, 06:26 AM   #6
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Hi Sher,

A prosthodontist rebuilds missing tooth structure for multiple teeth(crowns,bridges,dentures). He understands the bite/jaw relationship and how all the teeth fit together.

It's interesting general dentists told me to "forget about it" but the prosthodontist does a measurement to see how the teeth are fitting together. There is a numerical "normal range" and anything outside of that will cause the person some discomfort(as in my case). He can rebuild the teeth so they all more in harmony. In my case, I have no back teeth support as my back teeth were "shaved down" too much and the white fillings have eroded over the past year and ahalf.

No general dentist could help me because all they see is well you have no cavity, you appear to have no infection what they do is limited. They are not bite specialists. And for some reason they do not refer people to prosthodontists or even mention them. After seeing like 5 dentists the last one I saw said if what he did didn't help me a prosthodontist would get into the complexities of the bite. And believe me I am paying top dollar(at least 1500-2000) for his treatment.

What is wrong with the two teeth that are bothering you???

I guess a prosthodontist would be the one to go to for ill-fitting crowns done that throw the bite off.

 
Old 07-24-2002, 06:35 AM   #7
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ZAch....

Thanks for the info. Keep posting or I will first if either of us get the gold done first(the price of gold is rising as we speak unfortunately).

I am in my 30's and i really don't care if it looks funny.

I mean I would rather have the gold and not have to go to quack dentist every couple of years to pay them $$$$ to redo the fillings.

They say white fillings are small anyway so why even fill the teeth in many situations(like mine it was unnecessary). It was just done to make me a card paying member to these quacks for maintenance every few years and I don';t want to do it. I would rather pay and forget about it once and for all.

A general dentist won't do the gold but my prosthodontist will(but that's it more $$$$$).


 
Old 07-25-2002, 08:03 AM   #8
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Antoni,

I'd go for it--gold inlays or onlays are what I intend to "discuss" with my dentist the next time I'm dealing with my molars (an ongoing problem for me, too). If they last longer and are stronger than the white fillings and better than amalgams, why not do it?

Sim

 
Old 07-25-2002, 09:07 AM   #9
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Hi Simmie, antoni,

Well, a dentist said to my aunt with all those 30 yr old gold restaurations:"Too bad, these are going to last forever; these days we do temporary fixes" (ie. white fillings or porcelain, which cracks sooner or later)! I think in the long run, they just don't make enough money with gold and good oral hygiene.
I went to see a prosthodontist today. I liked him: He doesn't want to replace all my old fillings, and is putting a watch and wait on a brown spot in a virgin molar (which I think antoni got that troublesome air abrasion for), unlike the two dentists I saw before him. I think there is value in conservative dentistry. I am definitely getting one gold onlay (on a root canaled tooth) and one inlay. For another tooth he suggested a bonded amalgam (they take away less tooth structure for that than for a regular amalgam) or an inlay, 'cause it's a small filling - I haven't quite decided yet. Talk to you later.

 
Old 07-25-2002, 12:45 PM   #10
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Antoni you asked what problems I have with the 2 teeth. One is a molar that has had 3 root canals done on it and still aches under it in jaw bone area and has flare ups and have to take antibiotics some times. I don't want to lose it but think I may have to extract it cause I have been told it looks ok on xray but may have vertical crack and that maybe causing the trouble. I have spent 2,500 on this one tooth already. Other tooth is a back tooth and it had an old filling that dentist said needed to be replaced with new white filling and so I had it done and it hurts sometimes when I chew on it certain ways. That has been going on for 3 years and dentist keeps taking some off the top of it and my bite got out of wack and had to go to another dentist to get it put back in line. Still bothers me sometimes on certain foods I eat and I was told it is probably cracked at root area but does not show up on xray. The dentist said a crown "MAY" help it. Then asks me if I want a half crown or whole crown put on it. HA HA. I told him I did not go to dental school so I don't know. So.... I have not done anything about it yet. Right now I also have cervial neck problems and sitting in a dental chair with my head reclined back like they do hurts me so I am kinda in limbo right now. I need a new dentist and hate searching for one. They are so expensive and you never know what you getting until they screw up your mouth. I sound negative but that is how I feel right now. Good Luck with your teeth.


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Sher
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Anterior Cervical Fusion w/donor bone & w/plating C5/6 Done March 6-2003

 
Old 07-26-2002, 06:45 AM   #11
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Zach, that's good you found a prothodontist that doesn't want to rip you off and do all your teeth. I know the money grubbing quack I went to did all that work and all the unnecessary tooth structure removal for just a little brown(like you said) that could have lasted for many years. There was no patient consideration whatsoever in my situation and now it will cost a pretty penny to correct the damage. THe air abrasion caused the abnormal spaces between the top and bottom teeth and they don't "fit" together so to speak. But don't get me started. It's good you have an Aunt who can vouge for the gold lasting along time with no problems.

What dentistry has sunk too. In the future there are suppose to be all types of advances to eliminate cavities and hopefully quacks will be out of business.

SHer,
The poor multiple root canal tooth and the other one which needs a crown??!!! SOme people have had repeated root canals with no negative results. I don't know how they do it.

THe best dentist I found was through a referral from a friend if that helps but even he said alot of contradictory stuff which I didn't care for. I question how honest they are when they do this. BUt before you get any work done I would get a second or third opinion.

My appointment with the prosthodontist is next THurs. so I'll be back then if not before to report how it goes and how much $$$$ it will be.

[This message has been edited by antoni (edited 07-26-2002).]

 
Old 07-26-2002, 08:19 AM   #12
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Hi everyone--

This isn't directly related to the gold crown/onlay issue, but I had to reply when I read about neck pain from being in the chair. My dentist's office, slow as they are to do anything "progressive," has put in buckwheat pillows on the backs of their chairs. It was so wonderful the last time I was there for two hours--my neck couldn't tell at all. Sher, maybe you could take a small one with you to your appt? I can't imagine the dentist would care as long as they still could reach your teeth...

Sim

 
Old 07-26-2002, 09:08 AM   #13
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Thanks for the idea Simmie on the buck wheat pillows, I have heard of that before seems like some where. I will check into that.....

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Sher
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Anterior Cervical Fusion w/donor bone & w/plating C5/6 Done March 6-2003

 
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