Questions regarding supplementary prescriptions?
Hello:
Question 1: I have a front tooth that was broken and filled, but now it seems to be slowly loosening.
Additionally, after biting down on a chopstick, the looseness has become more noticeable, and it feels a bit sharp.
I would like to know if it can be refilled again?
Question 2: I had a molar that was previously broken and filled, but over time, it broke again while eating, and the upper surface of the tooth has come off.
I have delayed getting a replacement due to financial constraints, and it is almost at the end of its lifespan.
I would like to know if it can be temporarily extracted without immediately replacing it, as I am concerned about the impact on the alignment of my teeth.
KEN, 20~29 year old female. Ask Date: 2005/09/29
Dr. Liu Tiancai reply Dentistry
Hello:
Question 1: If a filling on a front tooth falls out, it indicates that the defect is located at the corner or edge.
This area is prone to failure under pressure (when biting), and it is recommended to consider a porcelain crown.
Question 2: After a tooth extraction, if a prosthetic tooth is not placed, the adjacent teeth may tilt towards the gap.
Furthermore, based on your description, it is not certain that the tooth needs to be extracted.
Please visit a dental clinic for examination and treatment.
Sincerely,
Dr.
Liu Tian-Cai, Dentist
Reply Date: 2005/09/29
More Info
When it comes to dental fillings, the answer is yes, they can indeed be redone. Dental fillings are designed to restore the function and integrity of a tooth that has been damaged by decay or trauma. However, over time, fillings can wear down, crack, or become loose, necessitating replacement.
Addressing Your Concerns
Question 1: Front Tooth Filling
You mentioned that your front tooth, which had been previously filled after a fracture, is now showing signs of deterioration and has become sensitive. This is not uncommon. Fillings can wear down due to normal chewing forces, and if you have experienced trauma, such as biting down on a hard object like chopsticks, this can exacerbate the issue.
If the filling is loose or if you are experiencing sensitivity, it is crucial to see a dentist as soon as possible. They can assess the situation and determine whether the filling can be replaced or if further treatment is necessary. In some cases, if the tooth structure is compromised, a crown may be recommended to provide additional support and protection.
Question 2: Back Tooth (Molar) Filling
Regarding your molar that has previously been filled and has now broken again, this situation is also common. Fillings can fail due to various reasons, including the size of the filling, the material used, and the forces exerted on the tooth during chewing. If the tooth has broken down significantly, it may require more extensive treatment, such as a crown or even a root canal if the pulp is affected.
You expressed concern about the possibility of extracting the tooth without immediately replacing it. While it is possible to extract a tooth and not replace it right away, this can lead to several complications. The surrounding teeth may shift into the space left by the missing tooth, which can affect your bite and overall dental alignment. Additionally, the bone in the area may begin to resorb, leading to further complications down the line.
Recommendations
1. Consult a Dentist: It is essential to consult with a dentist who can evaluate the condition of both your front and back teeth. They will be able to provide you with options based on the extent of the damage and your overall dental health.
2. Consider Temporary Solutions: If you are concerned about immediate costs or treatment options, discuss temporary solutions with your dentist. They may be able to provide a temporary filling or crown to protect the tooth until you are ready for a more permanent solution.
3. Preventive Care: Moving forward, maintaining good oral hygiene and regular dental check-ups can help prevent further issues. This includes brushing twice a day, flossing daily, and avoiding hard foods that could damage existing fillings.
4. Financial Options: If cost is a concern, many dental offices offer payment plans or financing options to help manage the expense of dental work. It’s worth discussing this with your dentist’s office.
In summary, dental fillings can be redone, and it is important to address any issues with existing fillings promptly to avoid further complications. Regular dental visits and good oral hygiene practices are key to maintaining your dental health.
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