Dealing with Cavities Between Teeth: Options and Costs Explained - Dentistry

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When dealing with cavities between teeth, especially after previous fillings, it's important to understand the options available for treatment, the associated costs, and the implications of switching dental providers. Here’s a comprehensive overview based on your concerns.


Understanding Cavities and Fillings
Cavities, or dental caries, can occur even in areas that have been previously filled. If you feel that your fillings were not done well, it is reasonable to seek a second opinion or to have them redone. In the U.S., dental insurance often has specific rules about when and where you can receive treatment, especially if you want to switch providers. If your insurance requires you to wait a certain period before getting work done elsewhere, you may need to pay out-of-pocket for any new treatment before that period expires.


Costs of Dental Work
The cost of replacing fillings can vary significantly based on several factors, including the material used, the complexity of the cavity, and the dentist's fees. On average, the cost for a composite filling (tooth-colored) can range from $150 to $300 per tooth, while amalgam fillings (silver) might be slightly less expensive, ranging from $100 to $250. If you have three cavities that need to be addressed, you could be looking at a total cost of approximately $450 to $900, depending on the type of filling and your location.


Periodontal Health and Orthodontics
You mentioned that your periodontal disease treatment has been completed and that your dentist has cleared you for orthodontic treatment. It is crucial to ensure that your gum health is stable before starting any orthodontic procedures, as active periodontal disease can complicate treatment and lead to further dental issues.

Regarding the measurement of periodontal pockets, it is standard practice for dentists to assess the depth of gum pockets before orthodontic treatment. This assessment helps determine the health of the gums and the supporting structures of the teeth. If your last visit did not include this measurement, it may be worth discussing with your dentist to ensure that your periodontal health is adequately monitored.


Choosing Between Dental Facilities
When considering orthodontic treatment, you have the option of going to a large hospital or a specialized orthodontic clinic. Here are some factors to consider for each:
1. Large Hospitals (e.g., Chung Shan Hospital in Taichung):
- Pros: Often have a range of specialists, including oral surgeons and periodontists, which can be beneficial if you need multidisciplinary care. They may also have advanced imaging technology.

- Cons: Wait times can be longer, and you may not receive as personalized care due to the volume of patients.

2. Specialized Orthodontic Clinics (e.g., Asia Pacific Orthodontics in Fengyuan):
- Pros: Focused expertise in orthodontics, potentially leading to more tailored treatment plans. They may also offer a more comfortable and patient-centered environment.

- Cons: Costs may be higher, and they may not have the same breadth of services as a hospital.


Conclusion
In summary, if you are unhappy with your current fillings, it is advisable to seek a second opinion, even if it means paying out-of-pocket initially. The costs for replacing fillings can add up, so it’s essential to discuss your options with your dentist. Ensure that your periodontal health is stable before starting orthodontic treatment, and consider the pros and cons of different dental facilities to find the best fit for your needs. Always prioritize open communication with your dental care providers to ensure you receive the best possible treatment.