Q: I was told I have a large filling that needs to be replaced with a crown. Why can’t you just replace the filling?
A: When a tooth becomes structurally flawed from decay, a failing filling or a fracture there is often little tooth material left to work with. A crown becomes necessary because filling material can’t be sculpted to replace large amounts of tooth structure resulting in a quick failure. The tooth must be protected by a crown which encapsulates the remaining tooth to fit like a “cap” to protect and preserve the tooth.
Q: Can’t you just pull my tooth if its bad? Why should I pay to fix it?
A: It is always best to retain your natural teeth as long as possible. Pulling a tooth may fix the immediate problem, but it sets you up for future problems that can be far more costly. The space of the lost tooth will allow adjacent teeth to tip into the hole. This will affect how all your teeth fit and work together. In addition, missing teeth are not esthetically pleasing. In the event you do have to pull a tooth as a last resort, it is best to replace it in a timely manner. Something like a dental implant will maintain the integrity of the surrounding bone structure and will act much like your natural tooth did.
Q: My dentist told me that my tooth ache required a root canal, but it doesn’t hurt anymore. Did it go away?
A: When the innermost part of a tooth is injured or infected debilitating pain can result. The pain is caused by damage to the nerve inside the tooth. Over time the nerve will lose vitality causing the pain to dissipate. During this process, however, toxins are released from inside the tooth and will ultimately result in a painful infection known as an abscess. The only way to resolve the issue is by removal of the nerve during a root canal.
Q: I was told I have cavities but I am too busy to come back for another appointment. What will happen if I just leave them?
A: The short answer is: they grow. The longer a cavity is left untreated, the weaker the tooth will become resulting in a larger filling than would have been necessary, or a crown. If the decay grows until it reaches the nerve a root canal will be necessary. It is always best to address dental issues when they are small and manageable. Allowing treatment to remain un-done almost always results in further pain and expense.
Q: I was told I need a night guard. Is that really necessary?
A: Tooth wear on biting surfaces is very common, and very damaging. People commonly clench and grind their teeth resulting in significant damage to their teeth, the temporomandibular joint and facial muscles. Clenching and grinding may cause teeth to break, become sensitive or infected. Pain in front of the ear and at the side of the face are common. Clicking and grinding noises in the jaw are also noticeable. Commonly a night guard provides relief of symptoms and prevention of further damage or wear.
Q: I have noticed my insurance won’t pay the full amount for white fillings on my back teeth. Is it worth the extra money to have white fillings?
A: The benefit of filling teeth with white (resin) fillings instead of silver (amalgam) fillings is well worth the few extra dollars it will cost you. An amalgam filling requires far more healthy tooth structure be removed, while a resin filling can be done much more conservatively preserving the structural integrity of your tooth. A resin filling will actually help to strengthen your tooth as opposed to weakening it. There is always the controversy over the mercury contained in amalgam fillings to consider. There is some research that suggests the mercury can leak out and can affect your overall health.