yup, got filling. Months ago visit other dentist, diagnosed tiny cavity.

What kind? Metal colored or those white ones?

white composite bonding.

I see, then could you have bitten on something real hard or tough?

nothing unusually hard just my usual snack, like nuts and beans.

to add, any pain or discomfort i experienced post filling is much lesser compared to before filling is done. Hence i was actually very surprise that the tooth cannot be saved.

you can ask the doctor for other option such as x-ray at own cost to reconfirm either removal indeed the final call...

This post has been edited by WaNaWe900: Oct 31 2023, 05:38 PM

it didn't cross my mind at that time, as an ignorant layman being spooked by what the dentist said...

only after going home and doing some reading and research i learn more about cracked tooth. But it was too late now.

Anyway, i do like more thoughts on my case because i still need a replacement tooth and i do not want to visit the same dentist anymore if the person is incompetent.

is it consider a form of negligence when my dentist stop at surface inspection to conclude my dental condition?

any experience dentist here? can an experience dentist know for sure a crack/split tooth can't be saved just by surface inspection?

I've been in same conditions before when removing 2nd Molar (1st tooth gone in the line ) and eventually re-visit to ask the "Why suggest to remove"...

from there I'd knew what's Root-Canal, Crowning, Bridging and several more term that maybe have 50/50 chances for me to keep my tooth

I did spend ~5k to do root-canal on my 1st Bicuspid few years later did save it but need to be xtra careful not to crunch any hard things since not yet crowning (the tooth basically dead but remain in my mouth )

so in my layman understanding even spend >5k it's not guaranteed the tooth will perform as before and be there till death do me part

Understood that. But saving natural teeth is always the better option than having replacement tooth since nothing is guaranteed, whether is bridging or implants...bridging won't solve issue like gum recession and bone loss, while implants has a common issue of loosening abutment screw especially in single implants molar which is known to cause more complications...

Hello! Has anyone tried ICON teeth whitening/ICON resin filtration?

My dentist told me that the effect is going to last forever and it does not require any major aftercare. I read online and it seems like it's just a temporary treatment (2-5 years)?

my dentist told it last longer than usual how long subject to individuals... if smoking maybe shorter too

can get DiY too

a surface inspection and a periodontal (gum) check on that said tooth can roughly tell the extent and severity of the crack.

A crack tooth is pretty tricky to properly diagnose and treat.

Usually if its not too severe or minor symptoms, we may like put a band on the tooth and monitor, in case it develops to more serious, may have to consider an exploration of the crack then possible a root canal procedure. Then monitor again until its stable to place a crown on it.

THere are alot other factors as well to consider, eg remaning tooth left, the amount of forces the tooth will be subjected to overtime. that will let us determine whether its worth trying to save or better to remove and replace with another more stable option. There factors are to be discussed with patients and come with a decision.

Thanks for the input.

Unfortunately, no such effort can be seen during my dental treatment.

All my other teeth are still intact, the affected tooth shows no loose sign too, even the gum region around the affected and now extracted tooth has no infection.
Almost all observable factors encouraging a deeper look to save the tooth...

Sorry if this has been asked before, can you suggest any toothpaste or products that promote whitening teeth? esp. due to coffee?

for example, https://shopee.com.my/mysmile_official, their ads has been showing up a lot lately.

any invisalign users here, how much were u quoted for 3 years treatment package?

sorry to hear that, I would probably suggest you to look into replacement of the missing tooth now especially when its a molar.

not sure if you've started - but for reference to others as well.

also mine's not 3 years, but 5 years plan coverage (comprehensive plan: unlimited trays, include scaling/polishing during treatment plan, can go back within 5 years also if i'm not diligent wearing retainers).

19k (18k after discount for paying upfront full) back in end nov/early dec 2022. my initial plan was 50 trays (10 days interval) and halfway through switched to current 36 trays (10 days interval) refinement plan. my clinic is diamond tier provider.

for besi that time was quoted 8k for self-ligating/damon, 9k for ceramics

May I know is an porcelain overlay a good approach to fixing a molar that has quite a bit of composite and amalgam works before, and showing some cracklines but dentist said visually looks intact despite some stain along the crackline and a bit of whitish spot along the crackline (possible demineralised but not cavitated). Reason to attempt the fix due to sensitivity to acidic fruit and sugary intake will trigger sensitivity and somewhat mildly discomfort sort of pain but isn't quite a toothache sort of pain, doesn't persist as long as everything is brushed and cleaned the discomfort goes away until another time of lots of sugary, carbohydrates,acidic food intake.
Suspect of microleak and also the tooth can be painful if eating nuts or hard object that press on the certain spots on the occlusal/existing restoration.

How would overlay compare to others like inlay/onlay or basic restoration. As it seems the overlay does cost quite a bit almost the price of RCT.

Does it have good outlook to solve the sensitivity issue and does it lasts?

Your symptoms does look like a microleakage into the filling and possibility developing crack into the tooth.

And onlay covering all your tooth cusps or the peaks would be what you require, or its commonly known as overlay as it covers over the whole of the top surface of your tooth.

Inlay would not be an option to treat your symptoms as it does not stop the crack progressing further.

Basic restoration as well will not help unless your dentist opt to do an overlay using the same basic restoration material that is a composite material where durability will be lesser compared to porcelain.

I believe your case will not require any RCT to be done, just an onlay as of now.

And yes it does cost quite a fair bit for a porcelain Onlay, most likely a eMax or lithium disilicate material.

what the onlay would do it that it would cover the whole of the top surface of your tooth and prevent the microcracks from progressing further thus reducing/minimizing the sensitivity or mild discomfort that you are having due to the cracks.

Another alternative would be a crown but it would mean the whole of your tooth has to be reduced much more to fit a crown on.

Hi bro, wondering if you can give some insight of my case.
2 months ago, having intense pain, visited dental clinic and doctor said my upper left second molar is cracked/broken, but unsure how deep the crack is.
Doctor proceed with drilling some (as per picture attached) and did the filling. Was told after few days to weeks, when its totally no longer pain/sensitive then can consider to proceed with crowning.
Problem is, until now (exactly 2 month) sometime I still experience sensitive on the tooth (its not pain or merely 1 out of 10 pain, good thing is the intense pain I experienced beforehand is no longer there, and as of now i'm ok with hot/cold drink as well ) which causes I have yet to proceed with the crowning procedure. Could it be due to filling is too high and causes more stress on the filled tooth ?
Any recommendation how should I proceed with this. Thanks




This post has been edited by sheahann: Sep 18 2024, 04:18 PM