Gold fillings

mandy2383 · 14 January 2008 at 10:56PM

Hi,

Not sure i am in the right place, but i was wondering if anyone knew about gold fillings, i didn't think about it till now, i have an appointment at the dentists tomorrow and she said she would need to take a mould to begin with and it would be sent of to the lab to be made and the following week it would be fitted, but i dont understand why she would need to take a mould of my tooth dont they just mix the filling, drill the tooth and put the filling in? I am really confused now, maybe a little worried it about as im now thinking does that mean the whole tooth has to come out? Im really sorry if i have confused anyone.

Thanks in advance
Mandy

Toothsmith · 15 January 2008 at 9:02AM

Gold filings or crowns need to be made by a technician in a dental laboratory.

The tooth is prepared, the impressions taken and sent off, then some sort of temporary filling/crown placed over/in the tooth until the following week (or two) when the tempporary is removed, and the real filling/crown fitted.

Gold fillings or crowns are used when a tooth is just a bit too broken down for normal fillings to work properly, and really are a very good way of fixing things.

It's a bit of a cause for concern that the dentist hasn't explained it to you in a way you understand or remember, as the idea of 'consent' means that the patient should be aware of everything that is proposed.

I think you need to have a bit more of a chat with your dentist just so that you are completely aware of what she is going to be doing, why it's necessary, what the alternatives are and why she considers this the best treatment for you, whether there will be issues of a 'gold tooth' being visible when you smile, and, how much it's going to cost you.

mandy2383 · 15 January 2008 at 5:49PM

Thank you Toothsmith thats cleared it up for me alot, its really good advice to ask her about it i just didn't think about it at the time, got my appointment next week got it mixed up typical me. I am going to ring her in the meantime and ask her about it, just another question if you will be able to help sorry for asking, but I am nearly 33 wks pregnant and have high blood pressure is it safe for me to have an anesthetic, I am guessing I will have one injection at each appointment, I have an appointment with the doctor on thursday so will check with her also, and ill get onto the dentist first thing in the morning.

Thank you for all your help

Mandy

alison999 · 15 January 2008 at 7:39PM

that i know of, they use a different anaesthetic (sp?) when youre pregnant. it doesnt have as much, if any adrenillin in it. if youre worried talk to them before you sit down, or just remind them when you go in, NOT THAT YOU SHOULD IF YOU'RE 33 WEEKS!!

Toothsmith · 15 January 2008 at 8:05PM

Local anaesthetics are very safe.

There are adrenaline free ones for people with BP problems.

Being pregnant doesn't cause many specific problems with treatment, but as Alisn said, you should make sure your dentist knows (Don't just assume he/she's noticed.)

alison999 · 15 January 2008 at 8:48PM

^ lol id be seriously worried if i was 33 wks pregnant and my dentist didnt notice. id make her get her eyes checked before i let her near my teeth!! he he

Toothsmith · 15 January 2008 at 9:36PM

I remember a story one of my tutors told me about a rather large lady that walked into his surgery one day.

He seemed to remember that last time she was in, she was telling him that she was expecting.

"When's the baby due now then?" He asked

"I had it 5 months ago" she replied!

I've always been a bit paranoid about assuming anyone to be 'with child'
since then!!

maypole · 16 January 2008 at 12:09PM

mandy

Years and years and years ago, I had a back tooth filled, in fact more remodelled as there was not much of the tooth left, with gold, it is the best filling I have, it has never budged and has been no trouble at all and it is so smooth. Had it done on National Health then of course.

marybishop · 16 January 2008 at 3:17PM

Toothsmith - can I ask a question about crowns? Have just come back from the dentist, didn't see my usual one as was fitted in as an emergency. I have a molar that was root treated last Easter but since then has not settled and I've been back and forth to have the filling filed down a bit here and a bit there as it has never felt comfortable. Then on Friday the filling cracked!! I was devastated. My usual dentist said that if it continued to be a problem the only course of action was extraction as he was concerned about crowning it as it seems to be a dodgy tooth (my word 'dodgy', I'm sure he put it better than that!). But the dentist I saw today said now the filling's cracked and as it's more filling than tooth it should be crowned. I'm just in a real quandary and it doesn't help that the tooth next to it has a jumpy nerve so I'm sure at some point that one's going to have to be root treated as well as refilling it hasn't done the trick.

She did explain that even with a crown the tooth may still not settle and may have to ultimately be removed. The problem is the thought of spending £200 on a crown (and that's a silver one, I'd prefer a white one but that's about £350) and then it not being a success I know I'll be devastated. But the thought of having a large gap which will show is equally devastating!

Can I just have your opinion on this catch 22 situation as it's driving me mad as to what to do?

BlondeHeadOn · 16 January 2008 at 3:20PM

Ditto with Maypole on the gold crown issue: I had one put in about 15 years ago and it has been great, no problems at all! Prior to that the dentist had tried other crowns but I kept breaking them as I have a hard bite (apparently), so he suggested the gold one. Absolutely great, and it is covered with white porcelain (?) anyway so it looks like a normal tooth.

:T :T :T

marybishop · 16 January 2008 at 3:27PM

BlondeHeadOn wrote: »

Ditto with Maypole on the gold crown issue: I had one put in about 15 years ago and it has been great, no problems at all! Prior to that the dentist had tried other crowns but I kept breaking them as I have a hard bite (apparently), so he suggested the gold one. Absolutely great, and it is covered with white porcelain (?) anyway so it looks like a normal tooth.

:T :T :T

This is what I don't understand - gold with white porcelain? The dentist today showed me the three types - it was either silver OR gold OR white.

Definitely no combinations and I dread to think what the cost would be if there were! :eek:

Gold fillings

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