Re: Is it really neccessary to fill up molar cavity for very small area ?

From: The Real Paul (no_at_no.no)
Date: 12/13/04 

Date: Mon, 13 Dec 2004 13:20:39 GMT

Hey good info Stove!

"StovePipe" <StovesNewAddy@sympatico.DOTnet> wrote in message
news:1gomp9i.ypxzyrhatjsmN%StovesNewAddy@sympatico.DOTnet...
> The Real Paul <no@no.no> wrote:
>
> > Sanjay, we dentists try to be preventive in the course of treatment with
our
> > patients. If you wait until you feel pain then you have double, triple,
or
> > quadrupled the cost, effort, and time required to fix your tooth. Get
the
> > spot filled. They ONLY get bigger.
>
> Not to mention the fact that usually, the smaller it is, the stronger
> the tooth is. The tooth will support the filling and there is a good
> chance you will never have to touch it again. If you wait until the
> tooth is weakened by the caries undermining it, then you'll need a
> filling or crown that will support the tooth. (The filling has to
> support the tooth, instead of having a naturally strong tooth with a
> small filling).
>
> In one phrase: being conservative usually means treat it now when it's
> small and easy to do.
>
> Re: side effects: Chances are you won't even need to be frozen for this
> procedure. No side effects of anesthesia (itching, small irritation at
> the site of injection, usually minor and of no consequence). I would try
> to place a composite (more conservative than an Amalgam filling, unless
> the hole is already a couple of mm wide.
>
> Side effects of Amalgam: there is Mercury in it and we don't know what
> that really does, although the only real scientifically controlled
> studies I've seen point to more risk to the dentist than to the patient.
> That's because when we drill out and place Amalgam fillings in your
> mouth, we inhale the dust. That's why you see pictures of dentists with
> oxygen masks on their faces in some of these web sites. (rediculous,
> IMO, if the treatment rooms are well ventilated).
>
> Side effects of composite: the resins we use contain monomers and
> chemicals that resemble estrogen compounds. This means you may be
> exposed to weakly estrogenic activity coming from the filling. I first
> heard of this a few years ago, but it does not seem to have become a
> real issue: Patients with a lot of composite fillings in their mouths
> don't seem to be affected by any estrogenic activity of the materials.
> This makes my question whether or not there is any real effect. It's
> getting to the point where I don't listen to laboratory researchers
> much, any more, as the work they do and the findings they report are
> often not really relevant.
>
> The bottom line: if it were my tooth, I'd say treat it now with
> composite with no hesitation what so ever. The same recommendations
> would apply if it was my young children. If the caries was in an area
> where the gum tissue would produce bleeding when cleaning the decay out,
> I would not hesitate (in the adult) to place an Amalgam, if I couldn't
> control the bleeding or the saliva.
> Hope I've helped you decide.
> SP
> --
> Not a real Addy, yet

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