BROKEN LOWER MOLAR WITH A FILLING
Added: February 15, 2009 - 7:12 PM
By: Patient Email Withheld, Palm Beach Gardens, FL
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Case Summary
Teeth: 19
Last Cleaning: 1/2008
Case Description
I HAVE A BROKEN TOOTH WITH A FILLING. NO PAIN .
CAN I GET A BONDING OR DO I HAVE TO DO A CAP?
MY LAST CAP WAS NOT A GREAT EXPERIENCE AND I WOULD PREFER TO MINIMAL DENTAL WORK. PRIMARILY I WOULD LIKE TO PREVENT DECAY OF THE EXISTING TOOTH.
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Reply: BROKEN LOWER MOLAR WITH A FILLING
added: February 15, 2009 - 8:35 PM
Short answer: It depends on the size of the broken piece of the tooth, and the size of the old filling. Long answer: Generally once an old filling is greater than 1/3 of the tooth width, the tooth is weaker and should be covered with an onlay or crown. Just bonding in a filling can work, but that new bonded filling can still break just like the tooth did before.
Reply: BROKEN LOWER MOLAR WITH A FILLING
added: February 16, 2009 - 4:16 AM
if there is enough tooth structure left an onlay can be done instead! We use porcelain to substitute for the missing tooth and filling.Dr.Glaser
Reply: BROKEN LOWER MOLAR WITH A FILLING
added: February 16, 2009 - 8:08 AM
To whom it may concern,Thank you for choosing our office. I can offer you a free consultation so you may receive the best recomended treatment and financing we can offer you. Please call 305-947-7999 for you FREE CONSULTATION APPOINTMENT ASAP.Thank you Lyn Edenfield
Reply: BROKEN LOWER MOLAR WITH A FILLING
added: February 16, 2009 - 10:02 AM
Hi, Sorry to hear about your broken tooth, but glad to hear that you have no pain. As far as bonding versus a cap (crown), it depends upon how much of the tooth would need to be restored. If more than 50% of the tooth would need filling material, than a crown or porcelain onlay (partial crown) would be recommended. We often use the CEREC machine in our office to make all porcelain crowns or porcelain onlays in one visit -- no temporaries -- CAD/CAM technology. Onlays are more conservative of tooth structure than crowns and fit the tooth like a puzzle piece -- the way a filling often does -- but onlays are much stronger. You can see my website: www.terrrificsmilespb.com and click on the CEREC link to see more about the machine. If a tooth ideally needs a crown or onlay, we can often do a buildup (a large filling preliminary to a crown) until you are ready to do the crown/onlay. A buildup is made of a white resin filling material and can be contoured to the original shape of your tooth.... this often can give you time to get the crown or onlay in the future. We charge $199 for buildups generally. My primary office is in West Palm Beach just off of I95 but I do have a second office -- my new office -- in North Palm Beach that may be closer to you -- 721 US Hwy 1. You can call to schedule an appointment at either office: 561-433-9694. The consultation is free. If you have a current xray, please bring that, otherwise it is $17 to take an xray.Miriam Rubano
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