Should a Dentist Repair a Gold Onlay with Silver Filling?

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I’ve had a gold onlay for one of my molars for about 20 years. It is wearing out. My dentist wants to save as much gold as possible and fill the damaged portion with a silver filling. I don’t like amalgam. White fillings look better, and I’m into holistic care anyway. Why would he even suggest silver? I am already anxious, but this treatment recommendation is making things worse. Thanks. F. Turner  – San Jose

Dear F. Turner,

Thank you for your question. Dr. Brooksher would need to examine your tooth and onlay to determine the best way to preserve your tooth.

What Is a Gold Onlay?

A gold onlay is a custom tooth restoration that covers one or more cusps or points of a tooth. Unlike a dental crown, it does not cover the entire tooth. Did your dentist explain why he does not want to use composite in the tooth?

Should a Dentist Repair a Gold Onlay with Silver Filling?

Photo of woman sitting back in a dental chair with her eyes closed; for information on Baton Rouge sedation dentistry during tooth extraction.

Sedation can help you relax and get the dental care you need

Repairing the tooth with white composite filling is preferable to amalgam (often referred to as “silver”). If your dentist uses amalgam, two dissimilar metals would be in the same tooth, creating a slight electric current that could cause the amalgam to corrode faster than usual. Also, the gold will absorb some of the mercury from the amalgam.

A dentist who recommends amalgam might be uncomfortable placing composite fillings. Insisting on having composite fillings from the dentist may give you an undesirable result that needs to be replaced.

If you want composite fillings, find a cosmetic dentist who regularly uses them on back teeth. Call the office and ask if the dentist does many silver fillings. If the office representative says that the dentist does very few of them or does not use them, it is likely that the dentist is comfortable placing composite fillings on back teeth.

If your dentist is not answering your questions to your satisfaction, look for a skilled cosmetic dentist and request an exam. Tell the dentist about your anxiety and ask about sedation options.

 

Dr. Steven Brooksher, an accredited cosmetic dentist in Baton Rouge, sponsors this post.

Why Do My Shots Hurt So Much?

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Hello there,

I had a cavity filled and my dentist tried to numb me with anesthetic. However, the shot hurt horribly. I’m sensitive to shots. The next time I needed numbing, I asked him to be gentle when giving it, but he ignored my request, and the shot hurt just as bad as before.

I have to get another filling but I am hesitant to go back to this dentist. It hurts too much. Can I do something before my appointment to make it hurt less? Or is there a way to get him to be more gentle this time around?

Connor, from Detroit, Michigan

 

Hi Connor,

When you asked your dentist the first time to be more gentle, he should have listened to you instead of ignoring you. Sometimes dentists get stuck in their ways. However, dentists need to maintain a good level of bedside manner in order to gain the patient’s trust, so he was in the wrong here.

One way to decrease the pain associated with the shot is to ask the dentist to use numbing gel. Leaving numbing gel on the gums first can help. Also, the dentist should administer the shot slowly instead of quickly. Doing it slowly allows the body to absorb the medicine better; doing it fast can cause bubbling at the injection site, or stretching of the skin.

If you are sensitive to shots, it may be because of the nerves in your jaw. Everyone’s bodies are different, and your dentist is administering the shoot where it is most likely to be effective. However, while this may cause no pain for most people, if your facial nerves are near the injection site, it will hurt you a lot more than it would otherwise. The dentist cannot control where your facial nerves are, so if this is the case, you may want to look for a gentle dentist or sedation dentist.

A cosmetic dentist who practices gentle or sedation dentistry will listen to your concerns. They will have a much more improved bedside manner than your current dentist. To have your sensitivities addressed, you may want to seek a different dentist.

This blog post is brought to you by Baton Rouge sedation dentist, Dr. Steven Brooksher, of Dentistry by Brooksher.

Where Is The Cost Information on Dental Websites?

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Hi there,

I need a tooth replacement and want a dental implant. However, I’m looking for an affordable dentist, so I wanted to compare cost information. However, none of the cosmetic websites I’ve checked had any pricing information. How can I find out the cost of my procedure before the appointment? I don’t want to waste my time or the dentist’s time.

Phoenix, from Mesa, Arizona

 

Hi Phoenix,

Most dentists don’t post their dental information online as they think it will make them look unprofessional. Dentists prices vary due to payment plans or the type of insurance patients have. So putting prices of dental care online may not be accurate.

Choosing a dentist is not the same as choosing a car dealership. Picking the cheapest option may not be a good idea when it comes to dentistry. A dentist that is cheaper upfront may use lower quality materials, which may cost you more in the long run. On the flipside, the dentist with the highest fees may not be the best, either.

Whoever gives you a dental implant should use high-quality materials, so it will last a long time and not require any future work. Getting a dental implant from a cosmetic dentist is better than seeing a general dentist. Dental implants take a lot of skill and experience to place correctly. A general dentist may offer a cheaper price, but it may be placed incorrectly, and end up costing more due to increased appointments to fix it.

If you want to know pricing information before making an appointment, call a few cosmetic dentists in the area and ask for the ballpark prices of a few key procedures: a cleaning, a multi-surface composite filling on a molar, and a posterior crown. Any fees that see extremely high or much lower than the others are places to be avoided.

This blog post is brought to you by Baton Rouge affordable dental implant provider, Dr. Stephen Brooksher, of Dentistry by Brooksher.