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A 3 year review of fibre reinforced fillings

February 17, 2011 by Ian Kerr

Amalgam fillings are a thorny issue in dentistry. They have been used to fill holes in teeth for over a 100 years and it has to be said that they do fill holes very well. The problem is (a side from all the health concerns) that that is all they do. Amalgam fillings do not offer any strengthening to the damaged tooth and in fact often weaken teeth making them prone to fracture. A great many patients now want their metal fillings out on either health grounds or aesthetic reasons and I often recommend it where I see the tooth beginning to weaken around them. If we are going to remove an amalgam filling then we need to know that the replacement is going to be at least as strong and is going to protect the tooth from further damage.

This simple case shows how well direct composite restorations can be used to treat very heavily filled teeth at the back of the mouth. Conventional dental wisdom states that heavily filled teeth such as these should be restored with a crown. Often this is the case but conventional full coverage crowns involve removal of large amounts of sound tooth tissue so come at a high “biological cost” to the tooth. They also come at a higher “financial cost” because they require two visits and a technician needs to be paid to make the crown as well.

Direct fibre reinforced composites can be used on occasions as a one visit procedure which involves much less drilling to sound tooth tissue and do not require the services of a dental technician making them significantly cheaper both financially and biologically. The composite option may not last as long as the crown but as we see here they can last very well and the crown is always an option for later on in life, if it is needed.

UR6 AF before cropped
Cavity after filling and decay removed
Filling at placement
3 year review of filling

If you are considering replacing fillings in this manner then please call us on 01580 752202 and we will be happy to discuss the various treatment options available to you.

Filed Under: Blog Tagged With: Clinical Cases

About Ian Kerr

Dr Ian Kerr BDS qualified in 1989 from Newcastle University Dental School and has worked ever since in both private practice and hospital settings. Following a short stint in a busy general practice in the North East Dr Kerr went to live and work in Trinidad, where he learnt a wide range of surgical skills and developed an interest in the treatment of tempero-mandibular joint dysfunction (TMD). On returning to the UK in 1994 Dr Kerr worked in a prestigious private practice in Bromley in Kent. During his time there he completed extensive post graduate training in advanced restorative techniques and further advanced his interest in TMD.

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About StoneRock Dental Care

StoneRock Dental Care is a stunning dental practice in Hawkhurst, Nr Cranbrook on the Kent and East Sussex border. We provide every level of care, from routine family dental visits to complete cosmetic dental makeovers, including dental implants, teeth whitening, veneers, bridges and other cosmetic dental and facial aesthetic techniques.

We know how hard it can be to choose a dentist and we know how tough it can be to decide what treatment is right for you, therefore we put your comfort and your well being at the heart of every treatment that we provide.

You can contact us on 01580 752202 or info@stonerock.co.uk

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StoneRock Dental Care is a trading name of SR Moors Limited · Registered Office: Stonerock House, High Street, Hawkhurst, Kent TN18 4AG · Registered in England and Wales, Number: 6896953