dental bonding - AuthenticForum
 
AuthenticForum
  Register FAQ Members List Arcade Search Chat Mark Forums Read  
Register

 
 

Reply
 
LinkBack Thread Tools Search this Thread Display Modes
  #1 (permalink)  
Old 02-06-2011, 11:49 AM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
dental bonding

Anyone with experience...
my 2 front teeth were broken years ago. I had it immediately fixed and have had the same bonding since, it's held up very well for 15 years. Yesterday I chipped a very small part off the front. It's not really noticeable, but it's annoying, and I'm worried that it might chip more.
I'm wondering if I should get both teeth completely redone (one tooth is fine, and again the chip is very small), or just see if they can fix the chip. I'd also love to have my teeth whitened, but with the bonding, I know it won't really work right, so I wonder if it would be best to get it redone for that reason too. I don't really know cost, but I should have it covered. I don't know too much about it, I dont' ask my dentist a lot of questions because I'm always drugged and just want to get in and out.

I'm terrified of the dentist and have to be medicated to go, so I'd rather get it all done now if it's likely going to be necessary soon.

Last edited by cherbd16; 02-06-2011 at 11:51 AM.
Reply With Quote
Sponsored Links
Advertisement
 
  #2 (permalink)  
Old 02-06-2011, 01:27 PM
iammrsd's Avatar
Denim Obsessed
 
Join Date: Jan 2010
Location: MA
Posts: 820
Feedback: (25)
I had the same issue, but with only one of my front teeth. I had the bonding replaced three times (in 17 years), but the tooth was always darker than the rest of my teeth, and I was very self-conscious about it. Last summer, my dentist and I talked about my options, and he suggested against bonding again, and because the tooth had also had a root canal, I would eventually need a crown. I was afraid of having a big honking fake tooth, so I ended up having my 4 front teeth crowned. It was expensive, but well worth it. Insurance paid for about half of each tooth, and I used CareCredit to finance the rest.

I guess it depends on the extent of the damage to the tooth though...if I hadn't had a root canal on the tooth, I may have been able to get away with bonding it...
__________________
Laura
Reply With Quote
  #3 (permalink)  
Old 02-06-2011, 01:51 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
If the bonding is only slightly chipped it should be very simple to just rebond a little more material. This is so simple that I can't imagine anyone needing to even go in drugged up. There is no pain involved, the bonding material is simply slightly sanded down, the material placed on and shaped. Sometimes it is even so small that we just file off the end a little to even it up. Of course I can't see the tooth though, and a lot of times patient's idea of "small chip" does not really coincide with what I as a dentist would call it (i've had patients call in saying they chipped their tooth and like half the tooth is missing and they need a crown or even an extraction!)

If you are looking to get your teeth whitened, the bonding will not change color AT ALL, and you will have mismatched teeth. The way to go about this is to bleach first, then have either the bondings replaced or get crowns or veneers. The latter 2 will last much longer than bondings and will not discolor like all composites eventually do
Reply With Quote
 
  #4 (permalink)  
Old 02-06-2011, 02:55 PM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
I can't go into a dentist office, or even talk to them about my teeth at all myself. I don't have a dentist here in the city, which makes it worse. I get very anxious and panic so I always have to take ativan just to get in through the door. I think I lucked out with good genes so haven't had to have much major work on my teeth.
The chip is very small. The initial break is larger but the chip is so slight that my boyfriend couldn't even really notice it. I dont' think it could be filed down though, because of the way it chipped... it's almost like there is a diagonal wedge taken out of the front of my tooth along the edge of the original break. It's more noticeable at an angle. I really don't think it would be hard to repair, I was just wondering if the chip indicated that maybe the rest of the bonding was getting weaker? The discoloration over the years has been very minimal, half my 2 front teeth are bonded and I notice a line throough my front teeth that looks kind of like a shadow, but it's not devastating.

As long as it's not too cost prohibitive though, I think I'll see ask about the bleaching and getting it replaced. If I'm in there anyway, I might as well.

Thanks for the information!!

eta....My bonding has been fine for about 17 years. crowns will last longer than that? Do those discolor like binding? My aunt has crowns and it's obvious to me they are fake. I don't want that.

Last edited by cherbd16; 02-06-2011 at 02:57 PM.
Reply With Quote
  #5 (permalink)  
Old 02-06-2011, 03:23 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
Porcelain does not discolor. New all-ceramic restorations are vastly superior to composites and porcelain-fused-to-metal crowns with respect to aesthetics. Metal substructure crowns (especially those made of cheap metal) can discolor at the gumline over time/metal leaching. Obviously also with poor care, crowns can decay, gums around crowns can recede, etc etc, just like natural teeth, all leading to poor aesthetic outcomes. And of course there are just bad looking crowns, which no one should accept being cemented in their mouth. Done properly you should be very hard pressed to pick out a crown. All-ceramic crowns are generally not used on back teeth because they don't have the same strength as metal to hold up to the biting force exerted on the heavy stress bearing back teeth, so these tend to look a little less life-like... however they are also not in the aesthetic zone.
Reply With Quote
  #6 (permalink)  
Old 02-06-2011, 05:22 PM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
OK. I think maybe she had the metal ones...it was exactly that, it looked yellowish/grey near the gums and I don't want that. That's great to know, I didn't realize there were so many options. Its got me waaay scared to make any new decisons though!!! I hate thinking about my teeth, and it seems like this is going to need much more thought. I usually just trust that professionals know what they're doing (uaually I've been going to them a long time or have good referrals), and know what's best. I'm terrified I might go to someone who doesn't do it right!
Reply With Quote
  #7 (permalink)  
Old 02-06-2011, 09:23 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
Well the thing is there is always more than 1 option for treating any particular issue. This is why it is important to try to find someone you feel comfortable discussing options with so you can make an informed choice about your own body. I personally feel that treatment planning decisions and informed consent should NEVER be done with the patient under the influence of any kind of sedative or drug. Have you ever been to a dentist that does this kind of planning in a room that is NOT the treatment room? Ie just a regular office with a desk and comfy normal chairs. This is really a more relaxed environment than "the chair" where people are naturally anxious
Reply With Quote
  #8 (permalink)  
Old 02-06-2011, 10:14 PM
Denim Obsessed
 
Join Date: Jul 2007
Posts: 842
Feedback: (11)
sorry to side track this thread. but while pam is talking about teeth....

is there a brand/type of toothpaste/toothbrush you would recommend? or are they really all the same and as long as you brush and floss it doesnt matter which you use?
Reply With Quote
  #9 (permalink)  
Old 02-06-2011, 11:27 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
So long as it has fluoride, they're really all equivalent. Whatever you will use and like. The mechanical disturbance of plaque colonies is what matters.
Reply With Quote
  #10 (permalink)  
Old 02-07-2011, 02:19 PM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
I have never been to a dentist unmedicated - I had to take a Xanax today just to make some calls. My parents know my dentist at home, and always have to drive me anyway, so they've help communicate what I need/want.
I've only been to 2 dentists ever. No one in my town has planning rooms- way too modern an idea for my small town! But I think I may have found a place nearby that seems worth trying.

Trouble is I get very nervous and tongue tied, even medicated. I will cry, and I will pain just walking through the door. I wish I didn't, but it's like I have no control. It's not really normal behavior for me. Is there anything specific I should ask or look for when trying to decide, or is it really mostly a comfort thing?
Reply With Quote
  #11 (permalink)  
Old 02-07-2011, 02:25 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
It's really a matter of who you feel comfortable with, and who you feel is really giving you a clear understanding of your options. My only suggestion is to judge the cleanliness of any office by the patient bathroom and the cover on the dental unit's light
Reply With Quote
  #12 (permalink)  
Old 02-07-2011, 06:09 PM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
I don't even know what a dental unit looks like... . I check out the bathrooms wherever I go, I got that covered though! Thank you. This has made me feel a lot better about considering other dentists.

But, unfortunately now, I think I might end up flying back home after all. I don't think I'll be comfortable here. I'd have to pay 100$+ just for a exam to discuss what I should do, then get the whitening, then get the work. I don't think I need an exam, the chip really is very small, and all out of the bonded part. I had a cleaning, xrays, fluoride treatment all done about 5 weeks ago. On top of the extra cost, it's 3 visits and 3 half days I'll have to miss. When I asked if I could just meet to discuss my options first, even if there is a consultation charge because I was nervous and didn't want to be in the chair, (I wanted to understand what we'd be doing first) she kept telling me that they could but she got irritated and said i should book an appointment/exam they would give me an antianxiety when I got there. I don't know what I need, and I don't know anything about my options. I have heard/read very good things about the place but I can't just walk in there and expect to figure it out on the spot and then have them go to work. I'm not ok with that. I wish I wasn't so far from home!

Last edited by cherbd16; 02-07-2011 at 06:12 PM.
Reply With Quote
  #13 (permalink)  
Old 02-07-2011, 06:38 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
Quote:
Originally Posted by cherbd16 View Post
I don't even know what a dental unit looks like...
The unit is the chair. With the sink, light, and motors/lines for the handpieces (drills) The overhead light is attached to the entire "unit".

Quote:
I don't think I need an exam
Nobody is going to discuss any treatment plan without doing at least a limited exam and a complete exam is more likely office policy on all new patients. It's just not going to happen. As soon as you sit in someone's chair, you are their responsibility and liability, and anything they miss becomes their problem. Certainly no one should have a problem with doing an exam and consultation though, along with a copy of the xrays you already had, and then have you return for any actual treatment. Additionally, nobody is going to prescribe any type of drugs to a patient they've never even met yet, so you're going to have to get that from your general physician if you need it.
Reply With Quote
  #14 (permalink)  
Old 02-07-2011, 07:19 PM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
Quote:
Originally Posted by idalis View Post
The unit is the chair. With the sink, light, and motors/lines for the handpieces (drills) The overhead light is attached to the entire "unit".



Nobody is going to discuss any treatment plan without doing at least a limited exam and a complete exam is more likely office policy on all new patients. It's just not going to happen. As soon as you sit in someone's chair, you are their responsibility and liability, and anything they miss becomes their problem. Certainly no one should have a problem with doing an exam and consultation though, along with a copy of the xrays you already had, and then have you return for any actual treatment. Additionally, nobody is going to prescribe any type of drugs to a patient they've never even met yet, so you're going to have to get that from your general physician if you need it.
She said I could go ahead and book the appointment right away to get the bonding done, so I don't think it's office policy for new patients, unless it's just supposed to be understood that there would be an initial exam in that. (And I could see that, but maybe that is part of why I'm confused). When I asked if wanted to discuss other options she said I would have to get an exam to see that there is no other problems with my teeth first. They won't consult without the exam. They would do an exam, and then consult afterwards. I just want to know options, I know there's nothing wrong with the teeth. I know they can't trust that, but I'm not asking them to work on my teeth yet.
I would pay for a consult and then an exam, but why would I do it the other way around in case I consulted and decided I didn't like the office, or maybe I just wanted the bonding fixed (if I found out for example, that price was the deciding factor) and they would do it without the exam? I also don't know if I can justify paying that for an exam, after I just had one, when literally the chip is about 2 mm long and the width of a thread. I'm sure that's just the starting price (doesn't include x rays of course), and the price of that exam would pay half my flight home to a dentist i'm comfortable with.

I actually was going to book the exam, but let her know I would have to call her back after I went to my physician to get a prescription, and she told me they would give the the antianxiety when I got there. (Started with H - I'm not familiar with it). When I told her I'd prefer the ativan since that's what I usually take, she said they would prefer to give me something.
Maybe it was just this office. But i tried to find a place with good recommendations and of my options, this seemed to be the best in my area (of those that speak good english), and the thought of calling many more places makes me shake.

Sorry to keep going. Are there any really good websites that you know of that explain the different options (bonding, crowns, veneers)? That might help. The sites i've looked at so far haven't helped clarify much.



... I think part of the trouble too is, at home they will make these exceptions. I could walk into a dentist and they'll just do it, they will write a prescription (reasonably) if my mother calls and tells them I need it. They don't worry about people suing there. I'm probably spoiled by that. But, I know, I'm in the city and I've gotta get used to it being different here.

Last edited by cherbd16; 02-07-2011 at 07:23 PM.
Reply With Quote
  #15 (permalink)  
Old 02-07-2011, 07:29 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
Quote:
Originally Posted by cherbd16 View Post
She said I could go ahead and book the appointment right away to get the bonding done, so I don't think it's office policy for new patients, unless it's just supposed to be understood that there would be an initial exam in that.
Yes, you'll be billed for an exam, like every emergency should be, and then a filling of however many surfaces is required to fix it.

Quote:
They would do an exam, and then consult afterwards.
An exam is part of a consultation... We can't tell you what needs to be done or what is best if we haven't evaluated the teeth in question.


Quote:
or maybe I just wanted the bonding fixed (if I found out for example, that price was the deciding factor) and they would do it without the exam?
You'd be billed for a limited exam and the bonding. The exam is the diagnosis of what the problem is and what is required. The work is separate. This is quite standard. You don't touch any tooth until you have examined it.


Quote:
I also don't know if I can justify paying that for an exam, after I just had one, when literally the chip is about 2 mm long and the width of a thread.
There are different codes for different kinds of exams. If you only want that one particular problem tooth looked at, you can have a limited exam (ADA code 0140). Again though, any way you slice it you will be paying for some kind of exam. To not examine a tooth before working on it is... well malpractice. Even if you went back to a dentist you've already been to, they'd charge you for an emergency/limited exam and the filling.


Quote:
Sorry to keep going. Are there any really good websites that you know of that explain the different options (bonding, crowns, veneers)? That might help. The sites i've looked at so far haven't helped clarify much.
I'm sure there are, but i have never had an occasion to look since I explain these and their pros and cons to the patient myself, individualized for each tooth.
Reply With Quote
  #16 (permalink)  
Old 02-07-2011, 07:37 PM
idalis's Avatar
Administrator
 
Join Date: May 2006
Location: Westchester, NY
Posts: 34,070
Feedback: (61)
The short version of what each is:

Bonding: A composite (white) filling material. Resin based. "Glued" to the tooth. Discolors over time. Can leak. Is the least aesthetically pleasing. It is reversible (can be removed to bring the tooth back to nearly its pre-treatment state (though it will be abraded) and is the cheapest

Veneer: A thin shell of porcelain that covers the front and edge of the tooth, cupping slightly onto the back, after the tooth is prepared (ground down approximately 2mm off the edge and .5-1mm off the entire front surface). It is non-reversible since tooth structure has been removed. It is more conservative than a crown because less structure is removed and the back and sides of the tooth are left completely intact. It is also less durable due to this fact however and much more likely to come un-cemented or break. Decemented veneers tend to decement over and over after the first time because of loss of bonding surface and generally need to be redone in short time.

Crown: This is a full coverage restoration, aka "cap". The entire tooth is reduced by 1.5-2mm, on all sides including the back so the crown can fully cover the entire tooth. It is the strongest of the 3 choices, but also the least conservative in terms of loss of tooth structure. Crown and veneer are about equal in terms of aesthetic outcome when done properly (and comparing all-ceramic crowns to porcelain veneers, not porcelain-fused-to-metal crowns)
Reply With Quote
  #17 (permalink)  
Old 02-07-2011, 07:43 PM
Denim Lover
 
Join Date: Nov 2006
Posts: 412
Feedback: (1)
Thanks again for the help.
Reply With Quote
  #18 (permalink)  
Old 02-07-2011, 09:32 PM
danakiller's Avatar
Denim God
 
Join Date: Dec 2008
Location: Ontario Canada
Posts: 4,527
Feedback: (46)
Quote:
Originally Posted by cherbd16 View Post
OK. I think maybe she had the metal ones...it was exactly that, it looked yellowish/grey near the gums and I don't want that. That's great to know, I didn't realize there were so many options. Its got me waaay scared to make any new decisons though!!! I hate thinking about my teeth, and it seems like this is going to need much more thought. I usually just trust that professionals know what they're doing (uaually I've been going to them a long time or have good referrals), and know what's best. I'm terrified I might go to someone who doesn't do it right!
wow you sound just like me it's so crazy. I to have bondings on my 4 top front teeth that i had done when I was like 11. I knew that when i was older i would most likely need to look into something else and have wanted veneers for a long time now. I had them fixed up at one point a long time ago because or some minor chipping.. the cost wasn't a lot at all and my regular family dentist did it so there were no extra exam fees or anything since they already knew my teeth well. This was back when i was young and not afraid of the dentist at all. (this greatly changed as i got older). I can tell you though from that past experience, that it is a really easy process to have done. I remember it being over before i even knew it started... there is some prepping to your tooth, some weird laser beam light thing, and the feeling like you're getting an elastic put on your tooth and then having it shaped with a tool, like clay lol. funny how i imagine it when i can't see what's going on.

Now though, i am in dire need of getting them fixed up again... one of my front ones is almost completely worn off, but like you, i am now extremely terrified of dentists especially since i would have to go to a brand new dentist here. i have no idea how other dentists will treat me and that's put me off. i really wish i had some meds to take beforehand like you do hahaha. i would really rather not remember going. my concern is that none of these other dentists know my teeth and everything i've been through with them... they are kind of a special case lol... so i am not sure how to even pick one and i know that i won't even be able to even go there due to anxiety. i really wish dentists made house calls! ;p

anyways just wanted to tell you that you're not alone with your issue because i am in the exact same place
__________________
:.:
`.dana
Reply With Quote
Reply


Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off



All times are GMT -6. The time now is 03:29 PM.


Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2017, vBulletin Solutions, Inc.
SEO by vBSEO 3.6.0
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.
 
 

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70