New Filling Question

Recently had an old filling replaced in #12 with a tooth colored filling.
After a couple of adjustments the tooth is still sensitive to pressure. The
Dentist has recommended replacement of a portion of the filling based on
comments relative to how the material may not have bonded during the initial
replacement. As a matter of clarificaiton this tooth is not sensistive to
hot or cold and the pressure sensitivity is very specific and not always
present.

I would appreciate some perspective on how to approach this problem with the
hopes of correcting this problem.

CK

Flow diagram:

A) Pulp Test
1) bad results --> RCT
2) good results --> go to B)
B) Remove ENTIRE filling and replace with new
*use rubber dam
*make sure bonding agent is compatible with composite used
*use separate etching step and follow with a layer of Hurrideal or Gluma
C) Check symptoms
1) good results --> be happy and go home
2) bad results --> might still need RCT
D) As an aside,,,,,, Cerec restorations have much less sensitivity than
resin ones (In my personal experience, not the whole world)
--
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
DrSteve@Mancuso.d.d.s.com
{remove first 3 dots for email}
.................................................. ...

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
Please ignore j..d...
~~~~``````````#####----

Phraseology changes!
^^^^^^^^^^^^^^^^^^^^^
1985

Don't worry, be happy.

2003

Be happy and go home

--
Joel M. Eichen, D.D.S.
Philadelphia PA

STANDARD DISCLAIMER applies:
no one has seen the tooth or
teeth in question so take
this advice within its proper
context ~ this is the internet!

That's the problem! Dentists put in amalgam inside a toothshell. When
the cusp breaks years later, the dentist blemes amalgam but in fact
the toothshell is at fault!

Joel

--
Joel M. Eichen, D.D.S.
Philadelphia PA

STANDARD DISCLAIMER applies:
no one has seen the tooth or
teeth in question so take
this advice within its proper
context ~ this is the internet!

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3 12th April 02:44 joel m. eichen d.d.s. External User Posts: 1	New Filling Question Phraseology changes! ^^^^^^^^^^^^^^^^^^^^^ 1985 Don't worry, be happy. 2003 Be happy and go home -- Joel M. Eichen, D.D.S. Philadelphia PA STANDARD DISCLAIMER applies: no one has seen the tooth or teeth in question so take this advice within its proper context ~ this is the internet!

4 17th April 20:54 joel m. eichen d.d.s. External User Posts: 1	New Filling Question That's the problem! Dentists put in amalgam inside a toothshell. When the cusp breaks years later, the dentist blemes amalgam but in fact the toothshell is at fault! Joel -- Joel M. Eichen, D.D.S. Philadelphia PA STANDARD DISCLAIMER applies: no one has seen the tooth or teeth in question so take this advice within its proper context ~ this is the internet!