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Archives for June 2022

Should I Still Feel Pain After a Tooth Filling?

Posted on June 30, 2022 by AllSmiles.

Young Asian woman holding the side of her face portraying tooth pain after a dental fillingA dentist placed a new silver filling last Friday without telling me it was silver. The filling is in my bottom left second molar. That’s the side of my mouth that I chew on. Now, whenever I have a cold drink of anything, even water, my tooth hurts soooo much. It almost feels as if the cold liquid is going inside the tooth. I know the liquid is not going inside the tooth, but it feels like it.

I selected this dentist based on Google reviews and have only been to him twice, for an exam and cleaning and last week to get the filling. I was going to let him whiten my teeth, but now I am skeptical. Should I return to the dentist, or will the sensitivity go away? My other concern is that I do not want a silver filling. I prefer to remove it, but I don’t know if a dentist would remove a new filling. Thanks – Kinsley from Charlotte, NC

Kinsley – Thank you for contacting Dr. Delaune’s office.

It is common to have sensitivity in a recently filled tooth.

Should You Still Feel Pain After a Tooth Filling?

Amalgam fillings can be sensitive to heat and cold and more sensitive than white fillings. Sensitivity gradually goes away within two weeks., but sometimes you can feel sensitivity in a tooth for up to eight weeks. Amalgam fillings contain various metals, which quickly conduct heat or cold to a tooth that is already somewhat sensitive from having decay removed and replaced with filling.

What Can You Do About Tooth Sensitivity After a Filling?

Avoid very cold or hot foods or drinks that increases sensitivity after getting a new filling. If you continue to experience the same level or increased sensitivity in the tooth after two weeks, contact your dentist.

Will a Dentist Replace Your New Filling?

If a dentist placed a silver filling without your knowledge, you have a right to have it changed to a composite, or white, filling. You can explain your concerns to a cosmetic dentist who will be willing to remove the amalgam filling and replace it with composite. You may have to pay for the replacement filling yourself. If you have dental insurance, contact the plan provider, and ask if they will provide any coverage toward the filling.

It is best to delay your teeth whitening plans until a dentist resolves the sensitivity. The bleaching gel can increase sensitivity in your teeth.

Dr. Duane Delaune, a cosmetic dentist in Metairie, Louisiana, sponsors this post.

Filed Under: Mercury-Free Dentist Tagged With: dentist composite fillng, dentist for white fillings, pain after tooth filling, replace silver tooth fillng with white, sensitivity after tooth filling, silver filling tooth pan, silver filling tooth sensitivity, teeth whitening fillings, tooth sensitivity, what causes pain after tooth filling

What Tools Can I Use to Remove Porcelain Veneers?

Posted on June 28, 2022 by AllSmiles.

I hate my porcelain veneers and am tired of talking to my dentist about them. I asked her to remove them, and she told me that I couldn’t go back to my natural teeth, so there was no need to remove them. She also insists that the veneers I have are what I ordered, but that is not true. I tried on veneers that I liked. The things she bonded onto my teeth look like fake model sets of teeth I used to see in the dentist’s office when I was a kid. They look that bad. I want to know how I can get the veneers off myself and what tools I can use. I can’t imagine my natural teeth looking bad because these were no-prep veneers. Please tell me how I can get the veneers off without hurting my teeth? I don’t want to pay another dentist to do anything to my teeth. Thank you. Walt

Walt – Thanks for your question.

What Tools Can You Use to Remove Porcelain Veneers?

porcelain veneer being placed on a tooth

Only a skilled cosmetic dentist can remove veneers safely

There are no tools that you can use to remove your porcelain veneers. Unless a dentist has the proper training, they would not be able to remove your veneers either.

A skilled cosmetic dentist has an inventory of dental tools to carefully etch the veneers off your natural teeth without damaging them. After the dentist removes your veneers, they will clean your teeth. The dentist can polish your natural teeth and rejuvenate them if you have no-prep veneers.

What If You Do Not Have No-Prep Veneers?

If your new dentist discovers that your teeth were prepared for porcelain veneers, you will need new veneers to replace them. You cannot leave your natural teeth exposed. They will be vulnerable to decay and fractures, so your new cosmetic dentist must cover and protect your teeth.

Find an experienced cosmetic dentist to examine your veneers and teeth. They will explain your treatment options.

Dr. Duane Delaune, a Metairie, Louisiana, cosmetic dentist, sponsors this post.

Filed Under: Porcelain Veneers Tagged With: cosmetic dentist remove veneers, dentist remove my veneers, how to remove porcelain veneers, porcelain veneers, remove my porcelain veneers, remove no prep veneers, remove veneers and go back to my teeth, replace porcelain veneers, tools for removing porcelain veneers

My Dentist Won’t Admit He Ruined My Bridge

Posted on June 10, 2022 by AllSmiles.

While placing two new crowns last December, my dentist nicked one of the crowns in a Maryland bridge that I got in 2002. The bridge is old, but I had no intention of replacing it because it is in good condition. And the nicked crown is my left front tooth. Two weeks later, I noticed silver showing through the crown that my dentist nicked. He insisted that the problem was from grinding my teeth, but he knew better. My dentist quickly notices any changes in my teeth, so he would have told me if my teeth grinding was causing a problem. Besides that, I wear a nighttime mouth guard.

Anyway, when I complained about the silver dot, my dentist asked me to schedule an appointment, and he placed composite over the dot. Now the dot is showing through the composite. I know the crowns have metal beneath them, but I am concerned that I need a new bridge. Now I don’t trust my dentist. I was supposed to get silver fillings replaced next, but I am hesitant to have him do any more work on my teeth. Do I have a choice or an alternative to replacing the Maryland bridge? – Wendy from Queens, NY

Wendy,

Thank you for your question. Although many dentists have adjusted a patient’s bite and damaged the crown, it usually does not happen to front teeth. Your dentist probably does not want to admit his mistake because it would obligate him to replace your Maryland bridge.

We suggest that you find a dentist for a second opinion. Ask the dentist if the crowns on your bridge show signs of teeth grinding. Some dentists use this method to detect the cause of damage:

  • Glide a metal explorer over the porcelain, which will not leave a mark if the damage is not from a dental bur. The metal explorer would leave a mark if a dental bur damaged your crown.

Ask the second-opinion dentist to document their findings. Return to your dentist with an explanation of the results.

Repairing a Nicked Crown in a Maryland Bridge

It is challenging to repair a nick in a porcelain-fused-to-metal crown without replacing the Maryland bridge. Your dentist’s attempt to improve the crown with composite did not work. Panavia is a brand of dental bonding cement that will bond to metal. An experienced cosmetic dentist may successfully hide the metal with these steps:

  • Grind away more of the metal to make room for the Panavia dental bonding cement
  • Use a micro-etcher to roughen the metal
  • Prime the metal before applying a thin layer of the bonding cement
  • Cure the cement and apply composite that matches the crown color
  • Shape and polish the cement

Whenever it is time to replace the bridge, newer ceramic options will give you durability and natural-looking results. You can also ask about replacing your silver fillings. This technique is not a guarantee. Seek a highly experienced cosmetic dentist for a second opinion to evaluate your Maryland bridge and discuss your options for saving it.
Image left of silver amalgam fillings loaded with mercury. Image right: mercury-free composite fillings

Dr. Duane Delaune, a Metairie, Louisiana, cosmetic dentist, sponsors this post.

 

Filed Under: Mercury-Free Dentist Tagged With: composite fillings, cosmetic dentist, dentist ruined my bridge, dentist ruined my crown, Maryland Bridge, mercury free fillngs, non metal dental crowns, non silver fillings, silver tooth fillings, teeth fillings, white fillings, white teeth fillings

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Dr. Duane Delaune's Blog
Duane P. Delaune, D.D.S.
3801 N. Causeway Blvd. Suite 305
Metairie, LA 70002 USA
Phone: (504) 885-8869
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