Large filling(s) on first molar failing. How to go about it?

G

goofy

Junior member
Joined
Jan 20, 2020
Messages
5
Hi all, I have severe dental anxiety, due to trauma with a psychopathic dentist in my childhood.

Long story short, I had this tooth filled with an amalgam 20 years ago, then about 15 years ago replaced with a composite. It has a deep filling that encompasses the entirety of the occlusal surface of the tooth. Then, about 10 and 3 years ago tiny fillings were added onto this tooth. So the entire occlusal surface is a composite filling along with some filling on a side, with a total of three fillings pretty much in one. There was some recurrent decay on the margins of this tooth, I wish the whole thing was just re-done years ago but what is done is done. I will try and get photos if you would like.

The tooth is slightly sensitive. I can see that same thin black line on the edge of the filling that I had when I needed another composite replaced just a year ago, and it felt the same way... that dull sensitive feeling. You all helped me a lot and I found a wonderful dentist who specializes in dental phobia patients and got that taken care of.

He did not seem to want to replace the filling with a composite. He basically said that the filling was so large that he didn't think it was a good idea. He mentioned something about an inlay(didn't seem thrilled with this) or onlay, or a crown. I really don't want a crown. Given that the filling(s) on this tooth are old and it's got a lot of work done to it, and the filling is deep, what would you say sounds reasonable? The last thing I want to do is excessive dental work if not needed.. i.e. a crown. I wonder if an onlay would suffice?

I have OCD and really don't want a large porcelain crown glued into a fraction of a tooth in my mouth. I would go nuts with the gumline and whatnot, flossing around it, etc. I am praying I can avoid one. I know it's not the end of the world either way but with my issues I am fairly certain it would drive me insane if I could tell it were there. Is an only a reasonable choice in this circumstance?

I have a routine appointment in a month where I will discuss this again with my dentist. I love the guy, he is a miracle worker and so kind, but I just would like more reassurance or suggestions on the least invasive course of action, regardless of cost. Thank you.
 
Gordon

Gordon

Administrator
Staff member
Verified dentist
Joined
Oct 25, 2005
Messages
7,210
There's a limit to how big a filling can be, if they get too big they just keep failing. If this one has reached the limit then an inlay or a crown would be better.
 
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