Dental Straight Talk, by Rob Cardwell, D.D.S.
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Restorative Care

There are two basic kinds of fillings--silver and tooth colored. Tooth colored fillings are becoming more and more popular because they simply look better. I will use a tooth colored filling or resin whenever it is located in a person's smile line. I still use silver or amalgam though, mostly because this material has a long history of dependability. It is also still the least expensive material to use. I have seen amalgams that are still in place after fifty years. I really can't say the same for resins though they continue to improve.

The resin or tooth colored filling material can also be used to do bondings. This is when your dentist places the material on the front of your tooth to either change its shape (possibly to make it appear straighter} or to make it look whiter (maybe you have tetracycline stained teeth). Using light cured resin material to bond teeth is less expensive than using porcelain. However, they don't last as long and they are prone to staining.

A final note. I do not recommend removing all your old silver fillings and replacing them with tooth colored resins or porcelain inlays or onlays. The mercury that is in your silver fillings is chemically bound to the silver and copper in the filling and I do not believe it is a threat to your health.

    Q & A: Restorative Care
   

Hi, my two front teeth that have cavities. i do not want to lose them just fix them. i also dont have insurance so what is the best way to go?
Have resin based fillings done. About $150-200 each. These are tooth colored and can be matched to your teeth pretty accurately.

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I have one front tooth missing for about seven years and my other front tooth have a root canel in it and my third tooth is also chip with a cavity. What can I get done to make my smile beautiful?
Bridgework. About $3000.

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I just had my six month check up and I have 3 root cavities. I do have some gum recession and am under the care of a periodontist. Besides brushing and flossing is there anything I can do to prevent root cavities? Also, would these 3 teeth be more prone to needing root canals?
Fluoride rinses. Act or Listerine with fluoride. You can also have the exposed roots bonded with a composite resin. If the amount of abrasion is deep enough it can lead to root canal treatment. This isn't real common though.

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