see xray, photo in previous post
should these be replaced with inlay, composite, or crown?
should these be replaced with inlay, composite, or crown?
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is tooth #4 and #5 breaking down.?
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1 UpVoted this answer
The xray clearly shows that the teeth are compromised. Unfortunately, sometimes you don't know until you begin preparing the teeth for a new restoration. You can try to do a composite filling, however a crown may be the only way to adequately restore your tooth. Your dentist would be able to help you determine the best course of action after the teeth have been excavated.
These filling look like they are amalgams(silver) fillings. They typically last 5-7 years. If they are older than that then you should consider replacing them. There is some shadowing which is indicative of decay but hard to tell with your X-ray. Decisions are made based upon X-rays and a clinical exam
The X-ray clearly shows two large silver/mercury amalgam fillings. In my experience, the majority of these do tend to break down (more than 95% chance) and merit replacing. Without looking at the clinical photos it is hard to be more specific. I would lean towards an all porcelain crown. While inlays are less invasive and preserve more tooth structure they tend not to last as long. Being as you are a young person, it is conceivable that a well-done eMax crayon could last the rest of your life where the only may last 10-20. This is conjecture based on averages I have seen in my clinical experience.
Any way to see a clinical photo also? Although we can tell how DEEP the old fillings and possible decay are, we can't truly tell how large or WIDE they are from the xray alone. It depends what is seen in the mouth and if you're having symptoms or not. They both do look suspicious however. If they aren't more than 30% of the biting surface and there are no surprises we can't see here, I would imagine you could do a filling on #4, and possibly even a large filling on #5, but I get an inkling that either and inlay, onlay, or crown would be better. But again, we can't give you a proper diagnosis from this xray alone.
Regards...
Regards...
There are many factors that determine what the correct treatment may be for these teeth. An xray is a guide but not always the answer. I do not see tremendous amounts of decay on either tooth but that doesn't mean you don't need to replace the old restorations with either newer filling materials, onlays, or crowns. An intra oral picture of these teeth would really help give you a more detailed answer.
It is difficult to determine from a two dimensional x-ray alone whether or not crowns are indicated. The width of the fillings and the condition of the surrounding tooth structure is an important factor. If the fillings are not to big and the tooth is is good shape, you may be able to place new composite fillings and come away with a restoration that will last as long as an inlay. If the fillings are too wide and/or the tooth displays fracture that could compromise its ability to support a filling, the i would recommend going to a crown. For bicuspids, I prefer using E-max for maximum aesthetics or a conventional porcelain fused to gold (with a porcelain margin) if it can be matched well with the surrounding teeth.
Crown
Porcelain fused to
Metal or
Zirconia metal free crown
Resins composites or newest hybrid microfils
Are great if
Placed correctly and a loner or base used. However not as long lasting and would need attention again in 5-10 years
At your age you may want to focus on hygiene in 5-10 years
Porcelain fused to
Metal or
Zirconia metal free crown
Resins composites or newest hybrid microfils
Are great if
Placed correctly and a loner or base used. However not as long lasting and would need attention again in 5-10 years
At your age you may want to focus on hygiene in 5-10 years