Should I get shallow fillings?!


Question: Should I get shallow fillings?
My dentist wants to put preventative shallow fillings on otherwise healthy teeth. It involves thoroughly cleaning the grooves in my teeth before putting the shallow filling on-this includes drilling to expand the grooves. She said this does not go through the enamel and is necessary to ensure that nothing is trapped beneath the fillings. I'm not totally comfortable with drilling into healthy teeth-I generally like to be as natural as possible with my body. But I want my teeth to last another 50 years. Are shallow fillings to prevent cavities really necessary? I am 32.

PS Please do not write with opinions unless you are a dentist or advanced dental student

Answers:

My personal philosophy is "if it ain't broke, don't fix it." I have issues with the direction dentistry is taking as a direct result of the effectiveness of fluoride in decreasing and/or eliminating cavities. Dental journals contain articles on "creative ways" to generate dental work and some of the most objectionable is to violate virgin teeth for the sake of prevention. Commonsense tells you that something is wrong with that picture. The procedure you mentioned may solve one problem (staining) but will likely open the door to new problems like leakage and chipping/flaking of the filling material applied over the area. FYI, it is impossible not to remove any enamel when removing stains. New dentists are all to willing to believe the hype generated by dental companies. In my experience, I have seen an extremely small percentage of this type of stain developing into a cavity; it's all cosmetic. If something does develop in the future, then have something done at that time. As one gets older, cavities become less of a problem while periodontal disease increases so the odds are in your favor at 32.

DDS with a FAGD



The chances of you getting a carious lesion in those grooves, at this late date is pretty nil. In my opinion, your doc is just trying to drum up business. If you were 12-16 maybe, but not at 32! If you want to do something, put on sealants but, I think that too would be a wast of time and money. If your caries rate is low then just leave things alone........dentistry begets dentistry should be your motto.

I'm a DDS...over 37 years.



In my opinion if she feels she needs to do that why not try putting a sealant first. It is always up to the patient though. If you do not feel comfortable doing that then don't. You're teeth should last you your whole life not just until you are 80years old. So i would see if she would do sealants on the teeth that is pretty much what they are going to do with filling the teeth, except the sealant goes in the grooves and there is no drilling. The only thing is if you have really deep groves, which some people do, it is hard to know if you have a cavity already forming in that tooth. That is a reason she wants to do this procedure instead. But if you have not have a cavity for 32 years, you eat/drink healthy foods for you teeth you are at a low risk for dental caries and you probably do not need that, but if you are in between or the opposite of that then you should consider that to make sure you do not get decay later on.

RDH




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