QUERY ON REPLACING OLD FILLINGS

[drmithila]

If a patient is completely asymptomatic, and wants replacement of old silver fillings? It is advisable to do so?

Also are there chances of secondary caries on replacing the fillings?

        

[siteadmin]

 nowadays many patients want to replace amalgam fillings with composite. 

i would counsel them not to go ahead with it if the fillings are satisfactory. most patients will accept ur counsel. however for cosmetic reasons pts want a change in teh filling u cud go ahead with it. Take an IOPA to see secondary caried. Check with a sharp explorer the margins of the fillling for leakages.

if u feel the filling is leaky warn the patient. at times such cases turn into endo

hope this helps

veeren

 

        

[Drsumitra]

The problem is that shrinkage is the most common with composite fillings that leads to post operative sensitivity…so if the fillings are replaced and later the patient complains of sensitivity and then ultimately patient is unhappy and probably regretting his decision of asking for changing the fillings

        

[siteadmin]

 if the technique is proper then there is no sensitivity after compsite fillings. sensitivity after compsoite fillings is due to some flaw in the technique

        

[drmithila]

 Isn’t it true that post operative sensitivity also happens due to the curing techniques?

        

[drmithila]

TECHNIQUES TO REDUCE POST OPERATIVE SENSITIVITY IN COMPOSITES:
-Altered light curing cycles(intensity and time variant)
-Three sited light curing system
-Incremental curing-layered technique
-Intermediate elastic bonding concepts
-Stress breaking liners under composites

 

        

[Author]

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