White Fillings

Author
Discussion

GreenDog

Original Poster:

2,261 posts

197 months

Wednesday 15th July 2009
quotequote all
I have an appointment next week to have 2 fillings.
The first is to replace a white filling in a root filled tooth (5th from the front, top left) and this qualifies for treatment at the NHS rate.
The second is a new filling (5th from the front, bottom right) but this apparently doesn't qualify for the NHS rate. If I want a white filling in that tooth it'll have to be done privately at a charge of £85.
Now I know that the NHS will only pay for white fillings in front teeth normally so why the difference between the two teeth in this case ? What do the NHS class as a front tooth ?

Christiaan

153 posts

234 months

Wednesday 15th July 2009
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I could be wrong (as I don't do any NHS work myself) but I think he is trying it on.
The NHS doesn't work like that anymore.

shirt

23,113 posts

206 months

Wednesday 15th July 2009
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option c [if the cash is the issue] - have the amalgam ones done at the dental hospital for nothing.

JimCross

168 posts

208 months

Wednesday 15th July 2009
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Sounds like rubbish to me. I went to an NHS dentist about a crack in one of my back teeth last year. I asked about having it filled white, and she said they ALWAYS recommend having white fillings. Would still have been done on the NHS, just a little more expensive.

As it happens I decided to go private...I'd seen toilets at music festivals that were cleaner than the waiting room at the NHS dentist.

GreenDog

Original Poster:

2,261 posts

197 months

Wednesday 15th July 2009
quotequote all
Thanks for the replies so far guys.

From what I've been reading on t'net the NHS charge will cover white fillings in front teeth or on the sides of other teeth but not the biting surface of molars. It seems that both of the affected teeth are second pre-molars (every day is a school day ! smile ) but I'm still not sure why the new filling can't be done as part of the course of treatment to fix the old filling as it'll be fairly visible when I open my mouth.
To make matters worse part of the affected tooth has detatched itself this afternoon and the cavity is considerable so the filling will be larger than I first expected.


Steve748

8,542 posts

189 months

Sunday 19th July 2009
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If there is a lot broken off the tooth you may have to have a crown. I have just had a back one done with a white crown £495 eek

Go visit the dental hospital and see what they say?

GreenDog

Original Poster:

2,261 posts

197 months

Monday 20th July 2009
quotequote all
I'll see what the dentist says on Wednesday. Fortunately the cavity isn't causing any discomfort as long as I brush often and don't bite on it.

Am I right in thinking that for the £198 fee I could have more than 1 tooth capped as this will be treated as a course of treatment ?

shirt

23,113 posts

206 months

Monday 20th July 2009
quotequote all
Steve748 said:
If there is a lot broken off the tooth you may have to have a crown. I have just had a back one done with a white crown £495 eek

Go visit the dental hospital and see what they say?
crikey, £495! i just wouldn't be able to afford that. dental hospital can be an involved affair - i had about 6 trips over 3 weeks to have the 2 root canals, a white filling and a ceramic crown - but at least its free. i'm guessing what i had done would have been £1000+ privately.

okgo

39,109 posts

203 months

Monday 20th July 2009
quotequote all
White fillings are st, don't bother.

I snapped my front tooth, and over the period of 3-4 years had 3-4 white fillings before they finally crowned it when I was 16.

GreenDog

Original Poster:

2,261 posts

197 months

Tuesday 21st July 2009
quotequote all
shirt said:
Steve748 said:
If there is a lot broken off the tooth you may have to have a crown. I have just had a back one done with a white crown £495 eek

Go visit the dental hospital and see what they say?
crikey, £495! i just wouldn't be able to afford that. dental hospital can be an involved affair - i had about 6 trips over 3 weeks to have the 2 root canals, a white filling and a ceramic crown - but at least its free. i'm guessing what i had done would have been £1000+ privately.
I might have to investigate the dental hospital if any crowns are required. Fortunatley there's one nearby in Newcastle.

crackthatoff

3,312 posts

218 months

Tuesday 21st July 2009
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as far as I can remember they only give white fillings free if when you smile you can see them. I had every black filling replaced the other year for white ones bout £65 each if I remember right. no regrets as yet. I once had a back tooth removed by the nhs, shocking experience remember spitting mouthfulls of blood out the car window on the way home..... I look after my teeth now!

deadmau5

3,197 posts

185 months

Tuesday 21st July 2009
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crackthatoff said:
as far as I can remember they only give white fillings free if when you smile you can see them.
I'll be annoyed if that is true because I had to have a root filling in my front tooth 5 years ago after I was hit in the mouth by snow/ice ball, which severed the nerve, and I wasn't offered a free white filling. Consequently I now have a slightly grey tooth!

Calitri

248 posts

190 months

Tuesday 21st July 2009
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My dentist told me that although white fillings look better they only last half as long (ish). When they do need replacing they will have given a third less protection to the cavity than a silver one, and it therefore the cavity gets alittle bigger as you go on?

Can anyone confirm?

jessica

6,321 posts

257 months

Tuesday 21st July 2009
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Calitri said:
My dentist told me that although white fillings look better they only last half as long (ish). When they do need replacing they will have given a third less protection to the cavity than a silver one, and it therefore the cavity gets alittle bigger as you go on?

Can anyone confirm?
I havge heard this too. however i always opt for white. i have one amalgam in my mouth under my gold crown and when this fails i guess i will have the tooth root treated and then have cosmetically perfect teeth.
my children do not have metal fillings. one son has aspergers syndrome and i feel his brain has enough to cope with without mercury in his bloodstream.

Mojooo

12,960 posts

185 months

Tuesday 21st July 2009
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amalgam (silver) fillings) are definitley definitley stronger than white ones. I have had multiple white ones replaced with silver and they are much better/stronger.


peterpeter

6,437 posts

262 months

Tuesday 21st July 2009
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Calitri said:
My dentist told me that although white fillings look better they only last half as long (ish). When they do need replacing they will have given a third less protection to the cavity than a silver one, and it therefore the cavity gets alittle bigger as you go on?

Can anyone confirm?
Utter utter garbage.

The only reason he is saying that is because he has no clue how to place them correctly.

The simple reason is that dentists only improve their skills with extensive postgraduate training and composite and ceramic bonding techniques are not taught adequately at dental school.


peterpeter

6,437 posts

262 months

Tuesday 21st July 2009
quotequote all
Mojooo said:
amalgam (silver) fillings) are definitley definitley stronger than white ones. I have had multiple white ones replaced with silver and they are much better/stronger.
While they might have a more wear resistant surface than plastic composite fillings, they are far more likely to induce cracked teeth.
Porcelain white fillings are easily as strong as metal and possess a far superior seal and protective nature (again when placed properly)
The problem is that not that many dentists actually use them and they certainly are not economically viable on the NHS.

If I was having a filling, I would only have a white composite (if it was small) or a porcelain filling if it was a bit larger.
There is no need to use amalgam at all. Any dentists wanting to dispute this should argue with Pascal Magne.




Calitri

248 posts

190 months

Tuesday 21st July 2009
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peterpeter said:
Mojooo said:
amalgam (silver) fillings) are definitley definitley stronger than white ones. I have had multiple white ones replaced with silver and they are much better/stronger.
While they might have a more wear resistant surface than plastic composite fillings, they are far more likely to induce cracked teeth.
Porcelain white fillings are easily as strong as metal and possess a far superior seal and protective nature (again when placed properly)
The problem is that not that many dentists actually use them and they certainly are not economically viable on the NHS.

If I was having a filling, I would only have a white composite (if it was small) or a porcelain filling if it was a bit larger.
There is no need to use amalgam at all. Any dentists wanting to dispute this should argue with Pascal Magne.
Peterpeter...peter

Good knowlege... can we assume you have been waiting for this thread for some time!

peterpeter

6,437 posts

262 months

Tuesday 21st July 2009
quotequote all
not really, I dont spend that much time on PH anymore, but just saw this and felt the compulsion to post and answer.