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Jason Keledjian, DDS

Dentist

900 E. Almond Ave., Madera, California

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2 Questions Answered

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Before and After Photos

QUESTIONS ANSWERED

I have a chip in my front tooth. Would your recommend a filling or bonding? (photo)

Asked By:AnonymousANSWERS (1)

Hey malpal! I too agree that due to the size of the chip/fracture, bonding would be a good choice. One bit of information/advice that I can add to what has already been shared:in looking at the picture, I notice your front teeth have a lot of sharp line contours on the biting edge.

Without knowing any history or having performed an exam, it appears that your teeth show a significant amount of wear. That type of wear patterns can develop from clenching/grinding your teeth at night time.If that's the case, the concern I have is bonding performed on the biting edge of your front teeth can chip off again - without addressing the underlying issue (the grinding/clenching). I would definitely consider wearing a nightguard when you sleep to prevent further chipping and further wear.

Jason Keledjian, DDS

Dentist

How do you protect front teeth white fillings from leaking?

Asked By:AnonymousANSWERS (1)

Kteercute, that’s a good question. Your not the only one to have this concern.

Will those teeth need to be root canaled in the future due to failed fillings? The answer is not necessarily. Root canals are needed because the tooth has “died”. This occurs due to either decay extending into the nerve or history of excessive trauma. So with fillings that are “leaking”, if they are repaired or replaced before they get too big, then the likelihood is, they will not require a root canal.

If there is a significant loss of tooth structure on the back surface of the front teeth, like from GERD, and you are interested in cosmetics for the front, then a full crown can be a better treatment choice. Isn’t not ideal to have two separate materials on a tooth when one can cover/apply both surfaces/materials. If GERD is the concern, porcelain (from a full crown) will last longer than a white filling. I hope that was helpful.

Jason Keledjian, DDS

Dentist