Cost of filling in lower teeth

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Sep 25, 2018
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Many thanks – the location is bottom jaw tooth into the gum area (lower right on pic) – not sure why a filling has been suggested for this area – dentist said she would try a filling rather than gum graft (which terrified me) – the purpose of filling is to fill a rupture in my gum next to root of tooth. I’m not sure if this rupture could heal itself.
is this something I can get on NHS? I assume the filling would need to be white to match my teeth
 

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honestdoc

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I'm sorry, I have a hard time seeing the image. Could you get a couple of closer views? You may be traumatizing your gums by brushing too hard. Try to spend more time and brush less aggressive and use a soft bristled toothbrush.
 

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honestdoc

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In the US, the cost of dental work varies even within the same metropolitan area. The same dental labs that fabricate crowns and other prosthetics charge dentists according to how affluent their zip codes are. I'm not sure how costly it is in the UK, but it varies so much here.

The US also utilizes numerous 3rd party dental insurance and each has its own discounted fees.
 

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Many thanks this is really useful - I think it could be caused by brushing trauma but there is also much plaque around by lower teeth so I was wondering if this would eventually impact the root - I have started to take cordysal mouthwash and have started to use Oral B Pro gum and enamel tooth repair paste but I don't think this will heal the gum - my upper teeth seem to be better than my lower in terms of plaque and I think the only way to clear this plaque on lower teeth is to have a scale and polish

here is an image - hope you can see the bit I am talking about - 2nd tooth from right, ugly! - can you see the root of tooth and then the trauma point? The dentist has suggested putting a filling there - Ive no idea about dentistry but I assume this will make my tooth appear longer - she then suggested root canal and mentioned a gum graft......many thanks

thumbnail
 

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honestdoc

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I agree that you will need a filling. In the US, I would code for a 1 surface anterior composite filling. You may need a gum graft. Before considering a gum graft, you and your dentist need to figure out why you are having gum damage there or the future graft will fail.

First, do you have any medical conditions such as auto immune disorder, immune deficiencies, diabetes, or heart conditions? Are you taking any significant medications, blood thinning agents, and/or herbals supplements? Second, I recommend using Sonicare or Oral B electric toothbrush. You should not have any plaque left there or any grafts will fail. You need to brush more gentle but thorough.

If you have an anterior open bite where your lower teeth are not touching your upper teeth, your lower teeth may continue to hyper-erupt. I personally have this condition.
 

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Many thanks this is so helpful and I appreciate your time and advice.

My dentist has quoted this (I am in the UK) £135 for composite filling (that’s the one that I have indicated on photo and talking about here) but if root canal is required it would be from £114-£360 depending on roots or referral to specialist.....

I can’t recall how this happened – it may have been with a manual toothbrush and in the past I have been rather heavy handed – I now have am Oral B electric with round head and I have started to use Cordsaol mouth wash and significantly cut down on my sugar snacking

Ive not idea what root canal involves but I’m hoping I won’t need it that it can be prevented with filling but not sure – I guess only my dentist would know.

What is an open bite and hypereruption? Gosh my teeth are ugly

Much thanks for your help though – I shall keep poste what happens
 

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My plan also includes 2 posterior composite fillings!..so the numbers are all adding up to pounds £!
I wonder if I should get a second opinion?
 

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honestdoc

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The fees for the filling is more expensive than I thought. Our price is $160. I don't keep track of fees since most of my patients get government assistance. Hopefully you don't need root canal. How you know you need one is if the pain keeps you up at night and or swelling. Many times you don't know you need it but the x-ray indicates some disease at the root tip usually after a history of trauma and or large cavity/filling on the suspect tooth.

Try to brush more gentle yet thorough. Anterior open bite is when your back and side teeth comes together but your front teeth don't (they don't touch). Teeth erupt until they hit the opposing so with open bite, there may be hyper-eruption. My lower anteriors have erupted higher than the back teeth and they still aren't touching. I wear a custom bite guard to protect against grinding and clenching and to minimize their hyper-eruption.
 

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Many thanks, so helpful and informative.

I hope I don’t need a gum graft – I shall book appointment for filling.

I do use an Oral B electric brush – is the Sonicare better>

I have been brushing morning and night and flossing. I am using Oral B gum and enamel repair alongside an oral B waxed fluoride floss! I am impressed with this toothpaste.

I hope to have the filling done within the month.

I read something about ‘oil pulling’ to help teeth and gums and was wondering your thoughts on this method?

I have read that coconut, olive or sunflower oil can be used and must be swilled around mouth/teeth for 5-20 minutes and then spit out. Also is it best to brush before oil pulling or after? I read that before is best as to leave the natural bacteria in mouth???

I am also going to book in for a dental hygiene session – a scale and polish and will ask the hygienist if they can assess the state of my gums.

I believe in UK we can ask for NHS prices or private. Those rates were for private.

I really hope I don’t need root canal and will try all possibilities to avoid this route! ‘Oil pulling’ seems to be a good option to try something holistic. It’s worth trying!

I have no pain in tooth but I think the xray showed some weak point at root area.

Yes, I do have anterior bite! Now I know the name of it this helps! I shall look into a bie guard – do I wear this at night? Do I need to get one measured up?

I shall keep you updated on my progress.

Many thanks!
 

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Hi, I have just found your post. I'm new on here but just wanted to ask how you got on?

Did the oil pulling help as I have been considering it for my loose teeth. Figure it can't make anything worse at least right?!
 

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