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Cavities, Composite Instead of Ceramic (Porcelain)

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[2013]

[Attendee]

And I've got a couple of cavities my dentist wants to use BPA translucent polycrystalline aluminum oxide as a filling.

[Aajonus]

Just get a regular composite. Is this on a top side of a molar or is it facial?

[Attendee]

It's number 27. Actually, I got smaller ones in 26 and one on 27.

He also wanted to use [unclear] initially, and I've checked that against the Clifford testing that I used, and that's counter-indicated for that material. It's just that this is an aluminum type ceramic that I don't know.

[Aajonus]

He actually wants to put ceramic filling? Anytime you use a ceramic, you have to drill out twice as much tooth and you snap it in and it causes cracking of teeth in many situations.

I used to recommend porcelain and ceramic, but because they said to snap them in, too many teeth cracked, too many people have extended pain from because the pressure in the tooth, I stopped recommending it. I just say do the composite, the hard plastic, some of it's high aluminum, but it's solid there in the plastic and use the light to solidify it.

[Attendee]

Yeah. Well that's what he has there.

[Aajonus]

Yeah, that's good. That's fine.

[Attendee #2]

Well, what about porcelain instead?

[Aajonus]

Can't use porcelains, it's hard. They have to snap it in, stretches the tooth, cracks them.

[Attendee #2]

You can't put porcelain?

[Aajonus]

That's what I mean, that's just what I said. You cannot put a hardened substance in there. You have to put soft substances that will harden.

[Attendee #2]

And the soft substance is? uh, plastic composite.

[Aajonus]

Composite, yeah. Hardened plastic. They use metal to harden it.

[Attendee]

They have a different type of drill, they use a water laser that supposedly you don't have to use anesthetic with that.

It's the highest tech that they have.

[Aajonus]

They have, what they call glass, but it's sand and water. They have the laser in water and they have the regular drill bit with water jet.

Look into somebody else cuz you'll have no pain as long as you've got a water jet. Whatever they use, doesn't matter as long as there's a water jet on it.

Can't use porcelain. It's gotta be hardened, you've gotta snap it in, you have to remove a lot of tooth to do that.

[Attendee #2]

And what are your composite?

[Aajonus]

Plastic, a different ytpe of plastic.

[Attendee #2]

And there's aluminum in the plastic?

[Aajonus]

Depends upon the manufacturer, whose brands you're using.

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