What to have instead of Cerec ?
Discussion
When I was a young lad my teeth were butchered by the NHS. Over the last few years I've been having the decaying metal filings replaced with cerecs. Seemed like a good idea at the time.
Recently I've had 2 of them fall out - I can appreciate the dentist comments that these particular ones only have a piece of tooth on one side so may come out under pressure. Be nice if he'd told me that before taking my £400 per tooth.
Now I have just discovered one of my cerecs has cracked right across the middle. So I will have to go back, have it removed and a new one fitted. He will of course do this Free but its got me worried. I've got 8 of these already and have a plan for another 4 over the next 2 years (depending on decay status of the existing old metal fillings).
My confidence in Cerec is fading fast, is there another option at around the same price ? I believe that lab made ones may be better but cost more ? or should I just go for 'normal' fillings ?
Any advice appreciated.
Recently I've had 2 of them fall out - I can appreciate the dentist comments that these particular ones only have a piece of tooth on one side so may come out under pressure. Be nice if he'd told me that before taking my £400 per tooth.
Now I have just discovered one of my cerecs has cracked right across the middle. So I will have to go back, have it removed and a new one fitted. He will of course do this Free but its got me worried. I've got 8 of these already and have a plan for another 4 over the next 2 years (depending on decay status of the existing old metal fillings).
My confidence in Cerec is fading fast, is there another option at around the same price ? I believe that lab made ones may be better but cost more ? or should I just go for 'normal' fillings ?
Any advice appreciated.
Cerec is operator sensitive(I don't use it myself). The strength of the restoration actually varies a lot on the preparation design ensuring no stress points/under supported point occur in the unelasirc porcelain.
This is true for both lab made and cad cam, as is the resin bonding used, again which is technique sensitive. New age porcelain restorations are more conservative (less tooth preparation) than traditional, but rely on being uniformly bonded to the tooths surface/dentine for support.
If this is done well, they will last and be best long term.
Cerec is simply the machine/system, a few different types of porcelain can used as the initial dye, though most of the new ones are plenty strong.
So simple answer-
Depends on the site/size and design, and how much your relying on the bonds.
I prefer lab made work because you get a better finish and higher tensile strength. Aesthetics can be better with a lab as
they customise in layer(not always), cerec theoretically reduces the chance of casting errors etc from the moulds taken at a normal preparation appointment.
A dentist who is very good with his hands and composite resin(White filling) can give superb results that are very strong, aesthetic and repariable. It is time consuming if done well, intricate layering. Opinion is Luton how latterly can go, but is the tooth still has a live nerve, I like the fact you can go back in with relative ease if need be - always a possibility following year of fillings etc.
On a slight side note, I practice a lot of NHS, so don't tar all with the same brush! Having said that, the best is always private, just not always the private dentist!
Hope this helps a touch
This is true for both lab made and cad cam, as is the resin bonding used, again which is technique sensitive. New age porcelain restorations are more conservative (less tooth preparation) than traditional, but rely on being uniformly bonded to the tooths surface/dentine for support.
If this is done well, they will last and be best long term.
Cerec is simply the machine/system, a few different types of porcelain can used as the initial dye, though most of the new ones are plenty strong.
So simple answer-
Depends on the site/size and design, and how much your relying on the bonds.
I prefer lab made work because you get a better finish and higher tensile strength. Aesthetics can be better with a lab as
they customise in layer(not always), cerec theoretically reduces the chance of casting errors etc from the moulds taken at a normal preparation appointment.
A dentist who is very good with his hands and composite resin(White filling) can give superb results that are very strong, aesthetic and repariable. It is time consuming if done well, intricate layering. Opinion is Luton how latterly can go, but is the tooth still has a live nerve, I like the fact you can go back in with relative ease if need be - always a possibility following year of fillings etc.
On a slight side note, I practice a lot of NHS, so don't tar all with the same brush! Having said that, the best is always private, just not always the private dentist!
Hope this helps a touch
Edited by pauldavies85 on Tuesday 19th July 21:53
Cerec is operator sensitive(I don't use it myself). The strength of the restoration actually varies a lot on the preparation design ensuring no stress points/under supported point occur in the unelasirc porcelain.
This is true for both lab made and cad cam, as is the resin bonding used, again which is technique sensitive. New age porcelain restorations are more conservative (less tooth preparation) than traditional, but rely on being uniformly bonded to the tooths surface/dentine for support.
If this is done well, they will last and be best long term.
Cerec is simply the machine/system, a few different types of porcelain can used as the initial dye, though most of the new ones are plenty strong.
So simple answer-
Depends on the site/size and design, and how much your relying on the bonds.
I prefer lab made work because you get a better finish and higher tensile strength. Aesthetics can be better with a lab as they customise in layer(not always), cerec theoretically reduces the chance of casting errors etc from the moulds taken at a normal preparation appointment.
A dentist who is very good with his hands and composite resin(White filling) can give superb results that are very strong, aesthetic and repariable. It is time consuming if done well, intricate layering required. Opinion is out on how big they can go, but if the tooth still has a live nerve, I like the fact you can go back in with relative ease if need be - always a possibility following year of fillings etc.
On a slight side note, I practice a lot of NHS, so don't tar all with the same brush! Having said that, the best is always private, just not always the private dentist!
Hope this helps a touch
This is true for both lab made and cad cam, as is the resin bonding used, again which is technique sensitive. New age porcelain restorations are more conservative (less tooth preparation) than traditional, but rely on being uniformly bonded to the tooths surface/dentine for support.
If this is done well, they will last and be best long term.
Cerec is simply the machine/system, a few different types of porcelain can used as the initial dye, though most of the new ones are plenty strong.
So simple answer-
Depends on the site/size and design, and how much your relying on the bonds.
I prefer lab made work because you get a better finish and higher tensile strength. Aesthetics can be better with a lab as they customise in layer(not always), cerec theoretically reduces the chance of casting errors etc from the moulds taken at a normal preparation appointment.
A dentist who is very good with his hands and composite resin(White filling) can give superb results that are very strong, aesthetic and repariable. It is time consuming if done well, intricate layering required. Opinion is out on how big they can go, but if the tooth still has a live nerve, I like the fact you can go back in with relative ease if need be - always a possibility following year of fillings etc.
On a slight side note, I practice a lot of NHS, so don't tar all with the same brush! Having said that, the best is always private, just not always the private dentist!
Hope this helps a touch
Edited by pauldavies85 on Tuesday 19th July 21:55
ok that does help thanks. My Private dentist has changed recently, new one is top notch , looks like some of the previous work may not have had the skilled hands needed. I suspect the cracked cerec wasnt fitted right or is too thin as its cracked right across the centre. I will get it replaced this week but hold off on having any more done for as long as possible so I can judge if this new dentist is as good as I think he is.
I've got 8 of them in now so bit late to change my mind eh ! 4 more to go but nothing that needs doing right now , probably best to have a long chat with him and see what he has to say about my concerns.
New chap spent a lot more time sorting out pressure points etc on my last fitting than has been done previously, also gave me a lot of information about the 'glue' and how it works and is applied to provide the right bond etc. hopefully he can walk the walk not just talk the talk .
I've got 8 of them in now so bit late to change my mind eh ! 4 more to go but nothing that needs doing right now , probably best to have a long chat with him and see what he has to say about my concerns.
New chap spent a lot more time sorting out pressure points etc on my last fitting than has been done previously, also gave me a lot of information about the 'glue' and how it works and is applied to provide the right bond etc. hopefully he can walk the walk not just talk the talk .
Thankfully they have been fine, the cracked one turned out to have been made too thin, the replacement has been fine since rhen as have all the others. I had a bit of a panic hence the OP but looks like its all fine.
My oldest cerec has been in for 9 years now and is still fine so looks like they are a good long term alternative to fillings
My oldest cerec has been in for 9 years now and is still fine so looks like they are a good long term alternative to fillings
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