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Discussion Starter · #1 ·
I broke part of a tooth off today, and of course it is one with a big giant silver filling from probably the 80's. So now what? There are no dentists in on Fridays, and even if they were I am not sure what to do. It is broken on the side and the silver filling seems to not have been disturbed, but has anyone had anything like this, where they did NOT have the get the filling drilled out to have a temp filling or crown put on? I am so scared of it being drilled into and mercury vapors and all that. How much can they do when you are 24 weeks pregnant? Any advice is really welcomed. Thanks
 

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My mother works for a dental surgeon in a large practice and their rule of thumb regarding pregnant patients is: DO NOTHING. Not to say that you might not find a practice willing to treat you, but it's very unlikely. I absolutely would push for a consult though, if just to know what to expect in the next few months while it goes untreated. And of course to schedule an appointment for post-pregnancy since the wait is SO long <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"><br><br>
The problem with dental work on a pregnant woman is the anathestics used and obviously, materials like mercury and flouride. It's the same deal with elective surgery while pregnant. Because of ethical concerns, we don't really know the real risk to the fetus across different drugs and dosages.<br><br>
From what you describe I highly doubt this would be you, but in the case of major dental work that must be done while a woman is pregnant, a referral to a hospital based specialist would occur. So dental work is certainly possible in extreme circumstances.<br><br>
Fortunately, it doesn't sound like your situation is too bad and you'll probably be just fine.
 

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Around her,e they do most dental work in the second trimester. I was supposed to have my wisdom teeth out when i was pregnant, but I chickened out and had them out a year later.
 

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Discussion Starter · #4 ·
Thanks for your help. So is it ok to leave the tooth kinda open for the next 3 months? I was just starting to wonder about all that and went and looked and I could see a little bit underneath the silver filling and realized that it is open and now I am thinking about all the food and drinks I may have get in there. Yuck. So nice to have this happen. I knew that this tooth needed addressing, but was so hoping to aviod anything until after delivery of the nugget! To think, I have been avioding ice cream and any and all cold and hot drinks just to keep this from happening! I should have just had the darned Haagen Daas and gotten it over with! HAHA
 

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I was told after the 1st trimester it's ok to have work done if it is necessary (no elective stuff). if you're in pain or at risk for infection, get the work done. You'll probably need to talk to your dentist to see if you're at risk for infection.
 

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Can't you get the white filling put in back there?<br>
I don't do silver fillings myself...and I pay the extra $ to get the white ones.
 

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I had this exact thing happen and went to the dentist (it's at a teaching hospital, he was a resident I guess). He drilled away some decay and put in a temporary filling but seems to have left my silver filling completely undisturbed. Told me to come back after I had the baby and get a crown. I think if you leave it open, there's a risk of abscess. If you have no decay around the filling they won't even drill, just suction the tooth and press the temp filling on.<br><br>
Also, he used some kind of local anesthetic on me, which is supposed to be fine as long as there's no epinephrine in it.
 

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I had a tooth pulled while pg with ds no biggy. Just used local. I have never heard of a dentist not doing work on a pg lady in a case like yours. That broken spot will start to decay now and even waiting 3 months might cause you to loose that tooth depending on how bad it is.<br><br>
I even had dental x ray while pg I was around 12 weeks. I was covered by the lead blanket so no worries there.
 

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We tell our clients that it's ok if it's needed, local anesthetics only, and no x-rays. At least get it checked out since you don't want an infection in that open area. If they can do anything but are afraid to, they can call your midwife or OB to get a verbal or faxed OK. And you can tell them yourself that you don't want flouride or anything with mercury in it and they should respect that.
 

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I think you definitely need to at least get it looked at, and especially if it looks like there is a spot where food can get underneath the filling <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
Check and see if there is a dentist in your area on the list here:<br><a href="http://www.iaomt.com/" target="_blank">http://www.iaomt.com/</a><br><br>
It is a site for mercury-free dentistry. They have a lot of info on how amalgam fillings should be removed with as much safety as possible, and one of their dentists would probably know better how to deal with your tooth. I am guessing they wouldn't want to remove an amalgam filling during pregnancy unless absolutely necessary, but they would probably know of better temporary fixes than a dentist who doesn't consider mercury to be a safety issue.
 

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do you know for sure its a mercury amalgam filling? like the last poster said, there are ways to more safely remove those. I think it involves constantly spraying water on it so it doesn't heat up or something.<br><br>
I have had a crap load of dental work lately, but nothing with mercury issues. I have an implant in the front of my mouth that needs the crown put on. In addition, I did 3 other crowns because they needed redone. Those crowns are all porcelain over precious metals though (not mercury based at all). It sucked to do it, but it was necessary. I had a cavity under all three of those bad boys, so it was the right decision.<br><br>
It was uncomfortable and sucky, but OK to do after the first trimester as far as I know.<br><br>
XOXO<br>
B
 

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<div>Originally Posted by <strong>railyuh</strong> <a href="/community/forum/post/13272640"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I think you definitely need to at least get it looked at, and especially if it looks like there is a spot where food can get underneath the filling <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
Check and see if there is a dentist in your area on the list here:<br><a href="http://www.iaomt.com/" target="_blank">http://www.iaomt.com/</a><br><br>
It is a site for mercury-free dentistry. They have a lot of info on how amalgam fillings should be removed with as much safety as possible, and one of their dentists would probably know better how to deal with your tooth. I am guessing they wouldn't want to remove an amalgam filling during pregnancy unless absolutely necessary, but they would probably know of better temporary fixes than a dentist who doesn't consider mercury to be a safety issue.</div>
</td>
</tr></table></div>
<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">:
 

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Well I can't speak to the silver/mercury issue, but I had dental work done in January, when I was 7 months pregnant. I had a cavity under an old filling (probably a filling from the 80s too), so they took out the old filling, drilled a little, and put a new one in. They used lidocaine (right? the numbing shots) and nitrous for pain relief.<br><br>
I'd say, just check with your midwife/doctor and the dentist. My midwife said that there's plenty of pain relief options that are fine for pregnant women. I did have to bring a note from my midwife to the dentist, so they would know that I was cleared for them to do the work.
 

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I recently postponed repair of a cracked mercury filling because I wasn't sure it was safe. I'm 23 weeks pregnant now.<br><br>
It's bothering me a little though, so I would like to get it taken care of before the baby arrives- but not at risk to the babe. I'm not concerned about pain relief. I've been hospitalized for a gall bladder attack and surgery for it's removal already this pregnancy. Nothing the dentist will give me can come close to all that <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
I'm mostly concerned about the mercury. Is it any safer to have the dental work done while nursing rather than being pregnant?
 

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I'd call your dentist or call around and find one who knows what to do and not to do while preg, and who says (w.out prompting) that s/he would like to take the most conservative path. I don't think its necc better to have a broken, possibly decaying tooth and exposed filling in your mouth for several months than to do some careful, conservative repair work!<br><br>
I broke off one of my top front teeth and seriously injured another around 27 weeks preg. I got a temporary veneer on b/c seriously there was no way I could go through the rest of preg like that- it was jagged, painful, etc. But, the dentist was really conservative. He said if I REALLY wanted to do more, he'd do it, but only local, no xrays, and his preference was to do as little as he could to stabilize the tooth, and then have me come in a month or so after the baby is born for follow up. Anyway, I felt really comfortable about his whole approach, and he certainly wasn't doing flouride treatments or anything! He has 3 kids all 4 and under, and seems really up on what is okay during preg.
 

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Discussion Starter · #16 ·
Hey, thanks so much for all the replies. I am def going to see the dentist tomorrow and if he won't just patch it, I will see a dentist from the IAOMT websight.(Most of them are qite a drive from where I live) I don't really trust my dentist, he's kinda made light of my concern about mercury in silver filling before, but since he is here in my town I thought maybe he would be ok to go to if he would do a sorta "patch"job with a temp thing, until I can find a biological dentist. I am just afraid he will try to talk me into doing something I am not comfortable with. I still find that I am sorta uncomfortable when it comes to standing up to mainstream docs, but I will do whatever it takes to make sure the little nugget is protected.
 
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