Anyone had good / bad experience with Biodentin dental fillings?

[CatAndHisKit]

It's been advised as hte only viable option for me apart from removing the tooth (part-broken but not good for a root canal as the crown unlikely to stay - plus there is no pain or swelling) but the dentist did say that biopdentin can trigger pain/swelling in some patients. Then have to remove the tooth.

I'm just a bit scared of the pain coming on suddenly - and it wil be a weekend - and being severe, as I haven't had that before.

But there aer positives and it mostly works - just wonder if anyone had a bad flare up, or if it workedm how long did hte tooth 'last'? It should be around 5yrs, but interested to hear.
Also why do dentists generally not mention the bioden option?
Thanks!

I used to be an NHS dental nurse. We didn't offer Biodentine fillings, but I have read good things about it.

I would definately advise to have the filling, in order to try to keep the tooth if possible.

If you have it taken out, having a bridge to fill in the gap would mean the teeth either side of that tooth (or possibly just one next to it, depending on the type of bridge,) would need to be filed down in order to fit the bridge, which could possibly compromise these teeth and lead to further problems.

If the tooth is near the back, you might be tempted to just leave the gap. However, teeth don't like to be gappy, and the others would likely move to compensate for this. They also like to have something to bite against, so the tooth above or below where the gap is may erupt further to try to find something to bite against.

I hope that helps - in short I would try to save the tooth by having the filling. If it fails at some point, you could then go to plan B, which could be a bridge or implant.

Biodentine is not a filling , it's a lining you put in when decay has gone very, very close to or just touched the nerve. It can save teeth from the nerve dying off and needing root treatment or extraction.
The material itself is very expensive , around £70 a use so obviously would not be used in NHS dentistry.
There are some situations where you can't use it ie if you are already in pain from the tooth and it does take a long time to set. But it is an extremely useful material which has saved many teeth.

I've had in one tooth and it saved my tooth. So far so good. That was a few years ago. I was 'aware' of that tooth for a few months after, and a bit careful when eating very hard pizza crusts or something, but there was no pain. Now it's like any other tooth.

Lolly yes I realise it's not the typical material used for fillings (composite/amalgalm) but essentially it still fills the tooth - that's why I use the term 'filling' which may not be technically correct. Yes, the circumstances is exactly as you describe in my case. The strange thing is, dentist said he won't go anywhere near the nerve when doing it - but how can that be if the decay touches the nerve? Also you don't mention whether I should be worried about it causing the inflammation etc?

Thank you, Pumpkin, yes it's so complicated, no option is perfect as I've discovered, the implant being the best but at an unaffordable cost (especially if spreading the paymet not available) and procedure itself hardly easy to bear! So yes, I'm going try this option but wanted to know more about it as I've never even heard of ths before. I can see why it's not used on NHS - practice where I was registreed as an NHS patient has crumbled completely - takes months to get an app and hte dentist I was with has left a while ago - so I ve switched to private now but had used private dentists in hte past when my teeth where still good and rarely neded treatment. Now the serious stuff is happening, part of the stress is hte cost. I just wonder why even private dentists don't mention it - mine didn't, it was the endodontist who came up with it, but strangely the other one I saw hasn't!

Ooh, thanks Lucy, great to hear from someone who had it done!
So you never had a crown, and it's stong enough to bite most foods! I realise I have to forget biting on nuts or hard crusts, sadly. But it sounds good. Did the damage touch your nerve? Also how did you find the procedure - was it worse than having a filling and how was the dreaded rubber dam? Do they still have it in when it's setting which is a long time?
Also was it a general dentist who did yours or a specialist?

*strong

The biodentine is a lining underneath a filling , so your tooth will still be filled with a normal filling , probably composite.
Most people find rubber dam more comfortable than having fillings done without as it keeps the water etc away from your mouth.
when using biodentine you take away as much decay as possible without touching the nerve , the biodentine remineralises (hardens) the soft decayed part of the tooth. However it is not guaranteed and you can still have problems with the nerve afterwards.

Thanks, Lolly. Yes, there was a mention of a composit on top but I think he said that for a while biodentine will be on its own and then filed down and prbably another filling put on top - but I may have misunderstood.
How long would it take to know if it has worked or not - weeks or months? I hope I don;t have to keep worrying for months.

Lolly if you are still checking the thread, could you tell me please, what happens if the biodentin can not be used, since I think you are a dentist?

The dentist said he will know this when he removes the damage, and as the tooth is part-broken there is a risk that there won't be enough surface for the bioden to hold. He said he'll put a temp filling in this case, so I can then remove the tooth at my general dentists (he only does specialist work). From what I understand that means a rapid inflammation /infection as I've been told by other dentists that any temp filling will cause this. Would the pain be severe and will it happen very quickly or does it normally takes a whle like a week plus? I know my dentist doesn't work on weekends and the procedure is at the end of the week. Scary to be send to an unknown emergency place.

If biodentine cannot be used then the specialist will remove the nerve and dress the tooth. Without the nerve they will have taken away the main cause of pain and infection.

Can you change the date to a Monday OP? Swap with a Monday patient who would rather get it over with Friday?

Thanks, Lolly- that's my worry, he didn't mention removig the nerve but maybe that's what he meant - that's not the same as root canal treatment then, I assume. He def will not be doing root canal. Is removing the nerve still inolves putting the 'bleach' in or killing it in a aimilar way?
Forgotten so far no cancellations and then he's away for a week, also of course it may be that it flares up aftetr 5 days! I did find out what the emergency cover at my general dentist - they said they rotate with other few practices for w/emd emergencies and if you phone them you get redirected to the acting oractice - so that's something.

Lolly, also to mention that's a molar with three nerves so presumably he couldnt remove just one? Only is touched by the damage, though.

Hi lolly
I’ve just had a biodentine treatment put into my tooth a week ago and it was fine until last night shooting nerve sensitivity from the tooth. I had to go back to my dentist who said some of the biodentine temporary filling had come away . I asked why I couldn’t have the filling done but she said its best to give it time to settle I had no pain before this treatment only showed up on a Xray that I needed a filling soon or maybe a root canal . Just hope that the filling over the top of the biodentine on my tooth will work 🙏

Gaah. It sounds horrible for you - good luck.

I've not heard of biodentine and I've got dreadful teeth but am old. If your options were offered to me, I'd go for conscious sedation - not cheap but worked well for a titanium implant. But I am a snivelling coward...