Care ritual
When old work returns

Replacing old dental work

A filling or crown can look fine for years — until it doesn’t.

If something feels different, the most important question is not “what do we replace?” It’s “what changed?”

This page explains how we evaluate old work carefully, so replacement decisions feel clear — not rushed.

Understand the reason first. Replace second.
What’s happening
Old work doesn’t fail for one reason.

Sometimes it’s the restoration itself. Sometimes it’s the tooth underneath. Sometimes it’s the bite and forces over time.

That’s why we don’t start with a replacement plan. We start with understanding what changed.

Seal or margin
A small leak can become a bigger issue quietly.
Tooth changes
Teeth can crack, weaken, or shift under old work.
Forces
Bite pressure can change what survives long-term.
Once we know the reason, the right fix gets simpler.
Why we don’t rush
Replacing the visible part isn’t the same as fixing the problem.

If we only “swap” a filling or crown without addressing what caused it to fail, the next failure is more likely.

We slow down long enough to confirm the real reason — so the replacement is a solution, not a reset button.

Evidence first. Then decisions.
How we decide
We replace work carefully, not automatically.

We examine the tooth, the restoration, the bite, and the surrounding tissues. If we need imaging, we use it to confirm what’s happening under the surface.

Then we explain the options clearly: what each step protects, what it risks, and what it’s designed to last.

Step 1: confirm the cause
Is the issue the restoration, the tooth, the bite, or a mix?
Step 2: match the fix
The repair should protect the tooth, not just replace material.
Step 3: protect the long-term result
We plan for forces, hygiene, and stability over time.
What happens next
When you’re ready, we’ll confirm what’s real.

We’ll evaluate what changed, explain what matters, and walk through replacement options without pressure.

The goal is a fix that holds up — not just a quick swap.

Reason first. Repair second.