Where can I buy MI paste in PA?

Can somebody here give me an assessment of my overall mouth health?

• Maybe any other things I can do to help my unhealthy teeth which is costing me a fortune. I paid 3k for the first root canal ( 1 year old only, does the quality look good?) and now it sounds like I need an inlay (1200 USD) and more fillings and all sorts of additional work. I chew xylitol gum and use recaldent MI paste as an attempt to strengthen my teeth. Some dentists recommend this others sort of scoff. Will this even help? Am I just doomed to poor health and tooth debt? I floss and brush regularly. Should I get them yanked? Any and all help welcome, esp from dentists. Below are the notes my dentist included along with the linked x-ray images. _______________ BEGIN NOTES FROM DR Limited evaluation, problem focused, 1 PA, 1 BW x-rays. Patient scheduled an app for a specific problem. I told him I recommend comprehensive care including complete examination, full series x-rays, cleaning, taking care of any problems found and returning at least every 6 months for examination and prevention. I said I start new pt`s one of two ways; Complete examination, etc., or when a new pt asks to schedule for a specific problem as is the situation today, we do that but then I only address that one problem and recommend returning for complete examination, x-rays and cleaning. Pt confirmed wants this problem examined first. Problems reported to the dentist by the patient: Upper left- had rct- tooth behind that one is the issue- mild gum pain about 6 months ago - now pain w/cold + crunchy food- sometimes sharp pain, worsening- shape causes food to catch. Gum constantly irritated by food getting stuck on tongue side of front contact with adjacent tooth. Flg done year ago. Observations: OSTNL. Confirmed w/pt in mouth it`s tooth #14 he is concerned about, RCT tooth is #13 . #14 has large filling including MOL surfaces. Contact w/13 seems ok in terms of not being open. But after discussing w/him further and examining again, see that contact area has less than desirable shape, closed toward buccal but too much space toward palatal. No perio pocketing over 3mm in this area. Minor bleeding with probing. Deep over bite. Lowers inclined to lingual . Conditions and information dentist reported to pt: I see what he means about the shape of the contact and how it could trap food. There is also visible on the x-ray a gap between the flg and tooth at the gum line which is probably responsible for the pain. There may or may not be decay in this gap. If not, it is prone to decaying so something should be done. When a large part of tooth is replaced w/flg like this it can be hard to control the shape and make sure it seals all around. This is more difficult w/white flg material than amalgam. When a flg would replace enough of the tooth structure an inlay or crown made by a lab outside the mouth, giving more control over shape, is best. I feel a crown covering the whole tooth is not appropriate b/c much solid tooth structure remains on the rest of the tooth. To crown would sacrifice a lot of that. In my opinion the optimum tx for this tooth is an inlay. This can be either gold alloy or white porcelain. Except for appearance gold is better, more likely to fit perfectly and seal with the tooth and be long lasting. Alternatives include doing nothing, replacing flg w/amalgam, or re-doing w/the same white resin material and hoping I can have a better result than the previous dentist. There are techniques to achieve a good contact w/resin so it`s not impossible to re-do it better but equally likely to turn out to have the the same defects. If gold showing under some circumstances, or darkness showing through the side of the tooth will be a problem for the pt it`s reasonable to do a ceramic inlay. Before doing any of these a cleaning should be done or plaque and gum bleeding could have a negative affect on the results. It is also considered best to have complete exam of the whole mouth before doing restorative work. In addition the x-rays show definite decay on a lower tooth (should have a flg), incipient decay on another (possible start of decay, should be monitored), and a gap between flg and tooth on the one ahead of the crown. I see abnormalities of the bite. This can cause wear and damage to teeth, dental work and jaw joints. Inlay would be 3 surfaces. IMAGES ::: http://imgur.com/YMd7g

• Answer:

  Fyi, xylitol may help to prevent cavities, but recently it has been determined that it may also strip teeth from its enamel.