Tooth Filling

Facts on Fillings

When you have a cavity in your tooth, the most common treatment option is a filling. Fillings are also placed on teeth that have been damaged in other ways including those that have been worn down due to nail biting or grinding, or those that have been chipped.

Once it has been determined that a filling is the best treatment option, the dentist will discuss with you the various filling options that make sense for the damaged tooth. A number of filling options are available, and their differences center primarily on the types of material used for each. Some are made with combinations of metals that can withstand a lot of chewing action. Others aren't as strong and may be good choices for small-sized cavities or cavities that appear in between teeth.

A composite filling is the color of a tooth and therefore it's less noticeable. Made by mixing quartz or glass filler into a resin medium, this filling is perfect for smaller cavities and those cavities located in frontal teeth and visible areas. The material is less durable than an amalgam filling, but it can withstand moderate chewing. Composite fillings cost more and they can be bonded onto the tooth.

An ionomer filling is usually a good choice when a cavity is located on a root surface. Made with glass powders and acrylic acids, the end result is a translucent filling that can also release fluoride.

What we probably dread most about the actual filling procedure is a toss-up between the shot of local anesthesia and the high-pitched telltale whine of the drill that is used to clean out and shape the cavity. Both can make a person shrink with fear and unfortunately, both are necessary. The various types of fillings each require a unique preparation process including use of different tools. When the filling is in place and properly affixed to the affected tooth, the final step is to polish the material.

By the way, if you experience fear of the dentist you are not alone. You might want to take a look at our page on the subject of fear of the dentist when you are finished here.

It's common to feel sensitivity in the area of the filling for a period of a week or two after the procedure. Temperature, pressure, sweets and air can all cause the area to feel sensitive and avoiding these can be challenging, but try. If these feelings don't go away, you should make another appointment with your dentist. If you can, pay attention to the discomfort you're experiencing so you can accurately describe it to the dentist. The description will help the dentist decide how to proceed.

Most fillings will probalby need to be replaced at some point because they will either fall out, weaken, crack, or discolor. When one is ready to be replaced, talk with the dentist to learn the best option for replacing that filling.

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