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Fillings

related: composites / amalgam / the amalgam debate

The most frequently used type of restoration in dentistry is commonly known as the filling. There are two basic categories of filings - silver fillings or amalgams and tooth-colored fillings or composites.

The location and the extent of the decay determine the type of filling to be used. Decay commonly occurs on the smooth surfaces of teeth as well as on the chewing surfaces.
 

Procedure

Usually your dentist will administer a local anesthetic before beginning treatment. The cavity will be cleaned of bacteria and debris and the resulting preparation will then be filled with the appropriate restorative filling. Your dentist will recommend which type he or she feels will best address your needs. 

Silver-Fillings (Amalgam)

Description. First introduced in North America in 1833; amalgam is estimated to represent over 75% of all single tooth restorations (fillings).

Tooth-colored fillings (composites)

Initially, when composites were first introduced on the market in the 1960's, they were only used on front teeth due to their lack of sufficient load strength. Since then, composites have been significantly improved and can be successfully placed in the back teeth as well. Composites are not only used to restore decayed areas, they are also used to improve the esthetic appearance of teeth - both in terms of shape and color.

 

Procedure. Following preparation, the dentist places the composite in layers, using a special light manufactured to cure/harden each layer. When the process is finished, the dentist will shape the composite to the desired result. Your  dentist will then polish the composite completing the procedure.

How long does it take to place a composite?
It takes the dentist about 10-20 minutes longer to place a composite than a silver filling (amalgam). Placement time depends on the size and location of the filling - generally, the larger the size, the longer it takes.

How long do composites last?
Studies have shown that the majority of composites last between 7-10 years; silver fillings in most instances outlast composites.
 
Cost. Prices vary, but composites average about twice the price of silver fillings. 

Advantages. Esthetics is the primary advantage of composites over amalgam. Dentists can closely match the shade/color of composites to natural teeth. Composites also chemically bond to tooth structure, supporting the tooth and insulating it from temperature change.

Disadvantages. Patients occasionally experience post-operative sensitivity following composite placement. In addition, composites will become more noticeable if the patient is in the habit of drinking lots of coffee, tea, or other staining substances. Composites tend to wear out sooner than silver fillings in larger cavities, although they hold up well in small cavities.

 

Note: It is important to note that before beginning any course of treatment you should see your dentist. Please note that without the benefit of a full dental examination, including a review of medical history, dental x-rays, and diagnostic aids, no attempt can be made to provide specific diagnosis or recommended courses of treatment. However, we will be happy to update our site to include topics you feel deserve mention. contact us

 

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