Teeth Filling

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What does filling your teeth mean?

Teeth filling is the procedure where in the decayed part of the tooth is removed and replaced with teeth filling. At Sabka Dentist, dentist will consider several factors when choosing the type of material you want for the filling.

Is cavity filling necessary?

The main goal of this process is to replace missing tooth structure (that may result from caries or trauma) with dental filling. This is done to restore the form and function of the tooth. Decay results from acidic damage to the tooth structure i.e. produced metabolically by bacteria that lives in plaque. Initially, only enamel is affected. However, if left untreated over due course of time, dentin and pulp may also get involved. Thus, cavity filling should be done at the incipient stage.

Expert's Opinions

  • Dr. Reena Waghela Dental Director of Sabka dentist says “To treat a cavity, the decayed portion of the tooth will be removed and replaced with teeth filling cement.”
  • Dr. Priyanka Shingore Dental Director of Sabka dentist says “An aerotar or laser may be used to remove the decayed area. The choice of instrument depends on the individual dentist’s comfort level and training. Location as well as extent of decay will also matter. Once the decay is removed, space for filling material is created after cleaning the cavity of bacteria and debris.”
  • Dr. Rupali Gujar Dental Director of Sabka dentist says “Composite Fillings are tooth colored, can be easily be given desired shape before curing and are durable.”

teeth filling

Which is best filling for tooth?

The filling options depends on various factors. The same can be discussed with our dentist and you can decide according to your needs, convenience, and cost. Different filling materials include:

  • Amalgam silver fillings: They are wear resistant and have lower tooth filling cost. However, due to their metallic color, they are unaesthetic and conspicuous. Thus, they are not used for restoring anteriors (front teeth). They are resistant to high compressive stresses, but can fracture under high tension.
  • Glass Ionomer fillings: They can serve as luting agents, pit and fissure sealants, liner, base, core buildup and as restorative materials. They are tooth colored, less retentive, fluoride releasing and less retentive to tooth substance.
  • Composite resins: They closely match the shade of teeth and provide natural aesthetic appearance. Composites may not be an ideal solution for large fillings as they may chip or wear over time. However, they are retentive as they chemically bond to the tooth substance. Also, they allow more tooth conservation compared to amalgam fillings. However, composite tooth filling cost is on the higher end.
  • Porcelain inlays or onlays: They are indirect restorations that are prepared in the dental laboratory after taking impression and then luted onto the tooth. They closely resemble the color of the tooth and resist staining unlike composite filling. A porcelain restoration generally covers most of the tooth substance. If decay or a fracture involves a large portion of the tooth structure, a crown/ cap may be advised. Decay that approaches or has reached pulp nerve may be treated through root canal treatment (in which the damaged pulp is removed).

What can I do if my cavity is deep?

If a large area of a tooth is damaged by bacterial infection then a cap or dental crown may be recommended by the dentist. When the infection reaches the root of the tooth it can even harm the nerve of the tooth. At this point, it can be treated through root canal therapy – Where the infected nerve will be removed.

How does a dentist do a filling?

  1. Oral Examination: When you visit the Sabka Dentist clinic, our dentist will check your mouth and find the area where the filling is required. To understand the depth of the infection, a checkup may incorporate an X-ray which is cost- free at Sabka dentist.
  2. Cleaning the decay: After the oral examination, the dentist will drill the decayed part of the tooth with dental handpiece.
  3. Filling: Once the affected part is free from infection, the dentist will place the filling. Typically, this whole procedure may take 15-30 minutes.
  4. Depending upon your severity of the infection the procedure will change. If the infection reaches the pulp of a tooth,then root canal procedure will be performed.

How to find a Dentist?

Teeth filling treatment is available at all Sabka dentist clinics.You can find nearest clinic by visiting our website or you can call us directly to book an appointment.

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FREQUENTLY ASKED QUESTIONS

What is the best material for dental fillings?

Dental cement filling for you will be determined by the extent of the repair, allergies to certain materials, location of filling , and the cost. Considerations for different materials include:

  • Amalgam (silver) fillings are wear resistant and comparatively inexpensive. However, due to their metallic color, they are more noticeable than porcelain or composite restorations and are not used for visible areas, such as front teeth.
  • Composite (plastic) resins match the teeth shade and therefore are used where a natural appearance is desired. Composites may not be the ideal material for large fillings as they may chip or wear over time. However, they chemically bond to the tooth and are highly aesthetic.
  • Porcelain inlays or onlays are indirect restorations that are prepared in the dental laboratory and then bonded to the tooth. They can be matched to the color of the tooth and resist staining. A porcelain restoration generally covers most of the tooth structure. If decay or a fracture has damaged a large portion of the tooth structure, a crown/ cap may be recommended. Decay that has reached the nerve may be treated through root canal therapy (in which the damaged pulp is removed).

How do dentists fill cavities?

The filling procedure involves the dentist removing the the decayed tooth material, cleaning the affected area, and then filling the cleaned out cavity with dental cement. A filling also helps prevent further decay and forms a seal between the filling and tooth interface. Materials used for fillings include glass ionomer, porcelain, composite resin (tooth-colored fillings), and amalgam (an alloy of mercury, silver, copper, tin and sometimes zinc).

Why is my tooth still hurting after a filling?

Acid etching done before the composite filling, drilling, air pressure, sugar, coolant water jet, etc can act as an irritant and result in short term sensitivity, due to exposed dentin surfaces. Changes in the flow of the fluid present in the dentinal tubules can trigger the mechanoreceptors present on nerves located at the pulpal aspect, thereby eliciting a pain response. This hydrodynamic flow can be increased by the above irritants.

Do dental fillings need to be replaced?

A dental filling is intended to replace the tooth structure lost to decay. Dental fillings may last several years, but may need replacement eventually, if the filling wears away, chips, or gets dislodged. If the seal between the filling and tooth interface breaks down, it may serve as a site of food impaction and portal of entry for bacteria. If the dental examination reveals a filling that has failed or if decay (secondary caries) is detected on the radiograph, then the dental filling should be replaced promptly. Don’t wait until the tooth hurts. Early detection and treatment can minimize the need for extensive and costly procedures.

Can I eat after a filling?

With Composite filling, food can be eaten immediately. However, with Amalgam fillings, food hard in consistency should be avoided for the first 24 hours should be avoided following the procedure. Use the other side of mouth to chew regardless of the filling type.

What are the advantages and disadvantages of Amalgam fillings?

Advantages:

  • Not overtly technique sensitive.
  • After a period of time, it forms a seal of corrosion products at tooth amalgam interface and prevents marginal leakage.
  • Excellent wear resistance.
  • Relatively inexpensive.
  • Long lasting.

Disadvantages:

  • Non aesthetic
  • Brittle and can fracture if incorrectly positioned (low tensile strength)
  • Do not bond to the tooth structure
  • Tarnish and Corrosion
  • Delayed expansion
  • Risk of Mercury toxicity

What are the advantages and disadvantages of Composite fillings?

Advantages:

  • Highly aesthetic tooth colored restoration
  • Multiple curing systems allow choice of working time.
  • Chemically bond to the tooth structure.
  • More tooth structure is conserved compared to Amalgam.

  • Disadvantages:

  • Highly technique sensitive.
  • Sticks to instruments.
  • Not condensable like amalgam.
  • Polymerization contraction.
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