Fillings

Dental fillings are restorative materials used to repair teeth that decay, fracture, or wear have been damaged. The process involves removing the decayed portion of the tooth, cleaning the affected area, and then filling the cavity with a suitable material to restore the tooth's normal function and shape. Various types of fillings are available, including amalgam (silver), composite resin (tooth-colored), ceramic (porcelain), gold, and glass ionomer, each with distinct advantages in terms of durability, aesthetics, and cost. The choice of filling material depends on factors such as the location and size of the cavity, patient preferences, and budget considerations. Dental fillings not only restore the tooth's structural integrity but also prevent further decay by sealing off spaces where bacteria can enter.

Types of Dental Fillings 

Amalgam Fillings 

Amalgam fillings, often silver fillings, are made from a blend of metals such as silver, mercury, tin, and copper. These fillings are known for their durability and strength, making them ideal for use in the back teeth, where chewing forces are most significant. They can withstand wear and tear, typically lasting 10-15 years. Amalgam fillings are cost-effective compared to other options and relatively quick to place, contributing to their widespread use in dentistry. However, their silver color can be conspicuous, which may be a consideration for patients concerned about aesthetics. 

Composite Resin Fillings 

Composite resin fillings are tooth-colored and blend seamlessly with natural teeth, making them popular for visible areas. Composed of a mixture of plastic resin and fine glass particles, these fillings bond directly to the tooth structure. This bonding not only supports the remaining tooth but also helps insulate it against temperature changes. Composite fillings are versatile and can be used for various dental restorations beyond just fillings, such as bonding and veneers. While they offer excellent aesthetics and moderate durability, they are generally more expensive than amalgam fillings due to the intricate layering process required for placement. Contact us today! 

Ceramic (Porcelain) Fillings 

Ceramic fillings are made from porcelain, offering superior aesthetics and durability. These fillings are custom-made to match the tooth's natural color, providing a seamless appearance. Ceramic fillings are highly resistant to staining and can last long with proper care. They are biocompatible, meaning they are well-tolerated by gum tissues and do not cause adverse reactions. While more expensive than amalgam and composite fillings, ceramic fillings are popular for patients seeking a long-lasting, natural-looking restoration. 

Gold Fillings 

Gold fillings, made from a gold alloy, are among the most durable and longest-lasting options available. They can withstand strong chewing forces and are highly resistant to wear and corrosion. Gold fillings require minimal tooth preparation and can last many years with proper care. Despite their superior durability, they are less common today due to their conspicuous appearance and higher cost than other fillings. 

Glass Ionomer Fillings 

Glass ionomer fillings are made from a blend of acrylic and glass powders. These fillings release fluoride, which can help prevent further decay. They have good adhesion to the tooth structure, making them suitable for areas below the gum line or in pediatric dentistry. However, glass ionomer fillings are less durable than other types and may need replacement sooner. They are tooth-colored but may not match natural tooth color as closely as composite or ceramic fillings. 

The Procedure for Getting a Dental Filling 

Initial Examination and Diagnosis 

• Your dentist will begin by examining your teeth visually and may use dental instruments to detect cavities or areas of decay. 

• X-rays may be taken to assess the extent of decay and determine the appropriate treatment plan. 

Anesthesia Administration 

• Before the filling procedure begins, local anesthesia is administered to numb the affected tooth and surrounding area. This ensures you are comfortable and pain-free during the procedure. 

Preparation of the Tooth 

• The dentist will use a dental drill or laser to remove the decayed part of the tooth. The area will then be carefully cleaned to eliminate bacteria and debris. 

• The tooth is shaped and prepared to create space for the filling material. This step ensures that the filling will bond securely to the tooth structure. 

Placement of the Filling 

• The material is applied in layers, depending on the type of filling chosen (composite, amalgam, ceramic, etc.). 

• Each layer is hardened or cured using a special light or chemical process. This ensures the filling is securely bonded to the tooth and provides durability. 

Shaping and Polishing 

• Once the filling material has been applied and cured, the dentist will trim and shape it to match the natural contours of your tooth. 

• The filling is polished to smooth rough edges and ensure a comfortable bite. 

Final Examination and Adjustment 

• Your dentist will check your bite to ensure the filling does not interfere with your natural chewing motion. 

• Any necessary adjustments are made to ensure proper alignment and comfort. 

Post-Procedure Care Instructions 

• After the filling is placed, your dentist will provide instructions on how to care for your restored tooth. 

• You may be advised to avoid chewing hard foods or using the treated tooth excessively until any sensitivity resolves. 

Follow-Up Appointment

• In some cases, a follow-up appointment may be scheduled to check the placement of the filling and ensure it is functioning correctly. 

Monitoring and Oral Hygiene 

• Good oral hygiene practices, including brushing and flossing regularly, are essential to prevent future decay and maintain the longevity of your filling. 

Dental fillings play a crucial role in maintaining oral health and restoring teeth's function and appearance. Visit Dental Specialists of New York PC at 150 East 58th Street, New York, NY 10155, 110 York Street, Brooklyn, NY 11201, or 476 48th Street, 3rd Floor, Brooklyn, NY 11220, to schedule your dental filling appointment now and restore your oral health with our expert care. You can schedule an appointment online or call us at (212) 661-2192.