Traditional dental restoratives, or fillings, are most often made of silver amalgam. The strength and durability of this traditional dental material makes it useful for situations where restored teeth must withstand extreme forces that result from chewing, often in the back of the mouth.
Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay.
What’s Right for Me?
Several factors influence the performance, durability, longevity, and expense of dental restorations, including:
- The components used in the filling material
- The amount of tooth structure remaining
- Where and how the filling is placed
- The chewing load that the tooth will have to bear
- The length and number of visits needed to prepare and adjust the restored tooth
Before your treatment begins, your doctor will discuss with you all of your options and help you choose the best filling for your particular case. In preparation for this discussion it may be helpful to understand the two basic types of dental fillings — direct and indirect.
- Direct fillings are fillings placed into a prepared cavity in a single visit. They include silver amalgam, glass ionomers, resin ionomers, and composite (resin) fillings. The dentist prepares the tooth, places the filling, and adjusts it in one appointment.
- Indirect fillings generally require two or more visits. They include inlays, onlays, and veneers fabricated with gold, base metal alloys, ceramics, or composites. They are used when a tooth has too much damage to support a filling but not enough to necessitate a crown. During the first visit, the dentist prepares the tooth and makes an impression of the area to be restored. The dentist then places a temporary covering over the prepared tooth. The impression is sent to a dental laboratory, which creates the dental restoration. At the next appointment, the dentist cements the restoration into the prepared cavity and adjusts it as needed.
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Children, teens, and adults should all see the dentist for a regular checkup at least once every six months. Patients who are at a greater risk for oral cancer or gum disease may be required to see the dentist more than just twice a year. Your doctor will help determine how often you should visit the dentist for regular checkups.
A filling is a synthetic material that your dentist uses to fill a cavity after all of the tooth decay has been removed. Fillings do not generally hurt because your dentist will numb your mouth with an anesthetic. Fillings are made from a variety of different materials, including composites, gold, or ceramic. If you need a filling, be sure to talk to your doctor about what type is best for you and your teeth.
Also known as periodontal disease, gum disease is mostly caused by plaque and bacteria buildup that is not treated in its early stage. Other causes of periodontal disease include tobacco use, teeth grinding, some medications, and genetics. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. Gingivitis left untreated may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brushing your teeth regularly and visiting the dentist every six months will help prevent gingivitis and more severe cases of periodontal disease. Common signs of gum disease:
- Red, irritated, bleeding, or swollen gums
- Chronic bad breath
- Loose teeth, or loss of teeth
- Extreme tooth sensitivity
- Receding gum line
- Abscessed teeth
Your teeth may feel fine, but it's still important to see the dentist regularly because problems can exist without you knowing. Your smile's appearance is important, and your dentist can help keep your smile healthy and look beautiful. With so many advances in dentistry, you no longer have to settle for stained, chipped, missing, or misshapen teeth. Today's dentists offer many treatment choices that can help you smile with confidence, including:
- Professional teeth whitening
- Fillings that mimic the appearance of natural teeth
- Tooth replacement and full smile makeovers
Simply call our practice! Our front desk staff will be happy to help schedule your next dental checkup at your convenience. If you are a new patient, please let us know and we will provide you with all the information you need for your first dental visit.
The American Academy of Pediatric Dentistry (AAPD) recommends that children first see a dentist as early as six months of age and no later than one year of age. During this time, your child's baby teeth will be coming in and your dentist can examine the health of your child's first few teeth. After the first visit, be sure to schedule regular checkups every six months.