Overview
Dental fillings are a form of restorative dentistry and are used to repair surface damage to the tooth from fractures, decay or teeth that have worn down over time, often from the grinding of teeth.
The material used to fill a tooth can vary widely, depending on the type of damage, what is most appropriate for the patient, cost considerations, and location of the damage in the mouth and the stress on that area during chewing. For instance, a soft material such as gold may be used when the patient grinds their teeth and future wear of the opposing surface is a significant consideration
Dental filling materials include porcelain, metals, composites and several hybrids.
More extensive damage may require a dental crown in place of a dental filling. If a tooth extraction is required, a filling cannot be used and either a dental implant or bridge may be used.
Treatment
Prior to treatment the dentist numbs the area to be treated with a local anesthesia. Tooth fillings are often performed with a combination of local anesthesia and sedation. Once a dentist has identified damaged surfaces, the damaged area(s) are removed, surrounding surfaces cleaned to remove both material and bacteria, after which restoration is performed. If decay is near the root of the tooth the dentist may install a liner prior to filling the vacated area. Depending on the material used, once the filling material is placed and the restoration cleaned, the procedure may be complete. Again, depending on the material used, a tooth may be filled in one appointment, or a subsequent appointment may be required.
Dr. Caputo encourages patients to discuss with him both the various treatment options, and materials available to treat a damaged tooth.
Aftercare
Good oral hygiene is the best way to maintain your fillings after treatment, augmented by regular cleanings and fluoride treatments.
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