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Types Of Dental Fillings — An Ultimate Guide To Restoring Your Smile

Faris Kirmani • Sep 27, 2024
types of dental fillings


 Dental fillings are a common solution for managing tooth decay and repairing damaged teeth. With various types of dental fillings available, it's essential to understand the options and their specific applications. This article explores different surface dental fillings, the materials used, treatment options, costs, what to expect during the procedure, and the role of temporary fillings so that you can make an optimal decision about your dental care.



Understanding Different Surface Dental Fillings

Dental fillings are utilised to restore the integrity of a tooth that has been affected by decay or damage. The surface area treated by a filling can change based on the degree of damage and the tooth's location.


Fillings can be applied to the biting surface or the sides of the tooth or even extended to cover multiple surfaces. The tooth's location, function, and aesthetic considerations influence the filling material and technique.


Several types of dental fillings are available, each with its benefits and considerations. The primary dental filling materials include:



Composite Fillings

Composite fillings are created from a tooth-coloured resin material, making them an excellent choice for visible parts of the teeth, such as the front teeth.


Composite resin fillings are a versatile dental filling material that can be shaped to match the natural tooth structure, providing a stunning appearance. They bond directly to the tooth, allowing for more tooth preservation compared to other materials.



Porcelain Fillings

lasting dental health dental exams planning

Porcelain fillings, typically synonymous with ceramic fillings, are highly regarded for their aesthetic appeal and durability. These tooth-coloured fillings are ideal for patients seeking a natural-looking restoration that blends precisely with their surrounding teeth.


Porcelain fillings are customised in a dental laboratory, allowing for a precise fit and long-lasting results. They are resistant to staining and can be an impeccable option for patients with metal allergies who cannot get amalgam fillings or those desiring a more natural-looking option.



Glass Ionomer Fillings

Glass ionomer fillings are created from a mixture of glass and acrylic. They are typically used for fillings near the gum line or primary teeth.


One key benefit of glass ionomers is that they release fluoride, which can help shield the tooth against further decay. Although they are less durable than other fillings, they are often used for patients who require more conservative treatment.



Treatment Options Where Fillings Are Used

Fillings are versatile in dental treatments, providing solutions for various issues that compromise oral health and aesthetics. Their application extends beyond merely filling cavities; it addresses various conditions and restores the functionality and appearance of teeth. Below, we explore the primary scenarios where fillings are utilised.



Tooth Decay

Tooth decay is a widespread dental problem that impacts many individuals. It happens when acids produced by mouth bacteria damage the enamel, the tooth's hard outer layer. If left unaddressed, decay can progress, leading to cavities and further deterioration.


Dental fillings are a primary treatment for tooth decay. After eliminating the decayed portion of the tooth, the dental expert cleans the area and fills it with a suitable material. This process not only restores the tooth's function but also prevents further decay by sealing the affected area, thereby protecting the tooth's inner structures.



Tooth Cavities

Cavities are specific areas of decay that have created holes or voids in the teeth. Depending on how far the decay has progressed, they can vary in size and severity. Filling cavities involves removing and replacing the decayed tissue with a filling material.


The choice of material for cavity fillings depends on the location and size of the cavity, as well as aesthetic considerations. This treatment is crucial for maintaining the tooth's structural integrity and minimising pain or infection from untreated cavities.



Cracked Or Chipped Teeth

getting fillings clinic dental expectations

Teeth can crack or chip due to multiple reasons, including trauma, biting on hard objects, or grinding. 


Such damage can compromise the tooth's structure and aesthetics, making it more susceptible to further injury or decay. 


Dental fillings can repair cracks or chips, restoring the tooth's shape, strength, and appearance. Composite resin is often the material of choice for these repairs, especially when aesthetics are a concern, as it can be colour-matched to blend seamlessly with natural teeth.



Worn-Down Teeth

Teeth may become worn down over time due to bruxism (teeth grinding), aggressive brushing, or acidic erosion. This wear can lead to sensitivity, functional issues, and aesthetic concerns.


Fillings can help restore the natural contours of worn teeth, improving both function and appearance. Composite fillings are commonly used for this purpose, particularly for teeth in the front of the mouth, where appearance is critical. Other restorative options, like crowns, may be considered in more severe cases, but fillings offer a minimally invasive solution.



Replacement Of Old Or Defective Fillings

Over time, existing fillings may wear out, break, or develop leaks around the edges. This may occur due to the natural wear and tear from chewing, grinding, or other factors. Replacing old or defective fillings is crucial to maintaining oral health and preventing further decay.


During this process, the dentist removes the old filling, cleans the area, and places a new filling material. This not only improves the seal but also enhances the durability and appearance of the restoration.



Aesthetic Improvements

Fillings can also be used for cosmetic reasons. Composite or porcelain fillings can correct minor imperfections, such as small gaps between teeth, uneven surfaces, or discolourations.


These materials can be shaped and polished to replicate the natural tooth structure precisely, providing an aesthetically pleasing result. This application is particularly beneficial for enhancing the appearance of front teeth, contributing to a more confident smile. 





Root Canal Treatment

A root canal treatment may be necessary in cases where tooth decay or damage extends into the tooth pulp (the deepest part of the tooth containing nerves and blood vessels).


After the infected or damaged pulp is taken off and the inside of the tooth is cleaned, a filling material is used to seal the tooth. A temporary filling is often placed initially, followed by a permanent filling or crown to restore full function and appearance.



Emergency Dental Treatment

In emergencies, such as when a tooth is damaged due to an accident or the sudden onset of pain from decay, temporary fillings may be used as an immediate measure. These fillings stabilise the tooth and alleviate pain until a more permanent option can be applied.


Temporary fillings are particularly useful when further evaluation or treatment planning is needed before a definitive restoration can be placed.



Managing Tooth Sensitivity

different surface filling teeth

Tooth sensitivity can be uncomfortable, often caused by exposed dentin or receding gums. 


Dental fillings can sometimes cover exposed areas and protect sensitive teeth. 


Composite resins are frequently used for this purpose because of their adhesive properties and ability to match the natural tooth colour, providing relief and a beautiful appearance.


How Dental Fillings Affect Cost

The cost of dental fillings varies based on many factors, including the type of filling material used, the size of the cavity, the dental procedure for which a dental filling is used, and the tooth's location. The dentist will provide transparent pricing before proceeding.



What To Expect When Getting Your Dental Fillings

Understanding what to expect during a dental appointment for fillings can help lessen anxiety and ensure a pleasant experience.


  •  Consultation And Examination: Your dentist will start with a thorough examination to identify the degree of decay or damage. X-rays may be taken to get a detailed view of the tooth's condition.
  • Numbing And Preparation: Before the procedure, the area around the inflicted tooth will be numbed with a local anaesthetic to ensure a relaxed experience. The dental expert will then remove the decayed portion of the tooth using appropriate tools.
  • Filling Placement: The chosen dental filling material will be carefully placed into the prepared cavity. For direct fillings, like composite fillings, the material is applied in layers and hardened with a particular light. For indirect fillings, like porcelain fillings, a dental technician makes a custom-made piece to be bonded to the tooth.
  • Shaping And Polishing: Once the dental filling is in place, the dental expert shapes and polishes it to have a comfortable bite and a pleasant surface.



What Is A Temporary Filling?

A temporary filling is a short-term solution used when the tooth requires further treatment. Temporary fillings are commonly used in the following scenarios:


  • Root Canal Treatment: A temporary dental filling may be placed between root canal treatment appointments to protect the tooth.
  • Emergency Dental Treatment: In cases of sudden tooth pain or damage, a temporary filling can provide immediate relief until a permanent solution is applied.
  • Multiple Surface Decay: When decay affects multiple tooth surfaces, a temporary filling can stabilise the tooth until a more comprehensive treatment plan is developed. 


Temporary fillings are not as durable as permanent ones and are designed to be replaced within a few months or a year, depending on the type of temporary filling.



Frequently Asked Questions



How long do permanent dental fillings last?

The lifespan of a dental filling may change depending on the material utilised and how well it is cared for. Porcelain fillings can last 15 years or longer, while composite fillings may last around seven years. Good oral hygiene and dental check-ups may help extend the life of your fillings.



Can I replace my old tooth fillings?

Yes, old fillings can be replaced with new materials. Many patients opt to replace old fillings when they no longer function properly.



What should I do if my filling falls out?

If a filling falls out, contact your dentist as soon as possible. A temporary filling may protect the tooth until a permanent solution is available.



Reflecting On Your Dental Filling Options

dentist filling cost factors

Understanding the various types of dental fillings and their applications may help you make informed decisions about your dental care. 


Whether you need a filling for a cavity or a chipped tooth or as part of a more complex treatment plan, many options are available to suit your needs and preferences. 


Always consult an experienced dentist to determine the optimal course of action for maintaining oral health and achieving a confident, healthy smile. 



Remember, keeping up good oral hygiene and adhering to necessary dental visits are key to preserving the longevity of your dental fillings and overall oral health.


Ready to explore your dental filling options or have questions about your treatment? Contact Riverlands Dental in North Richmond, NSW, today at (02) 4501 7930. Our friendly team is here to provide comprehensive information and guide you through the process with warmth and professionalism. Let us help you maintain a healthy, beautiful smile!



 


Sources


“Cavities and Tooth Decay.” Mayo Clinic, 30 Nov. 2023, www.mayoclinic.org/diseases-conditions/cavities/diagnosis-treatment/drc-20352898. Accessed 2 Aug. 2024.


“Dental Fillings.” National Institute of Dental and Craniofacial Research, Feb. 2023, www.nidcr.nih.gov/health-info/dental-fillings. Accessed 2 Aug. 2024.


Dodge, Lora. “Different Types of Dental Fillings.” Verywell Health, 19 July 2022, www.verywellhealth.com/different-types-of-fillings-1059018. Accessed 2 Aug. 2024.


Hunter, Gary Ross. “How Much Does a Root Canal Cost in Australia?” finder.com.au, 31 July 2024, www.finder.com.au/health-insurance/dental/root-canal-therapy. Accessed 2 Aug. 2024.


Martens, L. C., et al. “BiodentineTM as a Temporary Filling in Deep Carious Lesions in Permanent Teeth: A Prospective Observational 33-month Follow-up Study.” European Archives of Paediatric Dentistry, vol. 25, no. 2, Mar. 2024, pp. 277–84. https://doi.org/10.1007/s40368-024-00869-8.


Roland, James. “How Long Do Fillings Last?” Healthline, 30 Sept. 2020, www.healthline.com/health/how-long-do-fillings-last. Accessed 2 Aug. 2024.


Smith, Yolanda. “Dental Filling Procedure.” News-Medical, 26 Feb. 2019, www.news-medical.net/health/Dental-Filling-Procedure.aspx. Accessed 2 Aug. 2024.

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