Cavities form when bacteria in plaque produce acids that erode tooth enamel, eventually creating a hole on the tooth’s surface. If left untreated, decay can extend deeper into the tooth, potentially leading to more extensive procedures like crowns, root canals, or even extractions. Fortunately, when cavities are caught early, your dentist can restore your tooth’s function and appearance with a filling.
Direct fillings are ideal for small to moderate cavities. They are placed immediately after the decayed portion of the tooth is removed, cleaned, and shaped. Common materials used for these fillings include composite resin, dental amalgam, and glass ionomer, and the procedure can be completed in one visit.
An indirect filling may be recommended for larger areas of decay or damage, especially on molars and premolars. These fillings provide greater strength and fit securely. Inlays are used to fill the surface inside the cusps, while onlays extend to cover one or more cusps.
Indirect fillings can be made of composite resin, gold, or porcelain and require two appointments: one for preparation and one for placement.
Composite resin fillings are made of acrylic resin and ceramic particles. Dentists used them for both direct and indirect fillings. Composite resin fillings are popular for front teeth due to their color-match with natural enamel. While durable and conservative of tooth structure, composite fillings are more expensive than amalgams and can stain over time.
This silver-colored filling consists of metals such as silver, tin, copper, and mercury. It is cost-effective and highly durable, making it suitable for biting surfaces. However, it doesn’t blend with natural enamel and might require more tooth structure to be removed.
These fillings use a cement made with silicate glass powder that bonds to the tooth and sets quickly. Glass ionomer fillings are often used for baby teeth and cavities along the gum line and may contain fluoride to help prevent future decay. They are less durable and not ideal for biting surfaces.
Gold fillings, typically used for indirect fillings, are made from a blend of gold, copper, and other metals. While highly durable (lasting 20 years or more), gold fillings are visible and more expensive than other options.
Porcelain fillings are custom-made from ceramic materials and used in indirect fillings. They're known for their natural appearance and translucency and are resistant to staining and cracking. However, porcelain fillings are a more costly choice, similar in price to gold fillings.
If you're facing a cavity or want to learn more about your restorative options, Shore Dental Solutions can guide you to the best solution for your needs. Contact us today to discuss your filling choices and discover the treatment that suits your smile best. Schedule your appointment now!
“After many problems and consistent pain due to prior dental work on a cap, I decided to visit Dr. Sciortino. She was able to fit me in right away. I was so impressed by the office and staff. Dr. Sciortino is extremely knowledgeable and personable. She was able to resolve the issue that I had spent many visits at other dentists trying to resolve, and my pain is now completely gone. I highly recommend her!”