Dental Health and Tooth Fillings

What Steps Are Involved in Filling a Tooth?

First, the dentist will use a local anesthetic to numb the area around the tooth to be filled. Next, a drill, air abrasion instrument, or laser will be used to remove the decayed area. The choice of instrument depends on the individual dentist’s comfort level, training, and investment in the particular piece of equipment as well as the location and extent of the decay.

Next, your dentist will probe or test the area to determine if all the decay has been removed. Once removed, the dentist will prepare the space for the filling by cleaning the cavity of bacteria and debris. If the decay is near the root, your dentist may first put in a liner made of glass ionomer, composite resin, or other material to protect the nerve. Generally, after the filling is in, your dentist will finish and polish it.

Several additional steps are required for tooth-colored fillings and are as follows. After your dentist has removed the decay and cleaned the area, the tooth-colored material is applied in layers. Next, a special light that “cures” or hardens each layer is applied. When the multilayering process is completed, the dentist will shape the composite material to the desired result, trim off any excess material, and polish the final restoration.

What Types of Filling Materials Are Available?

Today, several dental filling materials are available. Teeth can be filled with gold; porcelain; silver amalgam (which consists of mercury mixed with silver, tin, zinc, and copper); or tooth-colored, plastic, and materials called composite resin fillings.

The location and extent of the decay, cost of filling material, your insurance coverage, and your dentist’s recommendation assist in determining the type of filling best for you.

Cast Gold Fillings

Advantages of cast gold fillings:

1. Durability — lasts at least 10 to 15 years and usually longer; doesn’t corrode
2. Strength — can withstand chewing forces
3. Aesthetics — some patients find gold more pleasing to the eye than silver amalgam fillings.

Disadvantages of cast gold fillings:

1. Expense — gold cast fillings cost more than other materials; up to 10 times higher than the cost of silver amalgam filings.
2. Additional office visits — requires at least two office visits.
3. Galvanic shock — a gold filling placed immediately next to a silver amalgam filling may cause a sharp pain (galvanic shock) to occur. The interaction between the metals and saliva causes an electric current to occur.
4. Aesthetics — most patients dislike metal “colored” fillings and prefer fillings that match the rest of the tooth.

Silver Fillings (Amalgams)

Advantages of silver fillings:

1. Durability — silver fillings last at least 10 to 15 years and usually outlasts composite (tooth-colored) fillings.
2. Strength — can withstand chewing forces
3. Expense — may be less expensive than composite fillings

Disadvantages of silver fillings:

1. Poor aesthetics — silver fillings don’t match the color of natural teeth.
2. Destruction of more tooth structure — healthy parts of the tooth must often be removed to make a space large enough to hold the amalgam filling.
3. Discoloration — amalgam fillings can create a grayish hue to the surrounding tooth structure.
4. Cracks and fractures — although all teeth expand and contract in the presence of hot and cold liquids, which ultimately can cause the tooth to crack or fracture, amalgam material — in comparison with other filling materials — may experience a wider degree of expansion and contraction and lead to a higher incidence of cracks and fractures.
5. Allergic reactions — a small percentage of people, approximately 1%, are allergic to the mercury present in amalgam restorations.

The mercury contained in the amalgam releases low levels of mercury in the form of a vapor that can be inhaled and absorbed by the lungs. High levels of mercury vapor exposure are associated with adverse effects in the brain and the kidneys. Studies have found no link between amalgam fillings and health problems and the FDA considers them safe for adults and children ages 6 and above.

Tooth-colored Composites

Advantages of composites:

1. Aesthetics — the shade/colour of the composite fillings can be closely matched to the color of existing teeth. Composites are particularly well suited for use in front teeth or visible parts of teeth.
2. Bonding to tooth structure — composite fillings micro-mechanically bond to tooth structure, providing further support.
3. Versatility — in addition to using as a filling material for decay, composite fillings can also be used to repair chipped, broken, or worn teeth.
4. Tooth-sparing preparation — sometimes less tooth structure needs to be removed compared with amalgam fillings when removing decay and preparing for the filling.

Disadvantages of composites:

1. Lack of durability — composite fillings wear out sooner than amalgam fillings (lasting at least five years compared with at least 10 to 15 for amalgams); in addition, they may not last as long as amalgam fillings under the pressure of chewing and particularly if used for large cavities.
2. Increased chair time — because of the process to apply the composite material, these fillings can take up to 20 minutes longer than amalgam fillings to place.
3. Chipping — depending on location, composite materials can chip off the tooth.
4. Expense — composite fillings can cost up to twice the cost of amalgam fillings.

Other Filling Types

1. Ceramics. These fillings are made most often of porcelain and are more resistant to staining than composite resin material. This material generally lasts more than 15 years and can cost as much as gold.
2. Glass ionomer is made of acrylic and a specific type of glass material. This material is most commonly used for fillings below the gum line and for fillings in young children (drilling is still required). Glass ionomers release fluoride, which can help protect the tooth from further decay. However, this material is weaker than composite resin and is more susceptible to wear and prone to fracture. Glass ionomer generally lasts five years or less with costs comparable to composite resin. The newest ones have an even better lifespan and when placed in appropriate areas. are equal to composites.

What’s a Temporary Filling and Why Would I Need One?

Temporary fillings are used under the following circumstances:

1. For fillings that require more than one appointment — for example, before placement of gold fillings and for certain filling procedures (called indirect fillings) that use composite materials.
2. Following a root canal.
3. To allow a tooth’s nerve to “settle down” if the pulp became irritated.
4. If emergency dental treatment is needed (such as to address a toothache)

Temporary fillings are just that; they are not meant to last. They usually fall out, fracture, or wear out within a month. Be sure to contact your dentist to have a temporary filling replaced with a permanent one. If you don’t, the tooth could become infected or you could have other complications.

Are Amalgam-Type Fillings Safe?

Over the past several years, concerns have been raised about silver-coloured fillings, otherwise called amalgam fillings. Because these fillings contain the toxic substance mercury, some people think they are responsible for causing a number of diseases, including autism, Alzheimer’s disease, and multiple sclerosis.

The American Dental Association (ADA), the FDA, and numerous public health agencies say there’s no proof that dental fillings cause harm to consumers. The causes of autism, Alzheimer’s disease, and multiple sclerosis remain unknown. Additionally, there is no solid, scientific evidence to back up the claim that if a person has amalgam fillings removed, he or she will be cured of these or any other diseases.

Although amalgams do contain mercury, when they are mixed with other metals, such as silver, copper, tin, and zinc, they form a stable alloy that dentists have used for more than 100 years to fill and preserve hundreds of millions of decayed teeth.

How Should I Care for My Teeth With Fillings?

To maintain fillings, you should follow good oral hygiene — visiting your dentist regularly for cleanings, brushing with fluoride toothpaste, flossing, and using an antibacterial mouthwash at least once daily. If your dentist suspects that a filling might be cracked or is “leaking” (when the sides of the filling don’t fit tightly against the tooth, this allows debris and saliva to seep down between the filling and the tooth, which can lead to decay), he or she will take X-rays to assess the situation.

If your tooth is extremely sensitive, if you feel a sharp edge, if you notice a crack in the filling, or if a piece of the filling is missing, call your dentist for an appointment.

Problems With Dental Fillings

Tooth Pain and Sensitivity

Tooth sensitivity following placement of a filling is fairly common. A tooth may be sensitive to pressure, air, sweet foods, or temperature. Usually, the sensitivity resolves on its own within a few weeks. During this time, avoid those things that are causing the sensitivity. Pain relievers are generally not required.

Contact your dentist if the sensitivity does not subside within two to four weeks or if your tooth is extremely sensitive. He or she may recommend a desensitizing toothpaste, may apply a desensitizing agent to the tooth, or possibly test to see if the tooth requires a root canal procedure.

Pain around the fillings can also occur. If you experience pain when you bite, the filling may be interfering with your bite. You will need to return to your dentist and have the filling reshaped. If you experience pain when your teeth touch, the pain is likely caused by the touching of two different metal surfaces (for example, the silver amalgam in a newly filled tooth and a gold crown on another tooth with which it touches). This pain should resolve on its own within a short period of time.

If the decay was very deep or close to the pulp of the tooth, you may experience a “toothache-type” pain. This “toothache” response may indicate this tissue is no longer healthy. If this is the case, root canal therapy may be required.

Deteriorating Fillings

Constant pressure from chewing, grinding, or clenching can cause dental fillings to wear away, chip, or crack. Although you may not be able to tell that a filling is wearing down, your dentist can identify weaknesses in them during a regular check-up.

If the seal between the tooth enamel and the filling breaks down, food particles and decay-causing bacteria can work their way under the filling. You then run the risk of developing additional decay in that tooth. Decay that is left untreated can progress to infect the dental pulp and may cause an abscessed tooth.

If the filling is large or the recurrent decay is extensive, there may not be enough tooth structure remaining to support a replacement filling. In these cases, your dentist may need to replace the filling with a crown.

New fillings that fall out may be the result of improper cavity preparation, contamination before the filling is placed, or a fracture of the filling from a bite or chewing trauma. Older restorations will generally be lost due to decay or fracturing of the remaining tooth.