Dental Fillings
To treat a cavity decayed portion of the tooth is removed and then filled the area on the tooth where the decayed material once lived.
First, the dentist will numb the area around the tooth to be filled with a local anesthetic. 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 location and extent of the decay.
Next, your dentist will probe or test the area during the decay removal process to determine if all the decay has been removed. Once the decay has been removed, your 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, your 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 glass materials called composite resin fillings. The location and extent of the decay, cost of filling material, patients’ insurance coverage, and your dentist’s recommendation assist in determining the type of filling that will best address your needs.
Advantages of cast gold fillings:
- Durability – lasts at least 10 to 15 years, usually longer; doesn’t corrode
- Strength – can withstand chewing forces
- Aesthetics – some patients find gold more pleasing to the eye than silver, amalgam fillings
Disadvantages of cast gold fillings:
- Expense – gold cast fillings are more than other materials; up to 10 times higher than cost of amalgam filings
- Additional office visits – requires at least two office visits to place
- Galvanic shock – a gold filling placed immediately next to a silver, amalgam filling can cause a sharp pain (galvanic shock) to occur. The interaction between the metals and saliva causes an electric current to occur – it’s a rare occurrence, however
- Aesthetics – most patients don’t like any “colored” fillings.
Advantages of silver fillings:
- Durability – silver fillings last at least 10 to 15 years and usually outlasts composite fillings
- Strength – can withstand chewing forces
- Expense – is less expensive than composite fillings
Disadvantages of silver fillings:
- Poor aesthetics – silver fillings don’t match the color of your natural teeth
- 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
- Discoloration – amalgam fillings can create a grayish hue to the surrounding tooth structure
- 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 orfracture, 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
- Allergic reactions – a small percentage of people, approximately 1%, are allergic to the mercury present in amalgam restorations
Advantages of composites:
- Aesthetics – the shade/color of the composite fillings can be closely matched to the color of existing teeth; is particularly well suited for use in front teeth or visible parts of teeth
- Bonding to tooth structure – composite fillings actually chemically bond to tooth structure, providing further support to the tooth
- Versatility in uses – in addition to use as a filling material for decay, composite fillings can also be used to repair chipped, broken, or worn teeth
- Tooth-sparing preparation – sometimes less tooth structure needs to be removed compared with amalgams when removing decay and preparing for the filling
Disadvantages of composites:
- Lack of durability – composite fillings wear out sooner than amalgams (lasting at least 5 years compared with at least 10 to 15 for amalgams); in addition, they may not last as long as amalgams under the pressure of chewing and particularly if used as the filling material for large cavities
- Increased chair time – because of the process to apply the composite material, these fillings can take up to 20 minutes longer than amalgams to place
- Additional visits – if composites are used for inlays or onlays, more than one office visit may be required
- Chipping – depending on location, composite materials can chip off the tooth
- Expense – composite fillings can cost up to twice the cost of amalgams
In addition to tooth-colored, composite resin fillings, two other tooth-colored fillings exist – ceramics and glass ionomer.
What Types of Filling Materials Are Available?
Ceramics. These fillings are made most often of porcelain, are more resistant to staining than composite resin material but are also more abrasive. This material generally lasts more than 15 years and can cost as much as gold.
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 5 years or less with costs comparable to composite resin.
Indirect fillings are similar to composite or tooth-colored fillings except that they are made in a dental laboratory and require two visits before being placed. Indirect fillings are considered when not enough tooth structure remains to support a filling but the tooth is not so severely damaged that it needs a crown.
During the first visit, decay or an old filling is removed. An impression is taken to record the shape of the tooth being repaired and the teeth around it. The impression is sent to a dental laboratory that will make the indirect filling. A temporary filling (described below) is placed to protect the tooth while your restoration is being made. During the second visit, the temporary filling is removed, and the dentist will check the fit of the indirect restoration. Provided the fit is acceptable, it will be permanently cemented into place.
There are two types of indirect fillings – inlays and onlays.
Inlays are similar to fillings but the entire work lies within the cusps (bumps) on the chewing surface of the tooth.
Onlays are more extensive than inlays, covering one or more cusps. Onlays are sometimes called partial crowns.
Inlays and onlays are more durable and last much longer than traditional fillings – up to 30 years. They can be made of tooth-colored composite resin, porcelain, or gold. Inlays and onlays weaken the tooth structure, but do so to a much lower extent than traditional fillings.
Another type of inlay and onlay – direct inlays and onlays – follow the same processes and procedures as the indirect, the difference is that direct inlays and onlays are made in the dental office and can be placed in one visit. The type of inlay or onlay used depends on how much sound tooth structure remains and consideration of any cosmetic concerns.
Temporary fillings are used under the following circumstances:
- 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
- Following a root canal
- To allow a tooth’s nerve to “settle down” if the pulp became irritated
- 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 1 month. Be sure to contact your dentist to have your temporary filling replaced with a permanent one. If you don’t, your tooth could become infected or you could have other complications.
Advantages of composites:
- Aesthetics – the shade/color of the composite fillings can be closely matched to the color of existing teeth; is particularly well suited for use in front teeth or visible parts of teeth
- Bonding to tooth structure – composite fillings actually chemically bond to tooth structure, providing further support to the tooth
- Versatility in uses – in addition to use as a filling material for decay, composite fillings can also be used to repair chipped, broken, or worn teeth
- Tooth-sparing preparation – sometimes less tooth structure needs to be removed compared with amalgams when removing decay and preparing for the filling
Disadvantages of composites:
- Lack of durability – composite fillings wear out sooner than amalgams (lasting at least 5 years compared with at least 10 to 15 for amalgams); in addition, they may not last as long as amalgams under the pressure of chewing and particularly if used as the filling material for large cavities
- Increased chair time – because of the process to apply the composite material, these fillings can take up to 20 minutes longer than amalgams to place
- Additional visits – if composites are used for inlays or onlays, more than one office visit may be required
- Chipping – depending on location, composite materials can chip off the tooth
- Expense – composite fillings can cost up to twice the cost of amalgams
In addition to tooth-colored, composite resin fillings, two other tooth-colored fillings exist – ceramics and glass ionomer.
Over the past several years, concerns have been raised about silver-colored fillings, otherwise called amalgams. Because amalgams contain the toxic substance mercury, some people think that amalgams 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.
In June 2008, the FDA dropped much of its reassuring language about dental amalgam. It’s added: “Dental amalgams contain mercury, which may have neurotoxic effects on the nervous systems of developing children and fetuses.”
And there’s more. “Pregnant women and persons who may have a health condition that makes them more sensitive to mercury exposure, including individuals with existing high levels of mercury bioburden, should not avoid seeking dental care, but should discuss options with their health practitioner,” the FDA web site now says.
The changes come in response to a lawsuit filed by consumer groups and individuals concerned about mercury exposure. To settle the suit, the FDA agreed to update its web site.
And the federal agency also agreed to rule within one year on exactly how dental amalgam products should be regulated, and exactly what warnings consumers should receive from their dentists and doctors.
To maintain your fillings, you should follow good oral hygiene practices – visiting your dentist regularly for cleanings, brushing with a fluoride toothpaste, and flossing 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.
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 2 to 4 weeks or if your tooth is extremely sensitive. He or she may recommend you use a desensitizing toothpaste, may apply a desensitizing agent to the tooth, or possibly suggest a root canal procedure.
Pain around the fillings can also occur. If you experience pain when you bite, the filling is 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, a root canal may be required.
Sometimes people experience what is known as referred pain — pain or sensitivity in other teeth besides the one that received the filling. With this particular pain, there is likely nothing wrong with your teeth. The filled tooth is simply passing along “pain signals” it’s receiving to other teeth. This pain should decrease on its own over 1 to 2 weeks.
Allergic reactions to silver fillings are rare. Fewer than 100 cases have ever been reported, according to the ADA. In these rare circumstances, mercury or one of the metals used in an amalgam restoration is thought to trigger the allergic response. Symptoms of amalgam allergy are similar to those experienced in a typical skin allergy and include skin rashes and itching. Patients who suffer amalgam allergies typically have a medical or family history of allergies to metals. Once an allergy is confirmed, another restorative material can be used.
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 your filling is wearing down, your dentist can identify weaknesses in your restorations 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 are probably the result of improper cavity preparation, contamination before the filling is placed, or a fracture of the filling from bite or chewing trauma. Older restorations will generally be lost due to decay or fracturing of the remaining tooth.
