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Treatments

Tooth Fillings

We primarily use tooth-colored composite resin fillings. This material has the advantages of being more natural in appearance; being fully hardened as soon as placed; requiring, in most cases, less removal of natural tooth in preparation; and they are often able to seal and insulate the underlying tooth more effectively than silver amalgam. In some situations, though, composite resin fillings cannot be ideally used due to conditions of inability to keep the tooth dry during placement; lack of access to the needed site; and, importantly, high-stress areas and the need for a very large restoration. In those cases it is sometimes best to used silver amalgam, which is not affected as much by the above limitations. Whenever we feel amalgam should be considered, we consult with our patients to be sure there is no objection.

Another option for longer-lasting and stronger restorations is the use ofPorcelain inlays and Tooth Colored Restorations (onlays), fillings that are not only beautiful (or unnoticeable) but also add strength to weakened teeth. These restorations are esthetically pleasing and very strong thanks to new bonding technologies.

Advantages of Tooth-Colored Resin or Porcelain

There are many advantages to tooth-colored restorations. Resin onlays are bonded to the teeth creating a tight, superior fit to the natural tooth. Such restorations can be used in instances where much of the tooth structure has been lost. The tooth remains intact and stronger.

Since the resin used in tooth-colored restorations contains fluoride this can help prevent decay. The resin wears like natural teeth and does not require placement at the gum line, which is healthier for your gums.

Replacing Silver Fillings with a Tooth Colored Restoration

You can have your silver fillings replaced with tooth-colored restorations (onlays)or composite resin fillings.However, each case where this is desired must be carefully evaluated because, unless the silver filling is defective or needs to be replaced for other reasons, disturbing the tooth and subjecting it to more treatment could cause a weak tooth to crack/fracture or need root canal treatment. If the silver filling is small or moderate-sized it is usual not a problem replacing it.

First Visit for Restoring with Resin or Porcelain Inlays or Onlays:

  1. 1. The old filling is removed along with any additional decay.
  2. 2. An impression is made of your teeth. A model of your teeth is made and sent to the lab.
  3. 3. A temporary inlay or onlay is placed on the tooth.

At the Lab: A resin is carefully placed into the model of your teeth. It is then designed to look natural.

Your Second Appointment:

  1. 1. The temporary onlay is removed.
  2. 2. A conditioning gel is placed on your tooth to prepare it for the new onlay.
  3. 3. Bonding cement is placed on the tooth and a high-intensity light bonds the resin to the tooth.
  4. 4. The tooth is then polished.