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Dental Fillings

When it comes to restoring teeth affected by decay, dental fillings are one of the most common and effective solutions. At Herndon Dental Design, our experienced team is dedicated to providing top-notch care using state-of-the-art technology and advanced techniques. In this comprehensive guide, we'll explore the history, types, placement process, and aftercare tips for dental fillings.

Understanding Dental Fillings

Dental fillings are restorative treatments used to repair minor to moderate tooth damage caused by decay or trauma. They help restore the tooth's natural shape, function, and appearance while preventing further damage and infection. Fillings can be made from various materials, each with its unique advantages.

The History of Dental Fillings

Dental fillings have been around for thousands of years, with evidence dating back to ancient times. The earliest known dental filling was discovered in a 6500-year-old human skull found in Pakistan, featuring a tooth filled with beeswax. Throughout history, various materials have been used for fillings, including metal, wood, and even ivory.

In the 19th century, dental amalgam – a mixture of mercury, silver, tin, and copper – became popular due to its durability and affordability. However, as dentistry advanced in the late 20th century, tooth-colored fillings made from composite resins gained popularity for their aesthetic appeal and improved performance.

Types of Dental Fillings

Today, dental fillings come in various materials, each with its unique benefits. Our team at Herndon Dental Design will help you determine the best filling material based on your specific needs, preferences, and the extent of tooth damage.

1. Composite Resin (Tooth-colored) Fillings

Composite resin fillings are made from a mixture of plastic and glass particles, creating a natural-looking restoration that blends seamlessly with your teeth. They are versatile, durable, and can be used to repair minor to moderate tooth damage. Composite fillings bond directly to the tooth structure, providing added strength and support.

2. Dental Amalgam (Silver) Fillings

Dental amalgam fillings have been used for over a century due to their durability, affordability, and ease of placement. Made from a mixture of metals, including mercury, silver, tin, and copper, amalgam fillings are strong and long-lasting. However, they do not match the color of natural teeth and may require more tooth preparation for placement.

3. Glass Ionomer Fillings

Glass ionomer fillings are made from a combination of glass powder and acrylic acid, creating a restoration that releases fluoride to help prevent decay. These fillings are often used in children's teeth or as temporary restorations due to their lower durability compared to other materials.

4. Ceramic (Porcelain) Fillings

Ceramic fillings, also known as inlays or onlays, are custom-made restorations crafted from high-quality porcelain. They offer excellent aesthetics, strength, and durability, making them an ideal choice for restoring significant tooth damage. Ceramic fillings require two appointments: one for preparation and impression-taking, and another for placement.

5. Gold Fillings

Gold fillings are made from a mixture of gold and other metals, creating a strong, durable, and biocompatible restoration. Although more expensive than other filling materials, gold fillings can last for decades with proper care. However, they do not match the color of natural teeth and may require more tooth preparation for placement.

Placing Dental Fillings: What to Expect

At Herndon Dental Design, we prioritize patient comfort and communication throughout your dental treatment. Here's what you can expect when receiving a dental filling:

1. Initial Examination and Diagnosis

During your initial appointment, our skilled dentist will examine your teeth, take X-rays if necessary, and determine the extent of tooth damage. We'll discuss your treatment options, including the best filling material for your needs.

2. Tooth Preparation

Before placing a filling, we'll numb the area around the affected tooth using local anesthesia. Once you're comfortable, our dentist will remove the decayed or damaged tooth structure using a dental drill, air abrasion, or laser technology. The remaining tooth will be shaped to accommodate the new filling.

3. Filling Placement

The type of filling material determines how it's placed. For composite resin fillings, our dentist will apply a bonding agent to the prepared tooth surface before placing the composite material in layers. Each layer is cured with a special light to harden it in place.

For amalgam or ceramic fillings, the process may differ slightly. Our dentist will ensure that your new filling fits perfectly, is well-adhered to the tooth structure, and has a smooth, polished surface.

4. Bite Adjustment and Final Checks

After placing the filling, our dentist will check your bite to ensure it feels comfortable and natural. Any necessary adjustments will be made at this time. We'll also examine the filling's appearance and function to make sure you're satisfied with the result.

Caring for Your Dental Fillings

Maintaining good oral hygiene is essential for prolonging the life of your dental fillings and preventing further tooth decay. Here are some tips for caring for your new restoration:

1. Maintain Excellent Oral Hygiene

Brush your teeth at least twice a day with fluoride toothpaste, paying close attention to the areas around your fillings. Floss daily to remove plaque and food debris from between your teeth and along the gumline.

2. Attend Regular Dental Check-ups

Visit our office every six months for professional cleanings and examinations. During these appointments, we'll assess the condition of your fillings and address any concerns or issues promptly.

3. Avoid Hard and Sticky Foods

Be mindful of what you eat, especially immediately after receiving a new filling. Avoid chewing on hard objects, such as ice or non-food items, and steer clear of sticky candies that could dislodge your filling.

4. Monitor Your Fillings for Changes

Keep an eye on your fillings for any signs of wear, damage, or changes in appearance. If you notice anything unusual, contact our office right away so we can address the issue promptly and prevent further complications.

Conclusion

Dental fillings are a vital component of modern dentistry, helping to restore teeth affected by decay and maintain optimal oral health. At Herndon Dental Design, we're committed to providing personalized care using advanced techniques and high-quality materials. By understanding the history, types, placement process, and aftercare tips for dental fillings, you can make informed decisions about your dental health and enjoy a confident, healthy smile for years to come.

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Frequently Asked Questions

Are my teeth just sensitive, or do I have a cavity?

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If the pleasure of eating a delicious bowl of ice cream or sipping a soothing cup of tea gets overshadowed by dental pain that makes you wince; it's time to contact our office. As skilled providers of care, we'll determine what's causing your discomfort and perform the treatment required to alleviate your symptoms and get you back on the road to oral health.

What causes a cavity to develop?

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Cavities develop because of an infectious process that causes progressive damage to tooth structure. Despite starting as a pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay progressively compromises more and more healthy tooth structure as it works its way to the inner layers of your tooth.

Can I still get a cavity if my tooth already has a filling?

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Yes, you can still develop tooth decay on other surfaces of the tooth, around the margins of an old filling, or in fewer instances, recurrent decay underneath it. For this reason, it's essential to maintain excellent oral hygiene, a diet low in sugary beverages and sweets, and be sure to visit our office for routine checkups and care. While tooth decay is second only to the common cold in frequency, it's almost entirely preventable.

Is it possible to have more than one filling done at the same visit?

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We value the time and comfort of our patients. If cavities are located on adjacent teeth, or in the same section of your smile, it may be possible to treat more than one tooth during your visit. However, how much is done each visit depends on several factors. We keep our patients well informed and tailor every treatment plan and visit to address their unique needs.

Are silver amalgam fillings safe?

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Addressing concerns on the presence of elemental mercury in silver fillings, the American Dental Association (ADA), The Center for Disease Control and Prevention (CDC), the FDA, and the World Health Organization have all stated that amalgam restorations do not pose a risk to health. However, individuals with allergies or sensitivities to the metals in dental amalgam are advised to pursue other restorative options.

Does it hurt to get a filling?

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Dental fillings are performed under local anesthesia to help ensure your comfort throughout the entire procedure. The involved tooth remains completely numb for the extent of your visit. Within one or two hours after the procedure is completed, the local anesthetic will gradually wear off, and normal sensations return.

When can I eat after my visit?

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A tooth-colored composite filling is fully hardened and set by the end of your visit. However, we may advise you to wait a couple of hours until the local anesthesia has completely worn off. This advice is to help ensure you don't accidentally bite your lip, cheek, or tongue while still numb.

How long do dental fillings last?

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The lifetime of a dental filling varies depending on the type of material used. While popular dental materials can last a decade or more with proper care, they can degrade over time, wear down, or even break. When this happens, you may experience some tooth sensitivity, a jagged edge, or a loose or dislodged piece of filling material. Whatever the case may be, it's essential to get the filling replaced before the tooth sustains further damage or other consequences arise. Beyond taking good care of your smile to help ensure the longevity of your fillings, our office regularly checks the status of your existing fillings as part of a routine checkup exam.

How much do fillings cost?

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Dental fillings are an essential investment that serves to preserve and protect the health of your smile. With that said, how much a filling costs depends on the number of surfaces of the tooth involved and the filling material that is used. Amalgam restorations are the most economical. While tooth-colored composite fillings have a slightly higher cost, they offer the added benefits of being metal-free and much more aesthetically pleasing. Ceramic fillings, inlays, and onlays are more expensive than the preceding options but provide outstanding, long-lasting, and natural-looking results.

Does dental insurance cover the cost of getting a filling?

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Dental insurances typically cover the cost of dental fillings. While we work with you to maximize your insurance benefits, there may still be an out-of-pocket expense. At the office of Herndon Dental Design, we strive to help you begin care without any additional financial stress or delay.

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