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What are Dental Fillings Made Of?

different types of fillings composite, silver, gold

Are you due for a dental filling? Whether it’s for a molar, premolar or any other tooth needing treatment, many of us have experienced the process at some point. But do you know what your dentist is putting inside your mouth when they give you fillings? As more and more advancements are made in dentistry every day, there’s lots to learn and discover about how different materials make up these types of treatments. Taking care of our teeth is an essential part of keeping healthy – let’s take a look into exactly what dental fillings are made out of to find out why!

Overview of the Different Types of Dental Fillings Available

A dental filling is a common restorative dentistry procedure used by a dentist to repair, restore and strengthen a tooth that has been damaged by decay or injury. There are various different materials that can be used for dental fillings. The type of filling used depends on the location and extent of the damage, as well as individual patient preferences. The different types of dental fillings include:

  • Amalgam
  • Ceramic
  • Composite Resin
  • Glass Ionomer
  • Gold

Amalgam Fillings

An amalgam filling, also known as a silver filling, is a type of dental filling used to repair decayed or damaged teeth. Amalgam fillings are made of a mixture of metals, including silver, copper, tin, and mercury.

The process of placing an amalgam filling usually requires only one appointment. After numbing the tooth with a local anesthetic, the dentist removes any decayed or damaged tooth structure and prepares the area for the filling. The amalgam material is then mixed and packed into the prepared cavity, where it hardens and sets. Finally, the filling is shaped and polished to match the natural contour of the tooth.

One of the main advantages of amalgam fillings is their durability. They can last for many years, even in areas of the mouth that experience high chewing forces. They are also less expensive than some other types of dental fillings, making them a cost-effective option for many patients.

However, amalgam fillings also have some disadvantages. They have a silver color, which can be visible when placed in visible areas of the mouth, and may not be as aesthetically pleasing as other types of fillings. They may also expand and contract with temperature changes in the mouth, potentially causing the filling to crack or the tooth to fracture. Finally, the use of mercury in amalgam fillings has raised some concerns about potential health risks, although the American Dental Association maintains that the use of dental amalgam is safe for most people.

Composite Resin Fillings

A composite filling, also known as a tooth-colored filling or a resin filling, is a type of dental filling used to repair decayed, damaged, or discolored teeth. Unlike traditional amalgam fillings, which are made of a mixture of metals, composite fillings are made of a mixture of tooth-colored plastic and glass materials.

Composite fillings are usually placed in one appointment. After numbing the tooth with a local anesthetic, the dentist removes any decayed or damaged tooth structure and applies the composite resin material to the tooth in layers. Each layer is hardened with a special light, and then the filling is shaped and polished to match the natural contour of the tooth.

One of the main advantages of composite fillings is their natural appearance. They can be matched to the color of the surrounding teeth, making them virtually invisible. Composite fillings are also less likely to expand or contract with temperature changes in the mouth, reducing the risk of tooth fractures or sensitivity. Additionally, composite fillings require less removal of healthy tooth structure compared to amalgam fillings.

However, composite fillings also have some disadvantages. They may not be as durable as amalgam fillings, especially in areas of the mouth that experience high chewing forces. They may also take longer to place, as the process of layering and hardening the filling material can be time-consuming. Finally, composite fillings may be more expensive than amalgam fillings, although their aesthetic benefits may make them worth the investment for some patients.

Ceramic Fillings

dental inlay

A ceramic filling, also known as a porcelain filling or an all-ceramic filling, is a type of dental filling used to repair decayed or damaged teeth. Ceramic fillings are made of a material called dental porcelain, which is a type of ceramic material that is designed to closely mimic the natural appearance of teeth.

The process of placing a ceramic filling usually requires two appointments. During the first appointment, the dentist will remove any decayed or damaged tooth structure and take an impression of the prepared tooth. This impression will be sent to a dental laboratory, where a custom ceramic filling will be fabricated to fit the tooth precisely. In the meantime, a temporary filling may be placed to protect the tooth.

At the second appointment, the temporary filling is removed and the custom ceramic filling is placed in the prepared tooth. The filling is bonded to the tooth with a special adhesive, which helps to strengthen the tooth and prevent further decay or damage.

One of the main advantages of ceramic fillings is their natural appearance. They can be color-matched to the surrounding teeth, making them virtually indistinguishable from natural teeth. Ceramic fillings are also very durable and resistant to wear, and they do not expand or contract with temperature changes in the mouth.

However, ceramic fillings also have some disadvantages. They can be more expensive than other types of fillings, as the fabrication process requires the use of specialized equipment and materials. Additionally, ceramic fillings may not be as strong as some other types of fillings and may not be suitable for areas of the mouth that experience high chewing forces.

Glass Ionomer Fillings

A glass ionomer filling is a type of dental filling used to repair decayed or damaged teeth. Glass ionomer fillings are made of a mixture of glass and an organic acid, and they are typically used for fillings in areas of the mouth that are not subject to high chewing forces, such as in between teeth or on the roots of teeth.

The process of placing a glass ionomer filling is similar to that of other types of fillings. After numbing the tooth with a local anesthetic, the dentist removes any decayed or damaged tooth structure and prepares the area for the filling. The glass ionomer material is then mixed and packed into the prepared cavity, where it hardens and sets. Finally, the filling is shaped and polished to match the natural contour of the tooth.

One of the main advantages of glass ionomer fillings is that they can release fluoride over time, which can help to prevent further decay and strengthen the tooth. They are also typically used in areas of the mouth that are not subject to high chewing forces, which can make them a good option for small or shallow cavities.

However, glass ionomer fillings also have some disadvantages. They are not as durable as other types of fillings and may need to be replaced more frequently. They can also be more prone to wear and fracture than some other types of fillings, and they may not be suitable for larger or deeper cavities.

Gold Fillings

A gold filling, also known as a gold inlay or onlay, is a type of dental filling used to repair decayed or damaged teeth. Gold fillings are made of a mixture of gold and other metals, such as silver, copper, or platinum, and they are typically used for fillings in areas of the mouth that are subject to high chewing forces, such as molars.

The process of placing a gold filling usually requires two appointments. During the first appointment, the dentist removes any decayed or damaged tooth structure and takes an impression of the prepared tooth. This impression is sent to a dental laboratory, where a custom gold filling is fabricated to fit the tooth precisely. In the meantime, a temporary filling may be placed to protect the tooth.

At the second appointment, the temporary filling is removed and the custom gold filling is placed in the prepared tooth. The filling is bonded to the tooth with a special adhesive, which helps to strengthen the tooth and prevent further decay or damage.

One of the main advantages of gold fillings is their durability. Gold is a very strong and long-lasting material, and gold fillings can last for many years or even decades with proper care. Gold fillings are also very biocompatible, meaning they are unlikely to cause allergic reactions or other types of negative reactions in the body.

However, gold fillings also have some disadvantages. They can be more expensive than other types of fillings, as the fabrication process requires the use of specialized equipment and materials. Additionally, gold fillings are not tooth-colored, which can make them more visible in the mouth and less aesthetically pleasing.

Dental Fillings Used by Cosmetic Dentists

Cosmetic dentists may use a variety of different types of fillings depending on the individual needs of their patients.  For example, some dentists may choose to use tooth-colored composite fillings for anterior teeth in order to achieve a more aesthetically pleasing result. Other dentists may choose to use porcelain or ceramic inlays and onlays to restore decayed or damaged molars, as these materials are strong and can help to provide long-term protection against further decay or damage.

No matter what type of filling is used, it is important that the material chosen is biocompatible and able to bond securely to the existing tooth structure. Additionally, it is important that the filling matches the natural color of the tooth as closely as possible in order to create an aesthetically pleasing result.

By taking the time to discuss all of a patient’s treatment options and choosing the right type of filling, cosmetic dentists can help to ensure that their patients achieve beautiful, long-lasting results.  With proper care and regular checkups, dental fillings can help to restore teeth damaged by decay or injury for many years to come.  This can help to improve a patient’s oral health and self-confidence with a beautiful, healthy smile.

In Conclusion

In conclusion, there are several different types of dental fillings available, and the type that is best for you will depend on the extent and location of your decay or damage. Your dentist can help to assess your individual needs and recommend the most appropriate type of filling material for you. With proper care and regular checkups, your chosen filling can help to restore your teeth and provide long-term protection against further decay or damage. With the right combination of materials, your dentist can help to create a beautiful, aesthetically pleasing result that will last for many years to come.

Dr.-Roman-Fedorciw
Dr. Roman Fedorciw has been in private practice in Cromwell since 1991. He is a member of the Academy of General Dentistry, American Academy of Cosmetic Dentistry and the American Dental Association. He is also a member of the Connecticut Dental Association and Middlesex County Dental Association. Dr. Fedorciw has been acknowledged by his peers as one of the “Top Dentists” in Hartford County by Hartford Magazine and in the state of Connecticut by Connecticut Magazine.
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