Posts Tagged ‘amalgam fillings’

Dental Fillings

Dental Fillings – A Complete Overview

Many Americans will need to get a dental filling at some point in their life. Dental fillings are one of the most common procedures performed by dentists, but many people have questions about them. There are more and more options that you can choose from when getting a dental filling besides the traditional silver or amalgam fillings.  If you are experiencing sharp pain when biting down, or a throbbing in your jaw that just won’t go away you may need to see a dentist get a cavity filled. There are a number of options and techniques that you can choose from. Let’s start by exploring the two major choices you make when getting a dental filling: amalgam versus composite fillings.

What is a dental filling?

When a cavity has progressed past the tooth enamel, and thus cannot be repaired by a fluoride treatment, a filling is required. Fillings can be made from a variety of materials, but their purpose is to close the tooth and prevent any more bacteria from entering the next layer of the tooth. The first step is to prepare the tooth for the placement of the restorative material. The tooth is prepared by cutting away a portion of the tooth that is infected to make space for the restorative materials. Any dental decay is removed and the tooth is thoroughly cleaned. Portions of the tooth that is structurally unsound are also removed. If the restorative materials cannot be added to the tooth immediately sometimes a temporary restoration is placed.  After the tooth has been prepared, the restorative material is placed. The materials used can vary widely depending on location, availability, patient preferences, and cost. The two most common types of filling materials are amalgam and composite fillings. Each has its own benefits and drawbacks. Let’s take a deeper look at each of these filling types.

What are amalgam fillings?

Amalgam fillings are often known as “silver fillings.” These are made out of a mixture of metals, that is why they are called an amalgam. They are often composed of a mixture of mercury, silver, tin, and copper. The mercury is rendered inert by the other metals and despite making up 50% of the filling, is a safe and stable compound. This filling is very strong and durable, making it perfect for long term use. This kind of filling has the longest history of being successfully used, with the earliest amalgam fillings being first used in the 19th century. Unlike composite fillings, amalgam fillings can discolor the tooth as light cannot pass through the tooth as it naturally does. Some people also may have some sensitivity to the metals that are used in the amalgam.

What are composite fillings?

Composite fillings are a newer kind of filling that is made from a resin that is composed of ceramic and plastic compounds. This makes them easily matched to the natural tooth color of the surrounding tooth. This makes them a great option for fillings in teeth that are exposed when you smile, like your front teeth. They are often known as “white fillings” or “tooth-colored fillings”. These filings are nearly invisible. They easily adhere to the tooth and actually bond to the surface of the tooth. They also preserve the maximum amount of the tooth compared to amalgam fillings. They are easily shaped with your tooth so less of the tooth is needed to be removed to place them. It is important to note that the procedure to get a composite filling can take a little longer than getting an amalgam filling. Because white fillings don’t contain mercury, there are no health risks associated with using white fillings. And some people even experience less post-treatment discomfort and sensitivity from composite fillings.

What does dental bonding involve?

Getting a dental composite sometimes is called dental bonding. Generally, this can be done in a single visit to the dentist. The resin is bonded and shaped to the tooth after being placed, hardened and polished. This kind of composite is ideal for small cosmetic dental work. When compared to other kinds of tooth repair, such as crowns or veneers, fillings will require the least amount of enamel to be removed Generally, the process begins with a gentle phosphoric acid being applied to the tooth. This allows for a surface for the resin to be applied and bonded to. The resin is putty-like. It is shaped and sculpted onto the tooth surface.  Then, a special light is used to harden the resin and set it in place. It is then polished and buffed for a smooth finish. The entire process takes just about 30 minutes to an hour. Often anesthesia is not needed unless the bonding is used to fill a decayed tooth. 

How long do composite fillings last?

Fillings do have a finite lifespan before they begin to fail and must be replaced. It is important to see a dentist as soon as you notice that your filling has failed. This allows them to replace it as soon as possible and preserve the health of your teeth.  White composite fillings are good for seven to ten years in most healthy patients. But, there are always advancements in the material field for tooth fillings. This data may not be reflective of current materials, as the data is based on older types of dental fillings.  Newer materials may even be as durable as amalgam fillings. Amalgam fillings are slightly stronger and durable, lasting for potentially up to 12 years if they are taken care of properly.

Are white fillings strong?

White composite fillings may have a reputation of being much weaker than amalgam fillings, but this is quickly changing. The new developments in the materials used in composite fillings have made them much stronger than in the past. Many more people are choosing to use a composite filling over an amalgam filling than in the past. 

What is the best material for dental fillings?

The best material depends on you, the patient, and your oral health needs. When working with your dentist to address tooth decay, be sure to consider at least the following:
  • Aesthetics, how you want your teeth to look
  • Cost, insurance may be able to help
  • Any health concerns
Composite fillings are the most attractive option when it comes to dental fillings, but they can be more expensive than traditional amalgam fillings. They are also not as durable. 

How much do dental fillings cost?

The cost of a dental composite filling can range between $300 to $600 per tooth. Most dental plans will cover the cost of the procedure and most will cover the cost of bonding. The insurance companies will often cover the filling when it is done for reasons to preserve the tooth’s structure or to fill a cavity. The procedure of getting a dental composite often will take just a single visit to the dentist.  Amalgam fillings are much cheaper, with the average cost running between $50 to $150 for a single amalgam filling. This price may vary depending on your location, the dentist, what insurance covers, and many other factors. 

FAQ

Here are some commonly asked questions that many patients ask. 

Are dental fillings painful?

During the filling procedure, you are not likely to feel any pain. Fillings are not used in parts of the tooth that have nerves, so you shouldn’t feel any pain, just like you feel no pain when getting a hair cut. 

Are tooth fillings good?

Tooth fillings are a good option to stop tooth decay once it has penetrated the enamel. However, they cannot replace good dental hygiene. Even after getting the filling continue brushing at least twice a day and flossing at least once a day.

Can I fill a cavity at home?

No, cavities should be filled by a dental professional. Sealing the tooth without the cleaning and preparation just traps the infection in the tooth.

How bad is getting a filling?

The process of getting a feeling is easy and often fairly comfortable. The procedure is painless and will often do a lot to eliminate the pain from tooth decay.

How long do dental fillings Last?

Dental fillings can last between eight to twelve years depending on the materials used. Consult with your dentist to see how long the materials they offer will last.

Quality Dental Work in Rancho Cucamonga, CA

Golden Smiles Dental in Rancho Cucamonga, CA can do all the necessary dental work to determine the option that’s right for you. Golden Smiles Dental proudly serves the Rancho Cucamonga area with a full range of Dental & Implant services. Give us a call at (909) 481-8990 to schedule an appointment.
Composite Fillings

What you should know about Composite Fillings

When it comes to fillings, you have to basic options: amalgam fillings or composite fillings. Amalgam fillings are made from a mixture of metals, and composite fillings are made from ceramic and plastic compounds. Each comes with its own benefits and drawbacks. 

What are amalgam fillings?

Amalgam fillings are what are commonly known as “silver fillings”. These filings are made out of a mixture of mercury, silver, tin, and copper. The mercury that binds the metals together makes up around 50% off the filling. This combination makes them strong and durable. The mercury, when combined with other metals, is a safe and stable compound. This kind of filling has a long track record and has been around since the late 19th century. However, unlike composite fillings, they are very noticeable and can discolor teeth as light cannot pass through the tooth naturally. Some people can be sensitive to the metals that are used in the amalgam.

What are composite fillings?

Composite fillings are a resin made from ceramic and plastic compounds. Because of this, they can be matched to the natural color of your tooth and the filings can blend into your smile. These are often known as “white fillings” or “tooth-colored fillings”.  These filings have the great advantage of being nearly invisible. They are also very easy to adhere to the tooth, as they bond to the surface of the tooth. Best of all, they preserve the maximum amount of tooth. Because the resin is easily shaped to match your teeth, this means that less drilling is required.  It is important to note that the procedure to get a composite filling may take a little longer than amalgam fillings. Additionally, because white fillings don’t contain mercury so there are no health risks associated with the use of white fillings. Some people even experience less post-treatment discomfort and sensitivity from composite fillings.

How long do composite fillings last?

Despite the immense advancements in dental technology over the past few years, fillings do have a finite period of use after which they start to fail. This means it is important to see a dentist as soon as the dental filling begins to fail.  Luckily, white composite fillings are good for seven to ten years in healthy patients. However, this data is based on older types of dental fillings and significant advancements in filling manufacturing have increased this number.  Newer studies have found that white composite fillings are beginning to reach the same amount of durability as amalgam fillings. They can potentially last for up to 12 years if taken care of properly.

Are white fillings strong?

While white composite fillings have a reputation of being weaker than amalgam fillings, new developments in the materials that are used have made them much stronger than in the past. This means that more people are choosing white fillings over amalgam fillings in order to preserve their natural smile.

How much does dental composite cost?

On average, the cost for a composite filling ranges between $300 to $600 per tooth, however, most dental plans cover the cost of the procedure and most of the cost of bonding. Insurance companies will often cover the filling when it is done for structural reasons or to fill a cavity.  Getting a dental composite often requires a single visit to the dentist. Sometimes this procedure is called dental bonding, as the resin is bonded to the tooth after being sculpted, shaped, hardened and polished. This kind of composite is ideal for small cosmetic dental work, or for smaller cavities.

What does dental bonding involve?

The procedure generally begins with a gentle phosphoric acid being applied to the tooth. This is painless and provides a surface for the composite to be bonded to. The putty-like resin is then placed on the tooth surface, shaped and sculpted.  Finally, a special light is used to harden the resin and set it. Then it is polished and buffed for a smooth finish. The entire process takes around 30 to 60 minutes per tooth. Anesthesia is often unnecessary unless the bonding is used to fill a decayed tooth. Compared to other forms of tooth repair, like crowns or veneers, composite fillings require the least amount of enamel to be removed. If you think dental composite fillings are for you, and you live in the Rancho Cucamonga, CA area, give Golden Smiles Dental a call for your consultation at  (909) 481-8990. Our expert team will be more than happy to answer your questions.

Why should I get a composite filling instead of an amalgam filling?

When you need to get a cavity filled, your doctor may present you with a number of options. It can be confusing and intimidating to have to choose between the two or more different types of fillings that can be used. In this article we will discuss two of the most common types of fillings, a composite filling and an amalgam filling.

What is the difference between the two?

An amalgam is a kind of filling material that has been used for more than 150 years. It is a mixture of metals: liquid mercury, and a powdered allow composted of silver, tin, and copper. The mercury is used to bind together the other metals to form the amalgam. About fifty percent of the amalgam is mercury by weight. A composite filling is a resin made from plastic and glass. The resin is tooth-colored and is used to help restore small to medium sized cavities or decay in teeth. The fillings are able to withstand the pressure and constant stress of chewing. They can be used on the front or back teeth, and, for people who prefer their fillings to look more natural, they are an excellent choice.

How are the fillings applied?

For the amalgam, the dentist will mix the powdered alloy with the liquid mercury to form the amalgam putty, after the tooth has been drilled to remove any decay. The softened putty is then placed and shaped in the cavity to where it rapidly hardens to form a filling. A composite filling is placed after drilling the decayed part of the tooth, then thoroughly cleaning the tooth, before finally drying the area to be filled. The composite is then placed in successive layers and hardened using a special light. The process continues in this way until the cavity is filled. Finally, the composite is polished to help prevent staining and early wear. The composite will then bond with the remaining structure of the tooth. This helps to prevent further breaking, and to also insulate the teeth from excessive temperature changes. Because composites preserve your natural smile, they have a clear advantage over amalgam fillings. The process can often be done in a single visit. Your dentist can even match the shade of your natural tooth by blending the composites. If the patient fears excessive staining, then a  clear plastic coating can be applied. Composites do tend to wear out sooner in large cavities, but they hold up just as well in small cavities. The amalgam does offer a strong and long-lasting filling that is less likely to break, and is also the least expensive type of filling material. But, it does carry with it some risks: The elemental mercury present in over 50% of the amalgam filling may release low levels of mercury vapor that can be inhaled. Mercury can accumulate in the body, causing damage to the brain and kidneys. According to the FDA website: “High levels of mercury vapor exposure are associated with adverse effects in the brain and the kidneys”. Dental amalgam fillings are generally considered safe for adults and children older than 6, as the amount of mercury vapor accumulated is not enough to damage vital organs. There are some disadvantages to composite fillings. They tend to cost more and may not be covered by all insurances, so be sure to check with your provider. However, as composites improve, more insurance companies may  increase their coverage of composites.

What makes composite fillings a better choice

Your smile is your signature, and many people want to preserve the signature they were born with, or have spent hundreds of dollars on perfecting. Don’t let a single cavity undo all that work! Composite fillings offer two big advantages over amalgam fillings: you get to retain your natural smile, and they do not contain any elemental mercury. Composite fillings are a fantastic choice for keeping your smile looking natural and healthy. While the mercury present in amalgam fillings might not be harmful, you may still be allergic to any of the other metals present in the filling. Also, the effects of the mercury vapor on fetus development and children breastfeeding has not been adequately researched for there to be enough data to make an informed recommendation.

The secret best option

Even those of us who keep up with their regular oral hygiene routine may develop a cavity. That is why it is important to maintain a regular oral health routine to help ensure your teeth remain strong and healthy throughout your lifetime. Here are some of the best practices to maintain your oral health:
  • Brush twice a day, or more if eating sweet or sticky foods.
  • Brush with short, even strokes, being sure to reach every tooth surface. Don’t push hard when brushing, your teeth don’t need to be handled roughly.
  • Use a fluoridated toothpaste to help rebuild your tooth enamel. Check the label before purchasing a toothpaste to make sure that it is fluoridated. Fluoride helps rebuild the enamel of your teeth, repairing small cracks and decay!
  • Floss at least once a day to help remove plaque build up from between the teeth.
  • Avoid damaging foods, like sugary drinks, or hard candy.
  • Avoid habits that help destroy your teeth, like smoking.
  • Visit the dentist regularly for cleanings and checkups at least once every six months.
Follow these simple rules and you can be sure to preserve your smile for your entire life. Always be sure to consult your dentist when you are unsure about what steps to take to improve your oral health. Even if you have not taken care of your oral health in the past, each day you do adds up overtime. Oral health is a long-term project. When considering what type of filling to get from your dentist, consider the information presented in this article and talk with your dentist. They may have a recommendation that can make the decision making process easier.