Oral health is fundamental to overall well-being, and one of the common yet crucial aspects of dental care is tooth fillings.
Understanding tooth fillings is essential for individuals seeking to preserve their teeth and effectively address decay, fractures, or minor damages.
This article will deal extensively with tooth fillings, exploring the various types available and the factors influencing their selection.
What are tooth fillings?
Tooth fillings are dental restorations designed to repair and restore teeth affected by decay, fractures, or other minor damage. They are crucial in preventing further deterioration and maintaining the tooth’s structural integrity.
Temporary tooth fillings
Temporary tooth fillings are provisional solutions often employed when a more permanent restoration is not immediately possible.
They are typically used in cases where multiple appointments are needed for a comprehensive treatment plan. Temporary fillings protect the tooth from additional damage and maintain its functionality until a permanent filling or restoration can be applied.
Permanent tooth fillings
Permanent tooth fillings are long-term solutions to restore teeth after removing decayed or damaged portions. These fillings can be made from various materials, including amalgam (metal), composite resin (tooth-coloured), gold, or porcelain.
The choice of material depends on factors such as the location of the filling, cosmetic considerations, and individual preferences.
Permanent fillings provide lasting support and resilience, ensuring the tooth’s continued function and appearance. However, regular dental checkups are essential to monitor the condition of permanent fillings and promptly address any potential issues.
Who needs dental fillings?
These are commonly recommended for individuals who have dental cavities or teeth with minor damage. The most common reasons why someone might need dental fillings include:
Dental cavities
The primary reason for getting a filling is to treat cavities caused by tooth decay. This occurs when bacteria build up on teeth. The bacteria will eventually create acids that will erode the enamel and dentin. Dental fillings restore the tooth’s structure by filling the areas where decayed material has been.
Fractured or chipped teeth
Teeth can become fractured or chipped due to trauma, accidents, or biting on hard foods or objects. Fillings are used to repair these minor damages and restore the tooth’s shape and function. It prevents further damage and potential sensitivity.
Worn teeth
Over time, teeth may wear down due to teeth grinding (bruxism) or a misaligned bite. Fillings can be used to build up and restore worn surfaces, improving function and appearance.
People with cosmetic concerns
In some cases, individuals might opt for fillings for purely aesthetic reasons. For example, they might want to fill gaps between teeth or improve the appearance of discoloured or misshapen teeth.
However, it’s important to note that not everyone needs fillings. It depends on the individual’s specific situation and the severity of the issue. Here are some factors that influence who needs a filling:
Tooth sensitivity
Sometimes, tooth sensitivity may indicate enamel erosion or minor tooth damage. Dental fillings can be employed to address the underlying issues causing sensitivity.
However, before deciding that you need a dental filling, it is essential to consult a trained dentist who can assess and identify your situation and recommend the appropriate treatment method.
Tooth filling material
Choosing the suitable material for tooth filling is essential, as each has advantages and disadvantages. Here’s a breakdown of four standard options:
Gold fillings
Advantages: Quite well known for its durability and biocompatibility, gold fillings have a long lifespan of 15-30 years. In addition, they are corrosion-resistant and biocompatible, and they don’t expand or contract with temperature.
Disadvantages: The main disadvantage of gold fillings is that the price is relatively high. Sometimes, multiple visits are required for a successful filling, and their noticeable appearance may deter some patients.
Porcelain fillings
Advantages: As the white colour of the material matches the teeth, porcelain fillings are aesthetically pleasing. However, it is less durable than other materials.
Disadvantages: Susceptible to fractures, potential wear on opposing teeth, requires the removal of more tooth structure for placement. Higher cost than amalgam and composite resin fillings.
Silver amalgam fillings
Advantages: Affordability, strength, and durability make silver amalgam a common choice.
Disadvantages: Visible silver appearance, potential tooth sensitivity, and concerns regarding the mercury content, although in a stable form. Silver amalgam fillings may expand and contract with temperature changes, potentially causing cracks.
Composite resin fillings
Advantages: Blend seamlessly with natural teeth, strong bonding, and versatile applications.
Disadvantages: Prone to staining, less durability compared to specific materials, and may require more frequent replacements.
Tooth filling procedure
Here are the following steps by which the dentist can fill your tooth.
Examination and diagnosis
This is the first and foremost step in tooth filling. The dentist begins by examining your teeth visually and using dental instruments to assess the condition of your teeth. X-rays may be taken for a more detailed view, especially if there are signs of decay between the teeth or below the gumline.
Anaesthesia
In most cases, local anaesthesia is administered to numb the region around the affected tooth. This helps ensure you remain comfortable and pain-free during the procedure.
Decay removal
A dental drill or laser is utilised to remove the affected (decayed) portion of the tooth. The removal is crucial to prevent the spread of decay and prepare the tooth for restoration.
Tooth preparation
In this step, the dentist shapes the cavity, creating a space to accommodate the filling material. The goal is to remove all decay and provide a clean, stable foundation for the filling.
Filling material selection
The dentist discusses filling material options with you. Amalgam (metal), composite resin (tooth-coloured), porcelain, and other materials may be considered. Factors such as location, aesthetics, and budget influence the choice.
Filling placement
The selected filling material is placed into the prepared cavity. The material is applied in layers for tooth-coloured composite fillings, and each layer is cured using a special light to harden it. This layering process ensures a strong bond and helps shape the filling to match the natural contours of the tooth.
Shaping and polishing
Once the filling material is in place and cured, the dentist shapes it to ensure it blends seamlessly with the natural tooth structure. The filling is then polished to create a smooth surface, making it comfortable and resistant to plaque buildup.
Bite check
The dentist gently guides your jaw through various movements, observing how the filling interacts with your opposing teeth. This ensures a harmonious bite, preventing future problems with chewing or jaw pain. He will also make fine adjustments to ensure proper alignment, preventing issues such as uneven wear on the restored tooth.
Post-filling instructions
The dentist provides you with post-filling care instructions. These may include recommendations on diet, oral hygiene practices, and any precautions needed to protect the newly filled tooth. Follow-up appointments are necessary to monitor your healing process.
Dos and don’ts after tooth filling
The following are some precautionary measures to consider after getting a tooth filling:
Dos after tooth filling
- Follow dentist’s instructions: After a dental filling, your dentist provides specific instructions for caring for your teeth. This may include instructions on oral hygiene, dietary restrictions, and any prescribed medications. Make sure that you adhere to them for a smooth recovery.
- Practise good oral hygiene: You can continue your regular oral hygiene routine after the filling. However, make sure to be gentle around the treated area while you are brushing. Brush your teeth at least twice a day with a soft-bristled toothbrush, and floss carefully to avoid putting excessive pressure on the filled tooth.
- Be mindful of sensitivity: It’s normal to experience some sensitivity to hot, cold, or sweet stimuli after a filling. This sensitivity usually subsides over time. If it persists or worsens, inform your dentist during follow-up visits.
- Take pain medication as directed: Follow the instructions if your dentist recommends or prescribes pain medication. Over-the-counter pain relievers such as ibuprofen or acetaminophen may also be used as directed.
Don’ts after tooth filling
- Avoid hot and cold foods: Sensitivity to extreme temperatures is common after dental fillings. So make sure you avoid very hot or cold foods and drinks to prevent discomfort. Gradually reintroduce these items as your sensitivity diminishes.
- Limit chewing on the filled tooth: Give the filling adequate time to set and bond with your tooth structure. Avoid chewing directly on the filled tooth, especially if it’s an extensive restoration. This precaution helps prevent premature wear or damage to the filling.
- Don’t skip follow-up appointments: Attend any scheduled follow-up appointments with your dentist. It will help your dentist to assess the healing process, address concerns, and make necessary adjustments.
- Avoid tobacco and excessive alcohol: Excessive alcohol consumption and tobacco use may interfere with the healing process and increase the risk of complications. Minimising or eliminating these habits is advisable, particularly during the initial recovery period.
- Don’t ignore signs of complications: Pay attention to any unusual symptoms, such as any signs of infection, severe pain or swelling and pus or discharge. If you experience any of these issues, contact your dentist promptly for further evaluation and treatment.
Tooth filling price in Malaysia
The price of dental treatment in Malaysia varies depending on several factors, such as:
- Filling material used
- Complexity of the procedure
- Expertise of the dentist
- Additional procedures included
- Location of the tooth
- Location of the dental clinic, etc.
Consult us at mydentist® to get a dental evaluation and pricing for your case.
Where to get tooth fillings in Malaysia?
In Malaysia, numerous hospitals and private practitioners offer tooth filling services. mydentist® is one known provider of quality dental care in Malaysia. The dental professionals at mydentist® come with years of expertise to carry out the tooth filling procedure thoroughly and effectively. Additionally, we leverage various modern tools and techniques to restore tooth decay while ensuring the patient’s comfort effectively.
FAQ on dental filling: Answers to your inquiries
Does tooth filling hurt?
Generally, the procedure should not be painful, thanks to local anaesthesia. You might experience mild discomfort or sensitivity after the numbing wears off, which is usually temporary and manageable with over-the-counter pain medication.
Can I eat after filling?
Yes, you can eat after a filling. However, wait a few hours for the anaesthesia to wear off completely. Stick to soft and lukewarm foods initially to avoid irritating the new filling. In addition, avoid hard, chewy, or sticky foods that could dislodge the filling.
How long does one tooth filling last?
The lifespan of a tooth filling varies depending on the material used. On average, fillers can last anywhere from 5 to 15 years with proper oral care.
Type of fillingLasting duration
| Silver amalgam | 10-15 years |
| Composite resin | 5-7 years |
| Gold fillings | 15-30 years |
Regular dental checkups can help track the condition of your fillings and identify any need for replacement.
Which is more painful, tooth extraction or filling?
A tooth filling is less painful than extraction, as it preserves the natural tooth structure. In extraction, the entire tooth is removed, causing more discomfort.
Why do I still feel tooth pain after filling?
Post-filling discomfort may occur for various reasons, such as bite issues, lingering sensitivity, or further adjustment. The following are some reasons for pain after a tooth filling.
| Procedure | Extend of discomfort |
| High filling | The filling might be slightly higher than your bite, putting pressure on the tooth. |
| Infection | If the cavity was deep before the filling, underlying inflammation could persist. |
| Allergic reaction | Rarely, some people may experience allergic reactions to filling materials. |
Will I still have tooth sensitivity after filling?
Mild sensitivity after a filling is common, especially for cold or hot foods. This usually subsides within a few days. If the sensitivity persists or is severe, consult your dentist.
Which type of tooth filling is the best?
The ‘best’ filling depends on durability, aesthetics, and cost.
- Durability: Gold is the most durable, followed by amalgam and composite resin.
- Cost: Amalgam is the most affordable, followed by composite resin and gold.
- Aesthetics: Composite resin blends best with natural tooth colour, while gold is visible.
- Biocompatibility: Amalgam contains mercury, raising concerns for some. Composite resin is considered biocompatible.
As such, the ‘best’ for someone else may not suit you or your preferences. Speak to your dentist for the filling best suited to your needs.
Can I leave a cavity untreated?
Leaving a cavity untreated can result in further decay and complications. Timely intervention is crucial to prevent worsening dental issues. Some of the complications which will occur if left untreated include
- Increased tooth decay and pain: The cavity will worsen, potentially reaching the tooth’s nerve. This will cause unbearable pain.
- Infection: The infection can spread to nearby regions such as tissues and bone, potentially requiring more extensive treatment.
- Tooth loss: Cavities, if untreated, can eventually lead to tooth loss
What are the risks of filling a cavity?
While tooth filling is a routine procedure, potential risks include infection, allergic reactions, or complications. Some of the risks include
- Allergic reactions: While uncommon, some people can have allergic reactions to specific filling materials. If you have any known allergies, discuss them with your dentist beforehand.
- Infection: Thankfully, the risk of infection is minimal thanks to rigorous sterilisation techniques used in dental practices. However, maintaining good oral hygiene after filling is crucial to minimise potential issues.
- Chipped or fractured tooth: If your tooth is already weak, adding a filling might increase the risk of future chipping or fracturing. Your dentist will assess your tooth beforehand and discuss alternative options if necessary.
- Discomfort or sensitivity: Don’t worry; temporary sensitivity after a filling is normal. It usually subsides within a few days, but consult your dentist if it persists or worsens.
How should I care for my teeth after filling?
Maintaining good oral hygiene, avoiding excessive pressure on filled teeth, and attending regular dental checkups are essential for post-filling care.
When should dental fillings be replaced?
While dental fillings offer a valuable solution for restoring tooth structure compromised by decay, their longevity is not indefinite. Determining the appropriate time for replacement requires careful evaluation and consideration of several factors.
- Observable wear and tear: Direct signs of deterioration, such as chipping, cracking, or complete wear, readily indicate the need for replacement. Just as worn tyres compromise vehicle safety, compromised fillings present risks to the underlying tooth structure.
- Secondary decay: Sometimes, decay can progress undetected beneath an existing filling, manifesting as sensitivity or discolouration. Regular dental examinations are crucial for identifying and addressing such hidden threats before they escalate.
- Bite incongruity: Changes in bite patterns stemming from jaw growth, grinding, or other factors can render existing fillings ill-fitting. This mismatch can exert undue pressure on the tooth, potentially leading to chipping or discomfort. Dental professionals can assess bite compatibility and recommend adjustments or replacements as necessary.
- Preventive maintenance: Even without symptoms, routine dental checkups are vital. Utilising diagnostic tools like X-rays, dentists can uncover incipient issues with fillings, enabling timely intervention and preventing more extensive complications.
Conclusion
To summarise, a thorough grasp of the fundamentals of tooth fillings is essential for maintaining peak oral health.
These fillings are pivotal in rehabilitating teeth affected by decay, fractures, or other minor damages. The selection of filling material—be it gold, porcelain, silver amalgam, or composite resin—is contingent upon various factors, including location, aesthetic considerations, and individual preferences.
Consistent dental checkups and timely intervention in addressing dental issues form the bedrock of thwarting the advancement of decay and averting the necessity for extensive dental procedures.
