Dental fillings fall under the category of restorative services. Dental fillings (restorations) are used to restore teeth with small cracks and/or chips, tooth decay of damaged surfaces of teeth. The dental materials used include composite, porcelain and amalgam (silver). In our office, composite restorations are preferred by our patients.
After the dentist had identified the number and location of the tooth surfaces affected by the decay, chip or damage, the tooth is isolated to prevent contamination with moisture which interferes with the bonding process. He/she then removes the decay from the tooth and prepares necessary surroundings areas to receive the restoration. Conditioners and adhesives are used to promote adhesion of the restoration to the tooth surfaces. Once in place the composite material is hardened with a special bonding light. The completed restoration is both functional and looks more natural than the traditional silver restorations.
Composite vs. Amalgam
In addition to being more esthetically pleasing and natural looking, composite restorations have the advantage of not containing mercury or other metals associated with amalgam. Although research has shown no adverse effects form mercury being a component of amalgam restorations, this remains a controversial subject. Some patients do report sensitivity and metallic taste in their mouths after amalgam restorations are places.
Tooth preparation
Both composite and amalgam restorations require preparation of the tooth into sound healthy tooth structure. However, composite usually requires less removal of healthy tooth structure than amalgam. This reduction in tooth removal may potentially reduce the likelihood of fractures when compared to amalgam restorations. Composite restorations are more time and technique demanding than amalgam. Additional equipment is also required during the procedure and as a result, composite restorations understandable cost more. Drs. Carrington and Henry each have over twenty (20) years of experience working with a variety of composite materials.
Durability
Historically, composites were not as durable as amalgam restorations. They wore away more rapidly from the abrasive effects of chewing. Dental research and development has improved the strength of composites materials which allows their use in all teeth.
Insurance and fillings
Many dental benefit plans do not cover composite restorations. A provision is made by covering to cost of an amalgam restoration (based on their allowed fee) and then the subscriber (you) will have to pay the difference. Call our office (916) 393-1363 / (916) 774-1113 or contact us for an appointment and estimate of cost.