Dental Filling Options From a Restorative Dentist

Dental fillings are a common and reliable way to restore teeth damaged by decay. A restorative dentist offers several filling options, each suited to different patient needs and preferences. There are tooth-colored fillings that look natural in the smile, as well as metal fillings that offer a more visible yet durable restoration. Learning about the different options helps patients choose the dental filling that best suits their oral health and goals.

What are dental fillings?

Dental fillings are materials used to fill areas of a tooth affected by decay or minor damage, such as cracks or chips. A restorative dentist (a type of general dentist) uses them to restore teeth to their natural shape and function, preserving smile health. Fillings also act as a barrier to keep bacteria from further compromising the tooth.

Are fillings different from dental bonding?

Fillings and dental bonding are similar but not the same. Dental bonding refers to composite resin material used for aesthetic concerns, such as reshaping uneven edges, closing small gaps, or fixing enamel chips that do not threaten the health of the tooth. On the other hand, fillings are meant to repair damage or decay (cavities) and restore tooth integrity. Another difference is that fillings are not always made of composite resin; they can also be made of silver.

Types of dental fillings from a restorative dentist

Choosing the right dental filling depends on factors such as the location of the damage, the desired appearance, and personal preferences. A restorative or general dentist can provide guidance based on the specific needs of each tooth. That said, there are only two main filling options:

Tooth-colored fillings

Tooth-colored fillings, made from composite resin, are a versatile option that combines durability with an aesthetically pleasing appearance. The material closely mimics the natural color and texture of teeth. Therefore, they are a preferred choice for repairing front teeth or other highly visible areas of the mouth. A restorative dentist will color-match these fillings to the rest of the tooth and the neighboring teeth.

The application process for composite fillings preserves as much natural tooth structure as possible. After removing the decayed portion of the tooth, the restorative dentist prepares the cavity and applies the resin in layers. They harden each layer with a curing light, allowing for precise shaping and polishing to restore the tooth's original contour. This layered approach also creates a strong, durable bond between the filling and the tooth.

Silver fillings

Silver amalgam fillings are known for their durability, which makes them the go-to option for treating cavities in molars and other heavily used teeth. Silver amalgam fillings contain a mixture of metals, including silver, tin, and mercury, to help them withstand the pressures of chewing and grinding over many years. This strength makes them an excellent choice for back teeth, where appearance is less of a concern and durability is prioritized.

The placement process for amalgam fillings involves removing the decayed portion of the tooth and shaping the cavity to hold the material securely. Once applied, the filling hardens quickly.