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Fillings

Fillings are necessary to seal cavities in teeth. If left alone, bacteria in the mouth react with food to release acids that attack tooth enamel causing tooth decay, a disease visible as an unattractive black cavity in the tooth. If left untreated, this disease can spread and destroy the whole tooth.

 

We will advise you on the treatment alternatives, and together we will decide on the most appropriate treatment and convenient schedule. If necessary, we will remove your old amalgam fillings. The mercury that has accumulated in the body over the years due to the presence of amalgam fillings can be removed using homeopathic medicines.

 

Ceramic

All-porcelain can be used to fill most sizes of cavity. Porcelain fillings are often referred to as inlays. What this means is that rather than being shaped in the tooth itself, your porcelain fillings will be created in our dental laboratory and then adhered to your tooth. To ensure a perfect fit, a precise impression of the cleaned tooth is taken and used as a mould to prepare your individual inlay. With their perfect color match and natural look, porcelain inlays can deceive the untrained eye, appearing indistinguishable from natural teeth. In our clinic we have had continued success with all-porcelain treatments. Stability and accurate fit make porcelain inlays a good long term choice.

 

Our Recommendation

 

The use of the new generation all-porcelain is relatively new; therefore insufficient time has passed for conclusive results regarding its value in today’s dentistry. Currently however, porcelain inlays are considered an excellent alternative, particularly when there is a small fracture in the tooth and a long term result is required. Because of its durability, its excellent resistance to wear and its superior color match, we highly recommend all-porcelain inlays to patients seeking both functional and esthetic excellence. All-porcelain is well-tolerated, with only rare occurrences of an allergic response. At our practice we specialize in premium quality and durable all- porcelain restorations.

before Amalgam, after Ceramic

Gold

Gold inlays are suitable for practically all sizes of cavity. To ensure a perfect fit, the tooth is first cleaned, a precise impression of the tooth is taken and the inlay is prepared in the laboratory. Only a high gold content gold-platinum alloy is used; we do not use lower level gold alloys at our practice. Gold has excellent biocompatibility, is resistant to a very high degree of chewing pressure and is extremely durable.

 

At our practice we use Digital X-ray Technology that produces better results and reduces the radiation exposure by up to 10% of the radiation dosage in conventional film-based x-ray.

 

Gold is corrosion resistant and stable. Due to the quality of the alloy, gold inlays are an excellent choice for long lasting fillings. Some patients, however, find the color of gold inlays a bit bright and conspicuous.

 

Our Recommendation

 

Its durability and biocompatibility make gold a long lasting alternative for filling cavities. Due to the conspicuous color of gold we recommend this choice for teeth that are not in view.

Composites

Composite fillings belong to the group of restorative alternatives that very closely match the color of regular teeth. Composite fillings are often difficult to detect, even by dentists. They are most suitable for small to average sized cavities. Composite is less stable than other alternatives, it withstands high chewing pressure only to a certain level. To provide extra durability, the composite is formed of separate single layers. Each layer is allowed to harden before the next layer is added. This procedure also helps to prevent shrinkage or splitting which allows bacteria into the cavity, causing further decay that goes unnoticed underneath the filling. Although allergic responses to certain elements of the material have been reported, the materials used in our practice have been entirely successful and have never produced any allergic reactions among our patients, although allergic responses to certain elements of the material have been reported. The skilful placement of composite fillings using multilayer technology produces fillings that can last for many years.

 

Our Recommendation

 

Composite fillings can closely match the color of natural teeth. We recommend composite when you are looking for a reasonably priced restoration alternative.

Amalgam

Amalgam can be used for almost all sizes of filling. Amalgam has been the most common type of filling for many years because it easy to manipulate and able to withstand high chewing pressure. However, amalgam fillings become darker over time and look unsightly in the mouth. They become brittle and must be replaced. If a weak point in an amalgam filling is not noticed in time, there is a danger of the tooth developing a fissure where caries-producing bacteria can multiply. Despite considerable investigation into the effects of the mercury content in amalgam on the body, there is still no conclusive evidence of any harmful effects. A level of uncertainty and unease remains however, fueled by conflicting reports in the media.

 

Our Recommendation

 

In the interests of our patients’ health we do not recommend this type of filling at our practice.

Cement

Glass-ionomer cement, a glass powder and acid mixture, is not used as a restorative material. We use this cement exclusively as a temporary solution, until the patient makes a final decision between gold and porcelain.

Glass-ionomer cement has excellent durability. Over time it releases fluoride ions that contribute to the control of caries on the affected tooth. It has only limited durability.

 

Our Recommendation

 

Even when you have already decided on a high quality treatment but are still undecided whether you want gold or all-porcelain, you can opt for a temporary cement filling until you make your final choice.