Fillings

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

 


A

Air abrasion - is a drill-less technique that is being used by some dentists to remove tooth decay and for other applications
Amalgam - Material made from mercury and other alloy mixtures used to restore a drilled portion of a tooth. 
Anesthesia - Medications used to relieve pain.
Anterior teeth - Front teeth. Also called incisors and cuspids.
Arch - The upper or lower jaw.

B
Baby bottle tooth decay - Caused by sugary substances in breast milk and some juices, which combine with saliva to form pools inside the baby's mouth.
Bicuspids -Back teeth used for chewing.
Bitewings - X-rays that help a dentist diagnose cavities.
Bonding - Application of tooth-colored resin materials to the surface of the teeth.
Bridge - A fixed or removable appliance that replaces lost teeth.
Bruxism - Teeth grinding.

C
CAD/CAM dentistry, (Computer-Aided Design and Computer-Aided Manufacturing in dentistry), is an area of dentistry utilizing CAD/CAM technologies to produce different types of dental restorations, including crowns, crownlays, veneers,  inlays and onlays, fixed bridges, dental implant restorations and orthodontic appliances.
Calculus (tartar)-  Calculus is hardened plaque (a sticky substance) that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments.
Canal - The narrow chamber inside the tooth's root.
Canines - Also called cuspids.
Canker sore - One that occurs on the delicate tissues inside your mouth. A canker sore is usually light-colored at its base and can have a red exterior border. 
Caries - Another term for decay, which causes cavities.
Cold sore - Usually occurs on the outside of the mouth, usually on or near the nose or lips. A cold sore is contagious because it is caused by the herpes simplex virus, and it is usually painful and filled with fluid. 
Composite filling - Tooth colored restorations, also known as resin fillings. 
Composite resin - A tooth colored resin combined with silica or porcelain and used as a restoration material.
Contouring - The process of reshaping teeth.
Crown - An artificial cover that is placed on the top of a tooth following restoration.
Cusps - The pointed parts on top of the back teeth's chewing surface.
Cuspids - Front teeth that typically have a protruding edge.

D
Dentin - The tooth layer underneath the enamel.
Denture - A removable set of teeth.

E
Endodontics - A form of dentistry that addresses problems affecting the tooth's root or nerve.

F
Fluoride - A naturally occurring substance added to water, toothpastes and some rinses and used for strengthening the tooth's enamel.
Fluorosis - A harmless over-exposure to fluoride and resulting sometimes in tooth discoloration.

G
Gingiva - Another word for gum tissue.
Gingivitis - A minor disease of the gums caused by plaque.
Gum disease - An infection of the gum tissues. Also called periodontal disease.

I
Impacted teeth - A condition in which a tooth fails to erupt or only partially erupts.
Implant - A permanent appliance used to replace a missing tooth.
Incisor - Front teeth with cutting edges; located in the center or on the sides near the front.
Inlay - An indirect artificial filling made of various materials, including porcelain, resin, or gold.  fitted to a cavity in a tooth and cemented into place.
Intracoronal - situated or made within the crown of a tooth

L
Laminate veneer - A shell that is bonded to the enamel of a front tooth. The shell is usually thin and made from porcelain resin.

M
Malocclusion - Bad bite relationship
Mandible - The lower jaw
Maxilla - The upper jaw
Molar - Usually the largest teeth, near the rear of the mouth. Molars have large chewing surfaces

N
Nightguard - Night mouth guards are bite pads that are worn at night as you sleep. There are also used as mouth guards for day use. These guards are made of high-grade plastic and are custom fit to the mouth. This device keeps the upper teeth from grinding with the lower teeth, offering an instant solution to teeth clenching problems.
Neuromuscular Dentistry - Are more than the aches and pains felt in and around the neck and head that are associated with your teeth and jaw.

O
Onlay - An indirect artificial filling made of various materials, including porcelain, resin, or gold;  fitted to a cavity in a tooth and cemented into place. It is designed to protect the chewing surface of a tooth by extending to replace a cusp.
Orthodontics - A field of dentistry that deals with tooth and jaw alignment.
Overdenture - A non-fixed dental appliance applied to a small number of natural teeth or implants.

P
Palate - Roof of the mouth.
Partial denture - A removable appliance that replaces teeth. Also called a bridge. 
Pedodontics - A field of dentistry that deals with children's teeth.
Perio pocket - An opening formed by receding gums.
Periodontal disease - Infection of the gum tissues. Also called gum disease.
Periodontist - A dentist who treats diseases of the gums.
Permanent teeth - The teeth that erupt after primary teeth. Also called adult teeth.
Plaque -Plaque is a sticky, colorless, almost invisible film or substance that forms on the teeth after sleep or periods between brushing. It is a growing colony of living bacteria, food debris, and saliva. 
Posterior teeth - The bicuspids and molars. Also called the back teeth.
Primary teeth - A person's first set of teeth. Also called baby teeth or temporary teeth.
Prophylaxis - The act of cleaning the teeth.
Prosthodontics - The field of dentistry that deals with artificial dental appliances.
Pulp - The inner tissues of the tooth containing blood, nerves and connective tissue.

R
Radiographs - Diagnostic X-rays essential for detection of decay, tumors, cysts, and bone loss.  X-rays also help determine tooth and root positions.
Receding gum - A condition in which the gums separate from the tooth, allowing bacteria and other substances to attack the tooth's enamel and surrounding bone.
Resin filling - An artificial filling used to restore teeth. Also called a composite filling.
Root canal - A procedure in which a tooth's nerve is removed and an inner canal cleansed and later filled.
Root planing - Scraping or cleansing of teeth to remove heavy buildup of tartar below the gum line.

S
Sealant - A synthetic material placed on the tooth's surface that protects the enamel and chewing surfaces.

T
Tartar - A hardened substance (also called calculus) that sticks to the tooth's surface.
Tooth decay –   Tooth decay occurs when the acids found in plaque erode the natural enamel found on the teeth.  This phenomenon can easily be prevented by using proper home hygiene methods. Tooth decay is one of the leading causes of tooth loss, and its treatment often requires complex dental procedures.Teeth polishing: Removal of  stain and plaque that is not otherwise removed during tooth brushing and scaling.
TMD - Temporomandibular joint disorder. Health problems related to the jaw joint just in front of the ear.

V
Veneer - A laminate applied or bonded to the tooth.

W
Whitening - A process that employs special bleaching agents for restoring the color of teeth.
Wisdom tooth - Third set of molars that erupt last in adolescence.
 

Cavity.If you have never had a cavity, congratulations! If you have had one, you are not alone. About 78% of us have had at least one cavity by the time we reach age 17, according to a 2000 report by the U.S. Surgeon General. Fortunately there's a time-tested treatment for cavities: the dental filling.

Fillings do just what the name implies — seal a small hole in your tooth, i.e., a cavity, caused by decay. This prevents the decay (a bacteria-induced infection) from spreading further into your tooth and, if untreated, continue on to the sensitive inner pulp (nerve) tissue located in the root canal. Should that happen, you would need root canal treatment.

There are a variety of materials used to fill teeth these days, but the process of filling a tooth is similar regardless. The first step is a clinical exam of the tooth with x-rays, to determine the extent of the decay. Then the decayed area of the tooth is removed, usually with a handheld instrument such as a dental drill. Of course, your tooth will be anesthetized first, so you won't feel any discomfort. If you normally feel nervous about receiving numbing injections, it's possible that taking an anti-anxiety medication or using nitrous oxide can help you feel more relaxed. After removing the decay, the remaining tooth structure is roughened or “etched” with a mildly acidic solution; then translucent cement is applied to bond the tooth and the filling material together.

Types of Fillings

There are two broad categories of dental fillings: metal fillings and tooth-colored fillings. Each may offer particular advantages and disadvantages in certain situations.

Metal Fillings

Metal Filling.

Metal Fillings.Amalgam — The classic “silver” filling in use for more than a century, dental amalgam is actually an alloy made up of mercury, silver, tin, and copper. The mercury combines with the other metals in the amalgam to make it stable and safe. These fillings are strong and inexpensive, but also quite noticeable. They also require relatively more tooth preparation (drilling) than other types.

Cast Gold — Among the most expensive restorative dental materials, cast gold combines gold with other metals for a very strong, long-lasting filling. It is also highly noticeable, which can be considered a plus or minus.

Tooth-Colored Fillings

Tooth-Colored Filling.

Tooth-Colored Fillings.Composite — A popular choice for those who don't want their fillings to show, composite is a mixture of plastic and glass, which actually bonds to the rest of the tooth. Composites are more expensive than amalgam fillings, and the newer materials can hold up almost as long. Less drilling of the tooth is necessary when placing composite as compared to amalgam.

Porcelain — These high-tech dental ceramics are strong, lifelike, and don't stain as composites can. They are sometimes more expensive than composites because they may require the use of a dental laboratory or specialized computer-generated technology. While considered the most aesthetic filling, they can also, because of their relatively high glass content, be brittle.

Glass Ionomer — Made of acrylic and glass powders, these inexpensive, translucent fillings have the advantages of blending in pretty well with natural tooth color and releasing small amounts of fluoride to help prevent decay. They generally don't last as long as other restorative materials.

Watch Tooth-Colored Fillings Video

What to Expect After Getting a Filling

The numbness caused by your local anesthesia should wear off within a couple of hours. Until then, it's best to avoid drinking hot or cold liquids, and eating on the side of your mouth with the new filling. Some sensitivity to hot and cold is normal in the first couple of weeks after getting a tooth filled. If it persists beyond that, or you have any actual pain when biting, it could signal that an adjustment to your filling needs to be made. Continue to brush and floss as normal every day, and visit the dental office at least twice per year for your regular checkups and cleanings. And remember, tooth decay is a very preventable disease; with good oral hygiene and professional care, you can make your most recent cavity your last!

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Tooth-Colored Fillings - Dear Doctor Magazine

The Natural Beauty of Tooth-Colored Fillings The public's demand for aesthetic tooth-colored (metal free) restorations (fillings) together with the dental profession's desire to preserve as much natural tooth structure as possible, has led to the development of special “adhesive” tooth-colored restorations... Read Article

Tooth Decay - Dear Doctor Magazine

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