Dental Filling and Restorations

The most common treatment in dentistry is dental filling. Dental filling is a treatment method used to repair teeth that have lost their integrity due to caries or trauma. There are many materials and methods used for dental filling. Mainly used materials are composites, amalgam, porcelain, glass ionomer and compomers.

TYPES OF DENTAL FILLINGS

Composite filling: Composite fillings are tooth-colored fillings and are the most preferred materials due to their cost and ease of application. Advanced composites have no known side effects and have no harmful effects on general health. The average life of composite fillings is 4-7 years.

Amalgam fillings: amalgam fillings or metal fillings are obtained from a combination of mercury, copper, lead and other metals, amalgams contain approximately 50% mercury in their structure. Metal fillings have a history of 100 years in dentistry. Perhaps the most durable type of filling is amalgam, which can stay in the mouth for 10 years and protect against tooth decay. However, amalgams have many disadvantages and have negative effects on general health. Its use is not recommended today.

Porcelain fillings: The preferred material in large cavities is porcelain. After the caries is cleaned, an impression is taken from the tooth and porcelain fillings are produced in the laboratory and then adhered to the tooth with special adhesives. Porcelain fillings are resistant to breakage and are the best option for repairing teeth in cases of major tissue loss. 

HOW DENTAL FILLING IS DONE?

First the dentist applies a numbing gel to the gums. Then after injecting  local anesthesia, the decayed tissues in the tooth are cleaned with the help of special burs and made ready for filling. After this stage, two methods are used, direct and indirect method.

The direct method is preferred for teeth that do not have excessive material loss. After the caries cavity is disinfected, it is filled using composite materials, hardened using blue light, and finalized with burs and polished. Composite dental filling takes about 30 minutes. This type of filling is made in several layers. Especially in teeth with deep caries cavities, each layer must be done carefully and completely in order to protect the pulp, which is, the nerve of the tooth, and to prevent the formation of caries again in the future.

The indirect method is generally preferred in teeth with high substance loss. Carious tissues are removed and the cavity is prepared. At this stage, if seemed necessary by the dentist, root canal treatment is applied to the tooth. Then the impression is taken from the teeth and sent to the laboratory. After the impression, the tooth is closed with a temporary filling. The preparation of the filling in the laboratory takes an average of 24 hours. When the filling production is completed, the temporary filling is removed from the tooth and the compatibility of the filling with the tooth is checked and after the necessary adjustments, the filling is adhered to the tooth.

You can make an appointment to have a dental filling in ankara by calling 0850  346 75 99.

AESTHETIC FILLING

The front teeth can also be exposed to caries like the back teeth, or they can break as a result of impact or trauma. The biggest challenge faced when filling anterior teeth is aesthetic concern. The fillings made on the anterior teeth must be 100% compatible with the natural color and texture of the teeth, and in order to achieve this harmony, it is necessary to use the right material and the right technique. In some cases, it is necessary to use 3 or 4 different composite fillings to achieve color harmony.

What are Tooth Filling Techniques?

Tooth filling methods can be divided into two as Direct and Indirect methods. In both methods, cavities in the tooth are cleaned, unsupported and weak dental tissues that may break in the future are removed and the tooth is disinfected. Until this stage, the same procedures are applied in both methods, but after this stage, different processes are applied according to the method to be selected. In the direct method, after the cavity preparation phase, the filling is completed in the same session. However, the direct method may not always yield successful results in teeth with major material loss, such as those with root canal treatment. In such cases, after the cavity preparation stage, an impression is taken from the tooth and the filling is made out of the mouth by digital or conventional methods and adhered to the tooth with special adhesives.

Is Tooth Filling Done During Pregnancy?

When tooth decay is detected or old fillings are broken or deformed, it is necessary to make a new filling without losing time. Caries that are not treated in time can cause severe pain, infection and abscess in the tooth. Tooth filling can be done when necessary during pregnancy. Pregnancy is not an obstacle for dental treatment. In risky pregnancies, dental filling can be done safely by taking the opinion of the medical doctor before the dental filling, and choosing the appropriate anesthetic agents. Amalgam fillings are not suitable during pregnancy.

Can Tooth Filling Be Done While Breastfeeding?


The biggest concern of breastfeeding mothers is that the drugs used pass into the milk and these drugs harm the baby. The anesthetic drugs used for dental filling can pass into the milk, but these drugs do not harm the baby, and the filling materials used do not cause any release and do not pass into the milk. However, amalgam fillings should be avoided during breastfeeding. Mercury and other heavy metals found in amalgam fillings can pass into milk and harm the baby. If there is an amalgam filling in the tooth and it needs to be removed, it must be removed in accordance with the Smart Protocol.

What is SMART Protocol?

Mercury and other heavy metals in the content of amalgam fillings are released in very small amounts while they are in the mouth, but when we try to remove amalgam fillings from the tooth, this release reaches levels that endanger health. The purpose of the SMART protocol is to protect the patient from harmful metals and other chemicals released during the removal of amalgam fillings. In the SMART protocol, the patient is prevented from swallowing and breathing amalgam powders and mercury vapors by using Rubber Dam and nasal cannula and similar equipment. However, no method can 100% prevent the inhalation of the mercury vapor released, so amalgam fillings should not be removed unless necessary. If they need to be removed, the SMART protocol should be followed, especially in pregnant and lactating mothers with health problems.

How much is the dental filling fee?

The price of a dental filling varies depending on many factors. The size of the filling is one-sided, two-sided, and 3-sided, the material to be used, for example, composite filling is more affordable, while porcelain fillings are more expensive.

You can contact us by calling 0850 346 7599, or send message on WhatsApp 0312 466 75 99 to get information about the fee schedule and dental filling prices applied in Denttera Oral and Dental Health Polyclinic in Ankara Mustafa Kemal District.