Dental Filling or Tooth Filling is a treatment modality to restore missing tooth structure which could have been a result of decay or trauma. Decay makes tooth hollow. Dental Filling or teeth filling helps to fill this gap and protect it from further decay. A filling is also used to repair broken or cracked tooth and the teeth which wear off due to dental habits like teeth grinding, nail biting etc.
TYPES OF DENTAL FILLINGS / TEETH FILLINGS
The longevity of Dental Filling depends upon the material of the filling. It also depends on how well you take care of your filling. The life of Dental Filling varies from 10 years to 20 years.
Yes, but the chances are rare.
Visit your dentist as soon as your Dental Filling comes out.
If you have sensitivity even after getting the filling done, then it is likely that your filling is about to come off. Or if you feel pressure while eating or have a constant toothache then the chances of it coming off is high.
There are various signs and symptoms where fillings can be required. The symptoms could be as below:
There are various signs and symptoms where fillings can be required. The symptoms could be as below:
If you come across any of the symptoms as mentioned above, then there is a chance that you need a filling. The final decision will be of your dentist after a thorough oral examination.
Dental Restoration Methods
Inlays, onlays and overlays are used to restore cavities that are too large and cannot be repaired through simple esthetic fillings, but can be resolved without placing a dental crown. The necessary preparation is somewhere between the two, so when the size of the cavity permits it, we will choose the more conservative solution, in order to preserve as much natural tooth structure as possible.
Inlay, Onlay and Overlay
When choosing one over the other, the state of the remaining tooth walls is very important. Indirect fillings will only be applied when we have:
Inlays are inserted on the chewing surface of the tooth; they are always surrounded by healthy tissue. The inlay usually restores cavities that are formed in the central pits and ridges of the tooth. Inlays are usually needed when the cavity inside the tooth is too large and too deep.
Onlays are larger than inlays, they will also cover one or more of the cusps. This type of indirect filling is required when the preparation extended to the pointed parts of the tooth (the cusps). This happens sometimes when tooth decay has left the tooth with not enough supporting tissue to sustain the direct bite load.
Overlays or crowns are similar to onlays but they cover an even larger area of the biting surface. Sometimes these are called “partial crowns” or “table-tops” because of their shape, but they aren’t necessarily always the same. The main principle is that they will spread the pressure from the bite uniformly, so the possibility of fracture is significantly reduced.
Pulpcapping
Pulp Capping is an operative technique designed to preserve the vitality of a potentially infected pulp.Pulp capping offers an alternative to root canal treatments .If the pulp becomes infected and the tooth dies, a root canal will be needed to save it from a tooth extraction. But if the tooth's nerve is still alive, pulp capping can be used to restrict the tooth decay from infiltrating the pulp chamber. Sometimes pulp capping is used as a preventive measure to keep a large tooth filling from getting too close to the nerve.
There are two broad types of pulp capping:
Direct Pulp Capping :The exposed pulp is directly covered. This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. If the pulp becomes exposed while removing soft infected dentine, the chances are that the pulp will be infected also, and a direct pulp cap will fail (that is, an irreversible pulpitis will develop). Although Calcium Hydoxide has been proven successful for many years, MTA (Mineral Trioxide Aggregate) is fast becoming the material of choice for direct pulp caps. MTA is however very expensive.
Indirect Pulp Capping :The exposed pulp is directly covered. This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. The pulp is not exposed - a layer of infected dentine is deliberately left, rather than expose the pulp. Indirect pulp caps, when done correctly, are more succesful at maintaining long-term vitality than direct ones.
There are several reasons why you should go for pulp capping :
Pulpotomy
A healthy tooth has a space inside it called the "pulp space" which is filled with soft tissues - nerves, blood vessels and pink connective tissue. If a tooth gets a large cavity, the bacteria in the decay can damage the pulp, which is often what causes toothache. Pulpotomy refers to coronal removal of the vital pulp tissue. In a tooth there is the crown part and the root part. In the crown part there is coronal pulp and in root there ia root pulp. Some times the cavity is deep but the pulp is not infected or there is pin point exposure but infection is not there. In such cases it is recommended to remove the coronal pulp and save the root pulp. In this way the vitality of the tooth is maintained.
The objective is to remove the inflamed part of the pulp which is followed by the application of calcium hydroxide to the remaining pulp tissue
Direct Pulp Capping :The exposed pulp is directly covered. This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. If the pulp becomes exposed while removing soft infected dentine, the chances are that the pulp will be infected also, and a direct pulp cap will fail (that is, an irreversible pulpitis will develop). Although Calcium Hydoxide has been proven successful for many years, MTA (Mineral Trioxide Aggregate) is fast becoming the material of choice for direct pulp caps. MTA is however very expensive.
Indirect Pulp Capping :The exposed pulp is directly covered. This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. The pulp is not exposed - a layer of infected dentine is deliberately left, rather than expose the pulp. Indirect pulp caps, when done correctly, are more succesful at maintaining long-term vitality than direct ones.
There are several reasons why you should go for pulp capping :
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Here is a look at halitosis, nine other common dental problems, and treatment options for each one.
Dental problems can affect your self-confidence, general health, and quality of life. Reach out to us at Aries Oro-Facial Dental Clinic whenever you notice signs of any of above mentioned common dental problems and treatment can begin as soon as possible.
Contact us, as well, for regular dental care to keep common dental problems at bay. Our dental professionals can assist with all aspects of your dental health.