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Composite fillings Amalgam fillings

Composite Filling, Composite Resin (Plastic)
Bangkok, Thailand

3M l Kerr

Composite fillings are the newest type of filling in common usage. They are commonly known as white fillings. They are a porcelain/plastic hybrid that is bonded directly to the cavity preparation. Composite fillings were created as an alternative to traditional metal dental fillings. They are colored to look like natural teeth and are more esthetically pleasing than amalgam or gold fillings. They are also strong, durable, and make for a very natural looking smile.

From a cost standpoint, this tooth colored restoration is closest to silver amalgam, but composite resin restorations must be places nearly perfectly to provide adequate service. They can compete with silver amalgam in small to moderate size tooth defects. Many new materials now make these restorations much better than in the past. These are the most common restorations for front teeth.

Your dentist will give you a local anesthetic to numb the area before preparing an access to the decayed area of the tooth and removing the decayed portions. Traditional drills, micro air abrasion or even with a dental laser can be used to accomplish this.

A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This creates a stronger bond between the tooth and the filling. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid.

With a composite filling, your dentist will be able to preserve more of the natural tooth as the composite resin can be bonded to the tooth in thin layers and slowly built up to form a complete filling. A bright dental light will harden each layer before the next is applied.

If the decayed area of your tooth is close to a nerve, a special liner can be used to protect the nerve. A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This creates a stronger bond between the tooth and the filling. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid. This layer is then hardened by the bright light in the same way as the composite layers.

Once your filling is completed, your dentist will use a special articulating paper, to adjust the height of your dental filling and to ensure that your bite remains correct. Your tooth is then polished.

If such a filling is not going to be enough to protect your damaged tooth, or if your tooth enamel is thin and will easily fracture, or if your tooth has had a root canal that weakened your tooth condition, your tooth may require additional protection such as a crown.

It is important to discuss this procedure with our dentist as there are several personal and medical factors to take into consideration. You may also have the option of dental bridges or dental implants.

ADVANTAGES & DISADVANTAGE OF COMPOSITE FILLING

Advantages :
  • Composite Filling is much cheaper than crowns or veneers and research indicates that it is completely effective in more than 90% of people.
  • The composite bonds to further support the remaining tooth structure helping to prevent breakage and damage to your tooth.
  • They look more natural as they are color blended to match your natural tooth color. These fillings are often used to improve the appearance of misshapen, chipped or discolored teeth.
  • Composite fillings last from six to twelve years or more.
  • The procedure usually takes just one visit to your dentist.
  • There is very little sensitivity to hot or cold items, often experienced with amalgam fillings.
  • The dentist won't need to drill as much of the tooth structure as the composite is applied in layers.
  • These restorations are tooth-colored and nonmetallic. When places over etched enamel, they will bond the remaining tooth structure back together.
Disadvantages :
  • Composite resin fillings require more time to apply than amalgam fillings.
  • As a result of the time required there is an increased cost for placing composite fillings.
  • These restorations must be placed perfectly for optimal service. All materials in this category wear more under biting loads than do metal restorations. However, when appearance is a primary factor, they should be used.


RISK

A small percentage of teeth into which this material has been placed is sensitive to temperature or pressure after the placement. This sensitivity usually goes away, but a few teeth require endodontic (root canal) therapy because of continued sensitivity. Composite resin wears faster than metals; this characteristic can cause the need for replacement sooner than metals.

ALTERNATIVES

Where appearance is not a factor, silver amalgam is the most used alternative, but gold inlays and onlays, tooth-colored inlays and onlays, and crowns (caps) may also be considered. Composite filling can be used for cosmetic improvement on front teeth such as composite facing or diastema closure.

COST

These restorations may cost up to two or three times more than the cost of silver amalgam restorations in back teeth. The higher cost is related to the extra skill required to place these restorations.

RESULT OF NONTREATMENT

Untreated decay will eventually destroy much of the tooth, kill the dental pulp (nerve), and may require significant expensive therapy to overcome the problem.

BEFORE & AFTER OF COMPOSITE FILLING

Before
Before composite filling bangkok
After
After composite filling bangkok
Before
Before composite filling bangkok
After
after composite filling bangkok
Before
Before composite filling bangkok
After
after composite filling bangkok
Before
dental caries
After
after composite filling

: The Procedure
: Advantages & Disadvantages
: Risk
: Alternative
: Cost
: Result of Nontreatment
: Operative Dentist
: Technology
: Before and After

Composite material
3M
Kerr

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Operative Dentistry, Restorations, Amalgum Filling, Gold Filling, Composite Filling, Operative Dentistry Dental Clinic Bangkok Thailand