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Fillings and Dental Materials

 

One of the things your dentist looks for during your regular dental check-up is tooth decay. If you have decay, and require treatment, you can choose from a number of different dental materials and treatment options to restore your teeth to good health. Your dentist can advise you on the type of dental materials that will work best in your particular case, and inform you about the esthetic and cost implications associated with each one. But the final decision on which dental material is placed in your mouth belongs to you.

Before you decide on a treatment plan, it is important to inform your dentist if you are taking any medications, or if there have been any changes in your health status since you last updated your medical history. Various health conditions may influence the range of treatment options available to you. Your dentist is aware of these considerations, and can advise you of any known concerns. Remember, it is your responsibility to inform your dentist of your current medical condition, or if you are pregnant.

If you have any questions about the dental materials and procedures described in this pamphlet, talk to your dentist. Your dentist can explain the advantages and disadvantages of each option and material, relative to your specific needs and personal circumstances.

Although your dentist also uses restorative materials to repair broken, stained, missing or damaged teeth, they are most often used to treat caries, which appear on your teeth as brown or black spots. These spots are actually areas of diseased tissue. Left untreated, caries can penetrate through the tough outer layer of your teeth, known as the enamel, into the more sensitive inner layer, or dentin. This can lead to pain, discomfort and, if left untreated, tooth loss.

Your dentist treats caries by carefully removing all traces of diseased tissue, or decay, from the affected tooth. Once the decay is removed, your dentist shapes the resulting cavity and fills it with a suitable restorative material.

Restorative Materials

Restorative dentistry has undergone a virtual revolution in the past 20 years with the introduction of a wide range of new materials and techniques.

Today, four main types of restorative materials are available: metals, composite resins, ceramics and glass ionomers. Each material offers unique advantages and disadvantages, depending on your own specific circumstances and needs.

In addition, there are two main classifications of dental materials, direct and indirect.

- When direct materials are used, your dentist can often restore your decayed tooth in a single appointment. These materials are placed directly into the cavity your dentist has prepared, and harden quickly.

- Indirect materials usually require a minimum of two appointments to place, because they must be fabricated before they are inserted into the cavity. In most cases, indirect restorations are fabricated in a dental laboratory. Once they are fabricated, they are cemented into place by your dentist.

Dental amalgam is the best known direct material. Although cast gold alloy may be the most durable indirect material, ceramics are increasing in popularity because of their longevity relative to other tooth coloured materials.

To choose the treatment plan that’s right for you, ask your dentist to explain the risks and benefits, advantages and disadvantages, and the costs, of the different alternatives which could be used to treat your specific problem.

 

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