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There are a number of different filling
materials available these include:
Amalgam fillings are silver in colour they
are made by combining mercury and silver alloy (50% mercury, 35%
silver, 15% tin, copper and other metals).
Amalgam is a long lasting and hard wearing
material, and it’s not unusual for an amalgam filling to last
for up to 15 to 20 years.
Before the filling can be placed, the area
must be prepared by removing all of the decay, and the cavity
needs shaping to hold the filling in place.
If the tooth is badly broken then a small
stainless steel pin is place into the tooth, to help to secure
the filling.
Some patients have concerns over the use of
amalgam filling due to the mercury that is used. Mercury in
dental amalgam is not poisonous once it has been combined with
the other materials in the amalgam filling. Its chemical nature
changes so that it is harmless.
Composite filings are strong but not as
hard wearing as amalgam filings. Composite filling material can
be chosen to match your own tooth colour. Composite is made from
powdered glass quartz, silica or other ceramic particles added
to a resin base.
The tooth is prepared, the filling material
is bonded into the area, and a light is shone onto its surface
to set it. If you decide to have a composite filling it is
advised to inform the dental staff when making an appointment,
as more time will be needed then if you are having a composite
filling.
This type of filling is quite weak and
because of this it is mostly used on baby teeth and (non biting
surface). Little preparation is required as the filling bonds
directly to the tooth. Glass ionomer form a chemical link with
the tooth, and also releases fluoride, which helps to prevent
further decay.
These can be used on most area of the
mouth. An inlay is small and within the biting surface of the
tooth. An on lay covers a larger area of the tooth.
Gold is the most long lasting and hard
wearing milling material as it will last for many years.
Porcelain inlays are also available,
porcelain can be hard wearing and long lasting and also has the
benefit of being able to match your own tooth colour.
The dentist will normally prepare the areas
as if for a filling, then an impression will be taken, of the
prepared area. This impression will then be sent to a laboratory
with all necessary information where it will then be produced.
This will normally take 14 days. In the meantime the area will
be filled with a temporary filling material.
Once the Inlay or onlay has been created,
and is back form the lab, the temporary filling material is then
removed, and the inlay or onlay is then fixed into place with
dental cement.
If you have any further queries regarding
which filling material would be suitable please ask a member of
the dental team who will be able to answer them for you.
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