The loss of material in the tooth due to caries, fractures or abrasions is eliminated by filling systems. Loss of substance causes loss of aesthetics and function in the tooth. At the same time, a deformed tooth negatively affects the health of the gums and the functions of neighboring teeth. Postponing the treatment may cause the problem to become more complicated.
How is the filling selection made?
The type of filling to be used may vary depending on the size and localization of the material loss. Since aesthetics are at the forefront in the anterior regions, the filling to be used here must imitate the tooth tissue very well in terms of color and shape. The back areas are the areas where chewing is done intensively. For this reason, filling materials that are resistant to chewing forces should be preferred.
What are the types of fillings?
Amalgam fillings: It is a resistant, easy-to-apply and cheap material. It is obtained by mixing silver, tin and copper alloys with mercury in certain proportions. Although it has been a routinely used filling material for more than a century, its use has decreased today due to aesthetic concerns.
Composite fillings: These are tooth-colored fillings. It is used together with the adhesive system we call bonding.
Porcelain fillings: In molars where chewing forces are very intense, porcelain fillings, which are more resistant than composite fillings and more aesthetic than amalgam fillings, are preferred. The construction phase is different from other fillings. First of all, the tooth is prepared, an impression is taken, and a filling is made on this impression in the laboratory. The prepared filling is applied to the tooth by the dentist.
Why are fillings applied to teeth?
To replace the material loss caused by tooth decay,
To fill the gap after root canal treatment. ,
For aesthetic purposes to eliminate discoloration and shape disorders of the teeth,
To close the gaps between the teeth,
To fill the cavity formed at the junction of the tooth with the gum,( These cavities are called wedge defects and are caused by harsh brushing back and forth)
Filling procedures are performed to restore the integrity of the teeth broken as a result of the impact.
Di What is dental caries?
Bacteria, which normally live harmlessly in our oral flora, cause caries in our teeth as a result of the food we eat settling into the plaque formed on the teeth and not being removed from there. In other words, if we do not remove the remaining parts of the food stuck on the teeth by brushing and other aids, the caries-causing bacteria normally found in our mouth will settle in these food residues and start feeding from there. Since the waste products produced by these bacteria as a result of feeding are acidic, they erode the enamel, which is the outer layer of the tooth. Although the enamel layer is very hard and durable, it demineralizes after a while in the face of this acid concentration and becomes soft white. This softened enamel part constitutes the first stage of decay. At this stage, there is a possibility of a return. For reversal, first the bacterial plaque is removed and gels that mineralize the tooth can be applied to the demineralized part of the tooth enamel. In this way, the softened enamel layer hardens again and the caries is stopped at this stage.
If the first stage of tooth decay is missed unnoticed, the second stage of the caries occurs. At this stage, the enamel layer is perforated and the decay has seeped into the tooth. In the second stage of caries, reversal is no longer possible. At this stage, there are usually no symptoms on the tooth. Sensitivity is rarely observed. Caries detection occurs as a result of routine dentist check-ups and if it is treated at an early stage, progression can be prevented.
Since the cavity does not show any symptoms in the second stage, it is very likely to go unnoticed and the soft tissue under the enamel layer of the tooth is very high. It will move quickly through the tissue. In this stage, which we call the third stage of caries, the progression is rapid and cold and hot sensitivity in the tooth becomes more intense. Tooth decay is mostly noticed by the person at this stage. It is possible to treat it with a filling.
When efforts are made to find methods to relieve this sensitivity instead of consulting a physician in the third stage of the decay, the decay in the tooth progresses further and reaches the nerve layer, which we call the fourth stage of the decay. goal is reached. At this stage, throbbing pain occurs, mostly at night. Since filling treatment will no longer be sufficient for tooth decay in the fourth stage, where there is severe pain, root canal treatment will be applied.
Do teeth hurt after filling?
Pain after filling. Whether or not it occurs depends on the proximity of the decay to the dental nerve. If the caries is detected in the early stages and filled, usually no sensitivity is felt. If a cavity is detected in later stages and filled, it can often cause temporary hot and cold sensitivity. Sometimes these sensitivities can gradually increase and turn into pain. Such increased pain in the tooth after the filling makes it necessary to perform root canal treatment.
What should be taken into consideration after the dental filling?
If the filling procedure was performed under anesthesia, do not eat It is necessary to wait until the numbness passes before eating.
Since bacterial plaque retention on filled teeth will be higher than on natural teeth, it is necessary to pay extra attention to the care of these teeth. Dental floss and interdental brush should not be neglected.
Just like with our natural teeth, we should not eat shellfish with our filled teeth and avoid behaviors such as opening soda or biting a pen.
We should not forget that the filling has a certain lifespan. Fillings with damaged edge compatibility should be replaced.
Why do dental fillings fall out?
Fillings that are worn out and whose connection with the teeth is weakened fall out after a while. For this reason, it should not be forgotten that fillings have a certain lifespan and fillings can be replaced when necessary. It should be replaced.
During the filling process, if the gum canal is in the gum canal, there is no healthy connection between the tooth and the filling as a result of this blood or gingival crevice fluid wetting the area to be filled. As a result of poor connection, the filling will fall out after a while. For this reason, tartar and gum treatment should be done if necessary before filling.
Very hard impacts may disrupt the connection between the tooth and the filling, causing the filling to fall or break.
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