Patient Services

Restoration of Carious Teeth in Wakad Pune

Patient having carious teeth generally experience mild to moderate intermittent pain on taking food and chilled drinks. On examination yellow brown black discoloration with little decay of teeth is seen, which is usually not noticed by patients. X-ray of affected tooth may be required to know the extent of caries and number of teeth involved. We need to drill and remove all the decayed carious lesion, clean, disinfect, shape the cavity and prepare it for restoration. Various restorative material are available like composite, GIC, amalgam, resin etc. Composite is most commonly used because of its aesthetic value.

Amalgam Tooth Fillings (Silver Fillings)

One of the most common and durable tooth fillings is amalgam (silver) fillings. Dentists have used this type of filling for many years, especially on back teeth. This type of filling is very durable and can withstand chewing pressure for well over a decade.

Composite restorations are versatile tooth colored filling materials composed of strong plastic and glass particles that are used by our dentists or dental therapists to seal deep fissures, fill cavities, and sometimes restore extensively broken down teeth.
The advantages of composite restorations are:
  • Excellent esthetics
  • Conservation of tooth structure
  • Good longevity
  • Can be repaired
  • Bonds to tooth structure
  • Complex tooth preparation needed
  • Economic restorative material
How long does it take to get a filling?
  1. Composite resin material that’s layered into tooth takes more time, but it’s completed in one visit.
  2. Some composite fillings may be made from an impression and require second visit to bond the filling.

    When is composite restoration needed?

    Composite restoration is used to restore tooth structure that is missing from teeth. Missing tooth structure can be caused by caries (tooth decay), dental trauma, enamel defects (some people are born with anomalies on tooth structure) tooth wear (from erosion, attrition or abrasion) or for aesthetic purposes.

    Are composite restorations noticeable?

    No, composite restorations are not noticeable if done properly with the correct shape and shade. Some dentists may fill the hole in a tooth and not take into account the shape of the teeth. However, if you follow the tooth shape anatomy and you choose the right shade (as we do at Enamel Dental Care), giving good aesthetics to the tooth, the restoration will not be noticeable.

    How does a dentist perform composite restoration?

    Firstly, the tooth is isolated. Then, the surface being restored is etched and prepared with tooth adhesive. The composite material is layered in small increments and moulded to the required shape. After, the composite resin is polymerized with ultraviolet light to set and finally, the restoration is adjusted and polished.

    What is the success rate of composite restoration?

    Composite restoration has a good success rate with an annual failure rate that varies from 1 to 5 per cent. The major causes for failure in posterior teeth are caries (tooth decay) and fracture. With anterior teeth, aesthetic concerns are the main reasons leading to restoration failures. The failure rate is very low.

    Can composite restorations be replaced multiple times?

    Composite restorations can be replaced but ideally the less the better. Every time they are removed, the tooth suffers from the mechanical vibration and they are difficult to remove without damaging the peripheral healthy enamel and dentine (the hard tissue under the enamel that forms the majority of the tooth).

    What should be avoided after having the composite restoration?

    After the procedure, you can eat or drink straight away and there is no need for special precautions. After composite restoration, the recommendations for what to avoid are the same as general advice regarding teeth care, like to avoid biting nails or chewing items such as pen lids, which may chip the composite restoration.