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Dental fillings

This is a procedure that prevents further dental problems or even tooth loss by means of a filling.

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Dental fillings

How does tooth decay occur?

It is best when there is a balance between the different types of bacteria in your mouth. This is when a person’s teeth are at their healthiest and most beautiful. However, due to the complex physiological balancing processes in the mouth, the various environmental influences and the entry of bacteria, this is not always possible. As a result, certain bacteria start to dominate the mouth. Tooth decay starts to form when the microflora in the mouth starts to break down carbohydrates. The bacteria then release acid, which gradually begins to eat away at both the hard (by “washing away” calcium ions) and soft tissues of the tooth. The risk of tooth decay increases when the number of Streptococcus mutans and Lactobacilli bacteria in the mouth is significantly increased, and the protective oral factors such as saliva, its buffering capacity, and self-cleaning do not function properly.

Streptococci produce polysaccharides through enzymatic reactions, which promote the formation and growth of plaque. Streptococci, unlike other oral micro-organisms, are able to survive in acidic environments.

Lactic acid bacteria – lactobacilli – speed up the development of tooth decay. Lactobacilli directly damage tooth structures as they multiply. They accumulate in areas that are favourable for retention: tooth furrows, cavities in the chewing surface of the tooth, cavities damaged by decay, and adjacent to the edges of restorations and braces. These are the areas of the mouth where the pH is low. These areas are generally harder to maintain and clean, and are therefore the first to be affected by caries.

Dental fillings

As the caries develops, the patient may notice small spots on the surface of the teeth when examining the mouth at home. If these are not attended to, the caries spreads to the deeper layers of the tooth, causing:

  • toothache;
  • bad breath;
  • tooth sensitivity;
  • dark, bright white spots on the surface of your teeth;
  • stinging pain when eating cold or hot foods;
  • chipping of the tooth surface;
  • cracks;
  • inflammation;
  • digestive problems, etc.

How are dental fillings performed?

Treatment of tooth decay starts with local anaesthesia, which is administered as needed. If the patient is very sensitive or the lesion is large, then painkillers are injected. In the case of small defects, anaesthesia is often unnecessary or a superficial application of medication is sufficient. The caries-damaged tissues are then removed. If necessary, the filling area is isolated with a cofferdam. The defect is restored by layering the restorative materials, restoring the anatomical shape of the tooth so that it can perform its function in chewing food. The colour of the filling is chosen according to the colour of the patient’s teeth, so that modern fillings are not visible to the naked eye.

When filling holes in the interdental space, the edges of the filling must not be left hanging, which can lead to the development of a new tooth lesion after a while. In addition, the hanging edge of the filling accumulates plaque in the interdental space and supports gingival inflammation, which even leads to the formation of a bony pocket. After the filling, the gingiva should be elastic unless the patient has had wide spaces between the teeth since birth or unless the teeth have thinned due to tooth loss. At the end of the procedure, the filling is adjusted to the bite and a final polish is made.

If a large amount of the hard tissue of the tooth is damaged as a result of tooth decay, it is better to restore the defect with a microprosthetic restoration, as a large filling may not be able to withstand the strain of chewing and the tooth may crack.

Tooth sensitivity after a filling can last from a day to a few weeks or even longer. If unpleasant sensations persist for a long time, it is necessary to seek medical attention.

Anesthesia with the state-of-the-art “QuickSleeper5”

The new “QuickSleeper5” system allows us to anaesthetise the teeth before dental treatment without any stabbing pain. This is especially suitable for sensitive people and children who are very afraid of visiting the dentist. In addition, the anaesthesia performed with this device does not cause any post-procedural discomfort, as the patient does not feel any lasting or severe numbness of the lip.

Anesthesia with the state-of-the-art
What can cosmetic dental fillings do?

This is an opportunity to help patients with smile and dental aesthetic problems when teeth are damaged by decay, chipped or cracked. It is also used when you want to cosmetically change the shape, size, colour or eliminate gaps between the teeth, replace old fillings that stand out from the natural tooth tissue with inconspicuous restorations.

Increasing pace of life and stress are causing more and more people to suffer from worn, sensitive teeth. Modern cosmetic dentistry helps to restore their lost height and reduce tooth sensitivity.

Often, aesthetic restorations are required as a final step for patients after orthodontic treatment, or in combination with prosthetics, in order to finally achieve aesthetics and function.

An aesthetic dental filling is a minimally invasive procedure that preserves the hard tissues of the tooth and keeps the teeth alive. Aesthetic fillings restore teeth in layers close to the natural tooth anatomy. This creates the natural relief and appearance of the tooth: colour, clarity, shape and individual tooth features.

When filling molars, it is important not only to fill the cavity of the defective tooth, but also to restore its natural shape correctly. This prevents the loss of chewing efficiency, malocclusion, tooth migration and elongation, which can lead to the development of pathologies of the temporomandibular joint.

What materials are used for dental fillings?

Dental fillings in the clinic “Dantų meistrai” in Kupiškis are performed using composites manufactured in Japan, the USA and Germany, as well as in Western countries. Composites differ in some parameters, such as colour, reflectivity, modulus of elasticity and polishing properties. As a result, the dentist will choose different composites for the restoration of the teeth, depending on the specific situation.

What is the cost of a dental filling?

The cost of a dental filling very often depends on the individual situation.

The better the materials used, the more expensive they will be, but they will last much longer than cheap ones. The final cost of poor fillings and the constant repairs will be much higher than the cost of one good quality filling. Our clinic uses only reliable, tested and certified materials from renowned dental material manufacturers GC, ESTELITE, ENAMEL.

How do I take care of dental fillings?

After a filling, proper care of the treated tooth is very important. Although the appearance of the restored tooth is the same as that of the other tooth, it is more susceptible to environmental influences and is more prone to recurrent decay. The patient must brush his/her teeth thoroughly every day at home, floss, use interdental brushes and mouthwash. It is also very important to have professional oral hygiene 1-2 times a year, depending on the need, to remove impurities that are impossible to remove at home, not only from the teeth but also from the fillings.

On the day of your cosmetic dental filling, try not to consume staining products (red wine, blueberries, beetroot, etc.). 2-4 weeks after the cosmetic filling procedure, you should visit your dentist for a check-up and assessment of the condition of your teeth, their adaptation to the filling material, and to make any necessary adjustments according to your wishes. It is recommended that you have your teeth checked by a dentist 2 times a year and that you polish the teeth that have had an aesthetic filling.

How long do dental fillings last?

The most important criteria for the longevity of a filling are the professionalism of the dentist, the quality of the materials used and the patient’s oral hygiene habits. The latter usually play a decisive role. The placement of a filling does not mean that the tooth is now protected and will not cause any more problems.

A filling is constantly exposed to chewing forces, hard surfaces, moisture and acids. On average, a tooth filling lasts about 6-10 years. The time limit increases if the patient’s oral hygiene habits are particularly good. So, brush your teeth with a toothbrush and toothpaste, and floss or brush in between the teeth with special floss. We do not recommend the use of hard toothbrushes and toothpastes containing abrasive substances, as their use accelerates the wear of the tooth surface and results in a faster loss of the natural shine of the teeth and the fillings.

Before and after

See the results of our work – the smiles of happy patients.

Before and after
Before and after

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