Dental Filling & Dental Repair

A filling is basically how you repair a decaying or damaged tooth. That is done by the dentist removing the decayed part of the tooth and filling the leftover space with restorative material to prevent future damage. Gold, porcelain, composite resin – which is the same colour as our teeth – and an amalgam of metals can all be used as filling materials.

There is no particular filling that is best for everyone. The most appropriate one for you will depend on the size of your cavity, any potential allergy you might have to a material, the location of the decaying tooth as well as the cost of the filling.

Metal amalgam fillings have been used in dentistry for over 150 years. Contrary to popular belief, they don’t contain any lead but rather a mix of mercury, silver, copper and tin. It’s known for its durability, low cost and ease of handling, and is used for a wide variety of repairs.

The presence of mercury in amalgam fillings has been met with criticism due to its potential toxicity. The Canadian Dental Association acknowledges that a small percentage of the population – about 3% – is sensitive to mercury but it maintains that it generally does not cause problems for most people.

According to the Ordre des dentistes du Québec, there is no reliable and proven data that would support claims that metal amalgam fillings have any impact on our health. While denying the amalgam’s toxicity, it acknowledges that “more research is needed”.

The Régie de l’assurance maladie du Québec (RAMQ) only covers dental amalgam for posterior teeth for patients on welfare and on children under 10. The latter can also get composite resin fillings if their parents are willing to pay for them or if their private insurance covers them.

You can most certainly keep any existing intact metal amalgam fillings you already have. However, if you suffer from certain health problems, such as kidney disease, or if you are pregnant or breastfeeding, it is recommended that you do not get any further dental work done using metal amalgam, if only for a period of time.

Veneers are small shell-like covers that are made of porcelain or resin composite that are affixed to the front of the teeth to improve their look. Porcelain veneers are more resistant and they do not stain or change colour. Their application generally requires two visits while resin composite veneers can be apposed in a single appointment.

Porcelain veneers

The dentist needs to remove some of each tooth’s surface in order to take a mould of the area to cover in a laboratory. Temporary veneers are apposed until customized ones are ready. At the next visit, after the temporary ones are removed, the dentist applies a gentle chemical solution to roughen up each tooth’s surface, which will in turn help the porcelain veneers adhere to it. He will then affix each porcelain veneer using a resin composite cement.

Composite veneers

Resin composite veneers are different from porcelain veneers in that the resin is applied directly to the tooth. The dentist still needs to remove some of the surface of the tooth with a mild chemical solution to make it a bit rough, but the resin is then simply applied in layers while being sealed in and hardened using an adhesive and a bright light. The resin – chosen to match the colour of your teeth – is then polished and shaped to look natural and smooth.

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