Ask The Dental Hygienist

Fillings are very common with dental work, as they present a way to repair a tooth that has suffered from decay or a cavity back to it’s original shape. When performing a filling, the dentist will remove the decayed area of the tooth, clean around it, then fill in the area that he has removed with a special material that will cater to the shape and form of the tooth.

Fillings work by closing out the area where the bacteria enters into teeth, helping to prevent any type of decay in the future. The materials used for fillings include porcelain, gold, composite resin, and amalgam. There is really no best type of filling, as several factors come into play. Your reaction to different material, the shape of the tooth, extent of repair, and where the filling is needed will be determining factors as to what material is used with your filling.

The gold fillings that are used are made in a laboratory, then cemented into place by the dentist. Gold material fits well with the gums, and can last you for many years. Gold is considered by many to be the best, although it is also the most expensive and will require you to visit the dentist several times before the filling will be complete.

Silver fillings on the other hand, are less expensive than gold materials and they can be quite resistant to wear. With their color being dark, they are easier to notice than composite or porcelain fillings, and aren’t recommended for visible areas of the mouth, especially the front teeth. Composite fillings are a common type of material, as they match the color of your teeth. The material that makes up the composite filling is mixed then placed directly in the cavity, where it hardens. They last several years, although composite isn’t recommended for large cavities, or areas where they may chip.

The final type of filling is porcelain. Porcelain is very common, and produced in lab where it will be matched to your teeth then bonded to the affected tooth. Porcelain fillings match the color of your teeth, and are resistant to any type of staining. The costs for porcelain fillings can be very expensive, some costing as much as gold fillings.

If a cavity, decay, or even a crack has managed to damage a large area of the tooth, you may need a crown or a cap. If the decay has managed to get to the nerve, you may end up needing a root canal to get rid of the dead pulp. When the dentist decides he can fill your tooth, he will remove the cavity then fill the hole with a material listed above. Depending on your insurance and what you can afford, you can choose which one you want or take his recommendation. In most cases, porcelain or composite fillings will be recommended. Gold fillings are popular, although most people want a filling that will match the natural color of their teeth.

Keep in mind that only a dentist can make the decision regarding fillings. When you visit for your routine checkup, the dentist will look in your mouth and use instruments that will let him examine the surfaces of your teeth. If he finds any cavities, he will usually recommend a filling. You won’t feel anything, as he will numb the area he is going to be filling. It normally takes less than an hour, and you’ll be up and at ‘em before you know it. A filling is great for cavities, as most look natural and they won’t result in the loss of your tooth.

An abscess in the tooth is an infection caused by a pocket of pus residing in the tissue surrounding the tooth. Abscesses are very serious conditions, and can lead to serious complications if they are not treated immediately. When the pulp of a tooth dies due to damage or decay, bacteria will begin to grow from the dead tissue that is left. This bacteria will eventually spread from the root of the dead tooth into the tissue that is below. This creates a pocket of pus, which we call the abscess.

A tooth may also become abscessed due to gum disease. Various gum diseases cause the gums to pull back and away from teeth, leaving pockets behind. These pockets can become blocked with food, tartar, tobacco products, etc. When this material becomes trapped, bacteria can grow and spread, or get backed up. When this happens, an abscess will start to form under the surface of the gum and result in the swelling and sensitive in the gums.

Once the infection has started to spread, your jawbone may start to dissolve as it makes room for the swelling in the area that has been infected. Once the bone starts to dissolve, the pressure will be greatly reduced, although the infection will still be there. Even though you will get relief, the infection will get worse – and the pain will come back. Once more of the bone has been dissolved, there will be nothing left to support the tooth, meaning that it will become loose and end up needing to be extracted.

The symptoms of an abscessed tooth are easy to see, as they include severe pain in the affected area, red or swollen gums, a bad taste in your mouth, swelling around the area or the jaw, and possibly a high fever. The pain is excruciating with an abscess as the infected area grows. No matter what you do, the pain seems to intensify.

Abscesses mostly occur with back teeth, although they can happen in the front as well. Once your tooth has become abscessed, your dentist won’t immediately pull it. If a tooth that has abscessed is extracted once the infection is still present, it can quickly spread. Those individuals with a history of cardiac or other health issues should be sure their dentist has the most up to date medical history available. Your dentist will instead prescribe you some antibiotics that can help to destroy the bacteria.

The dentist can also perform a root canal, in an attempt to remove dead or decayed tissue. Last but not least, he can also drill a hole in the tooth to give the infection a chance to drain and try to remove any dead pulp. The most common treatment with an abscess is to use antibiotics to kill the infection, then get the tooth removed. You should never let it get that bad – as an abscess is something that can destroy your jawbone, and the resulting infection can spread throughout your body, making a simple problem much worse.