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Today we’re going to be talking about the steps that are involved in a filling procedure.
Once the bacteria attacks the tooth and breaks the enamel a cavity is formed and when there is a cavity you’ll have to place a filling. There are several reasons why we place a filling, the most common reason is probably decay or a cavity. They can be small of large notching at the gum line and chipped teeth. Another reason is in case you want to replace an amalgam filling and you don’t like the dark appearance in your mouth so we’d place a white filling. The other reason would be is if there is an open contact between your teeth from an old filling we’ll replace it just to make a tighter contact so that food doesn’t get in between. Sometimes if you have deeper grooves or pits on the teeth then we’ll place a filling.
Here are the steps involved in a filling procedure.
We start by placing a little topical on the area where it needs to be numb it does help because it takes the edge off when you get that little pinch, it’s quite comfortable.
Next we numb the area and we will test the area to make sure you are numb but once we get started if you feel anything at all just raise your hand and we can give you some more anesthetic, we’ll make sure that you’re comfortable throughout the procedure. Then we use a hand piece to remove the decay depending on the depth of the decay, it may be shallow or deep it may take long or might be quick. We make sure that the box of the tooth is perfect so that we can place the filling.
After the decay is removed we want the tooth to be completely dry and free of saliva so we use gauze and a cotton roll to isolate the tooth. If the decay is in between the teeth we have to place a little bond that goes between the teeth so that way it takes the shape of the tooth after that we apply an etch which will make the tooth porous ,which will allow the bond material to stick to the tooth. If the decay is deep we’ll place a liner which will reduce sensitivity.
In some cases teeth can have so much decay and be so deep that after the decay is removed you may need a root canal your doctor will talk to you about that if that’s the case. A filling material is used which is called a composite that’s placed in layers on your tooth and is cured with an ultraviolet light. After the filling is hardened with the ultraviolet light at that time we will remove the gauze, cotton roll and the matrix band. Then we’ll shape the filling the match the level of the tooth so you won’t feel like it’s sitting too high.
We will check your bite with a special paper that we’ll have you tap down on to ensure that your bite is back to normal.
After the procedure is done we give you a post-op instruction, in which we make sure that you don’t eat on that side until the numbness wears off because you can easily bite the numb area.
Fillings may have sensitivity for a couple of days to a week if it continues for a longer period you may have to come back for an adjustment because even the slightest little high spot on the tooth can cause some problems. It’s just a quick couple minute appointment where we’ll get you in and adjust that spot.
This is what you can expect during the procedure of a filling, hopefully this was informative. If you have any questions please don’t hesitate to call!