Restorative materials – Dental Fillings

Let’s learn about Dental fillings.

Dental caries (tooth decay) has historically been considered the most important component of the global oral disease burden. Dental caries is still a major public health problem in most high income countries. Dental caries levels, prevalence rates and dental caries experience has tended to increase rapidly with changing lifestyles and growing consumption of sugars, inadequate exposures to fluorides; etc.

Dental materials are used for direct restoration (filling) of a tooth in order to save its function while

Indirect materials include pre-formed metal crowns, dental porcelain, and cast restorations. Types of direct restorative materials are

What’s best for me?

Depends on how big is the cavity, what is load taking capacity of that tooth, your socio-economic standards, and any special needs due to presence of any disease etc.

While tooth-colored restorative materials are generally more expensive than amalgam, they offer an aesthetic alternative to traditional amalgam fillings. However there are concerns about their longevity and wear particularly in areas subjected to masticatory forces. Microleakage is also a disadvantage but it can be reduced with proper manipulation and strict clinical procedures.

DIRECT FILLINGS- No Lab Backup

Resin-based composite restorative materials are complex blends of polymerizable resins mixed with glass powder fillers. To bond the glass filler particles to the plastic resin matrix, the filler particles are coated with silane, an adhesive coupling molecule. Other additives also are included in composite formulations to enhance radiographic opacity for better diagnostic identification, to facilitate curing and to adjust viscosity for better handling. Color and translucency of dental composites are modified to mimic the color and translucency of teeth, making them the most esthetic direct filling material available.

Glass ionomers are tooth colored filling materials that can be used to restore cavities with low load-bearing requirements. They have fluoride releasing capacity which prevents secondary caries.

Resin modified glass ionomers are similar to conventional glass ionomers but have better properties and handling characteristics. Acrylic resins similar to those used in resin-based composites are added to the material to reduce sensitivity to the setting environment and to provide the ability for the material to be rapidly cured. They have better mimicking ability of the enamel translucency.

White But Indirect- Materials of Choice

INDIRECT- Lab support required.

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