General Dentistry

White Fillings

What are Fillings?

Fillings are used to replace a missing part of a tooth caused by decay or because it was broken. Fillings are the most common method used for restorative treatment.

What are White Fillings?

White Fillings comprise of a tooth coloured material and are commonly known as  ‘Composite Fillings’.

What are Amalgam fillings?

Amalgam was a wonderful material which served dentistry well for all of the last century. You may have silver fillings that have been in place for many years and are still in good condition.sara couch dentist

Amalgam does however have a few drawbacks:
  • It doesn’t look like your tooth
  • It doesn’t bond to your existing tooth
  • It doesn’t strengthen the existing tooth
  • They can cause fractures- this will result with pieces of tooth breaking off or pain on biting

Why we recommend White Fillings

Fortunately today we have alternate filling materials which overcome these problems. For small to medium sized cavities a composite resin is most likely to be used. They are designed to closely resemble a tooth’s natural colour, which makes them more visually appealing.

If more of the tooth is missing or if a piece of tooth has already fractured off then a stronger restoration treatment may be advisable and this is where CEREC is very useful.

Replacing missing teeth

Whilst we will do everything possible to save your tooth, sometimes, unfortunately a tooth will need to be extracted.

There a few good reasons why a tooth should normally be replaced:
  • Appearance
  • Chewing function
  • Over time the teeth adjacent to, and opposing an extraction site will tend to move. This can cause quite dramatic and disastrous collapse of the dental arch

Options for tooth replacement include removable partial dentures but many people find these uncomfortable and difficult to wear.


How your Castle Hill dentist will create your new bridge

Crowns are constructed on the teeth on either side of the space. A false tooth is joined to the crowns to fill the gap. This treatment is built as one piece in the dental laboratory and when it is glued in place it will look and feel like your natural tooth.

We may recommend a bridge if:
  • The teeth on either side of the space already have large fillings
  • You need to replace one or more missing teeth
  • You do not wish to have dental implants or a denture

Dental Implants

Dental implants are one of modern dentistry’s most exciting developments. They can be used in a number of different ways. In essence, an implant is a titanium screw which is placed into the jawbone to create an artificial tooth root.

If the loss of an individual tooth is unavoidable then, once the bone has healed, a dental implant can be placed to support a porcelain crown without the need to involve the adjacent teeth.

Root Canal Therapy – Endodontic Treatment

Why we may recommend Root Canal Therapy

Root Canal Therapy  is recommended when the dental pulp [nerve] becomes irreversibly damaged, resulting in toothache or infection in the bone surrounding the end of the root [an abscess].

What does the treatment involve?

The treatment involves cleaning and shaping the hollow space in the middle of the tooth [the root canal] and then placing a special filling material in the space to seal it and prevent reinfection.

Whilst it is always unfortunate when a tooth becomes so badly damaged that this procedure is required, the good news is that this treatment has a very high success rate. This treatment has unfortunately developed an undeserved reputation as being particularly unpleasant, however it is nowhere near as awful as American sit-coms would have you believe.

A tooth that has been successfully root filled does not result in a reservoir of infection and poses no risk to your general health.

It is, however, the case that a root filled tooth will be at greater risk of fracturing in the long term and for this reason should be protected with a strong filling or a crown.

Call us today to tailor a treatment plan to address anything which bothers you.