Mild cold sensitivity
Common after deeper fillings and usually settles over days to a few weeks. Sensitive toothpaste can help. It should be getting better, not worse.
White composite fillings bonded to the tooth, placed with as little drilling as the decay allows, and an honest answer when a filling is no longer the right repair.
If you have pain or a broken tooth, tell us when you book so we can allow time to examine it.
A tooth-coloured filling is a composite resin restoration bonded into a tooth after decay or damage has been removed. It is shade-matched to the tooth, hardened with a curing light and shaped to your bite in a single visit. At Creative Arts, composite is the standard filling material, and when a cavity is too large for a filling to last, the dentist explains the stronger alternatives first.
A filling replaces a missing part of a tooth. It works well while enough strong tooth remains around it. Beyond that, a stronger restoration protects the tooth better.
The deciding factors are how much healthy tooth is left and whether the nerve is healthy. This is the usual order, from least to most involved.
| Composite filling | Lab-made ceramic restoration | Crown | Root canal + restoration | |
|---|---|---|---|---|
| When it is used | Small to moderate cavities with strong walls around them | Large cavities where the walls are thin but part of the tooth is intact | Most of the tooth is missing or cracked, or cusps need full coverage | The nerve is infected or irreversibly inflamed |
| Tooth removed | Only the decay and weak edges | Decay plus shaping for the ceramic | More, to make room all round | Access into the tooth, then a filling or crown on top |
| Visits | Usually one | Usually two, with a temporary | Usually two, with a temporary | Usually 1–2 for the root canal, then the restoration |
| Made where | Placed directly in the mouth | Designed and made in the dental laboratory | Designed and made in the dental laboratory | Treatment in the chair; crown from the laboratory if needed |
Laboratory restorations are made by Creative Art Dental Lab in the same building. See dental crowns and the root canal guide for those treatments in detail.
Most fillings take one visit of about 30 to 60 minutes, depending on the size and number of surfaces.
The tooth is examined, an X-ray taken if needed, and local anaesthetic given. Very shallow fillings sometimes do not need it.
StartThe tooth is kept dry, often with a thin rubber sheet. Composite bonds poorly to a wet surface, so this affects how long the filling lasts.
Soft decayed tooth and weak edges are removed. Healthy tooth is left in place; a bonded filling does not need extra drilling to lock it in.
A bonding agent is applied, then composite is added in thin layers, each hardened with a blue curing light. Layering reduces shrinkage stress.
The filling is shaped, the bite checked with marking paper, and the surface polished so it does not collect plaque.
FinishSome sensitivity is common for a few days to a few weeks, especially after a deep filling. These are the patterns and what they mean.
Common after deeper fillings and usually settles over days to a few weeks. Sensitive toothpaste can help. It should be getting better, not worse.
Often means the filling is slightly high. It is a quick adjustment, so call us rather than waiting for it to settle; a high spot can bruise the tooth.
Pain that lasts after the cold is gone, throbs or wakes you can mean the nerve is inflamed. It needs to be checked, and may need root canal treatment.
The anaesthetic usually wears off within a few hours. Avoid hot drinks and chewing on that side until it does, so you don't bite your cheek or lip.
Amalgam (silver) fillings that are intact and not causing problems do not need to be removed just because they are metal. Removing a sound filling always takes away some healthy tooth. Mainstream health bodies do not recommend replacing intact amalgam for general health reasons in most people.
Replacement makes sense when an amalgam filling has a problem:
When an old amalgam is removed, the cavity underneath is often larger than expected. Your dentist will tell you whether it can be refilled with composite or needs a laboratory restoration. Pregnant patients are usually advised to postpone elective replacement.
There is no fixed expiry date. How long a filling lasts depends more on its size, the bite and new decay than on the material.
| Factor | Longer life | Shorter life |
|---|---|---|
| Size | Small filling, one surface | Large filling replacing a cusp |
| Bite | Normal bite | Grinding or clenching, especially without a night guard |
| Decay risk | Good cleaning between teeth, low sugar frequency | Frequent snacking, dry mouth |
| Placement | Dry field, layered, well polished | Placed in a wet field or rushed |
As a general guide, well-placed composite fillings often last many years, commonly quoted as 5–10 years or more. Regular check-ups find leaking edges early, while a repair is still small.
We quote after examining the tooth, because a filling that looks small on the surface can be larger underneath.
Fillings are placed by our general and restorative dentists. Dr. Julia and Dr. Marina also use the dental microscope, which helps with deep cavities close to the nerve.
Most fillings are done under local anaesthetic, so you feel pressure and vibration rather than pain. The injection itself is a brief sting. Afterwards the tooth may be a little tender or sensitive to cold for a few days, which is usually managed with over-the-counter pain relief. Tell the dentist during treatment if you feel anything sharp.
Composite is fully hardened by the curing light before you leave, so you can eat once the numbness has worn off. Waiting for sensation to return protects your cheek, lip and tongue from accidental bites. Avoid very hot drinks until then too.
Keep the piece if you have it, avoid chewing on that side and keep the area clean. Temporary filling material from a pharmacy can cover a sharp edge for a day or two. Call or WhatsApp us to be seen; our emergency dentist page explains what to do in the meantime.
Yes, composite fillings are normally completed in a single visit. If the cavity turns out to be too large for a filling to last, a laboratory-made ceramic restoration or crown needs a second visit, and the tooth is protected with a temporary in between.
If the numbness was still present when the bite was checked, the filling can feel slightly high afterwards. This can make the tooth sore when you chew. It is a quick adjustment that does not need anaesthetic, so contact us rather than waiting for it to settle.
Composite is more resistant to staining than it used to be, but its surface can pick up some colour from coffee, tea and tobacco over years, especially at the edges. Polishing at check-ups helps. Ceramic restorations resist staining better where appearance is critical.
Necessary fillings, such as for decay or pain, can usually be done during pregnancy, and local anaesthetic is commonly used. The second trimester is often the most comfortable time. Elective work, such as replacing sound amalgam fillings, is usually postponed. Tell us you are pregnant when booking.
Not automatically. An intact amalgam filling with no decay or cracks around it can be left alone. Replacement with a tooth-coloured composite filling is recommended when the old filling is leaking, broken, has decay underneath, or the tooth around it is cracking — or if you prefer the appearance and the tooth is suitable. We do not make "detox" claims about removing amalgam.
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