New Patients:
Existing Patients:
When a tooth has been weakened by decay or minor fracture, a filling restores its shape, strength, and everyday function. Fillings are conservative restorations designed to remove damaged tissue and replace it with a material that bonds to the remaining tooth, protecting the inner structures and helping you chew comfortably. For many patients, a well-placed filling eliminates sensitivity, restores appearance, and prevents the need for more involved treatment down the road.
Tooth decay remains a common oral health issue across all age groups, so restorative care like fillings is a routine and reliable part of modern dentistry. Advances in dental materials and techniques mean we can tailor the repair to your clinical needs and cosmetic preferences, balancing durability with a natural look. This approach helps preserve as much healthy tooth as possible while returning your bite to normal.
At our practice in Loxley, we emphasize gentle, patient-centered care and clear explanations of treatment options. Whether a small pit in a molar or a larger cavity near the biting surface, our goal is to select a restoration that restores function, blends with your smile, and lasts with proper maintenance. Murphy Dentistry follows current best practices to deliver dependable results that fit each patient’s situation.
Human efforts to repair teeth date back thousands of years, with archaeological evidence showing early attempts at plugging cavities. Over centuries, materials and methods evolved—from basic fillings in antiquity to the introduction of gold and metal alloys in more recent centuries. These developments laid the groundwork for the modern palette of restorative choices.
In the last several decades, the focus has shifted toward materials that both perform well and look natural. Tooth-colored materials, improved bonding systems, and precision fabrication techniques have expanded our ability to restore teeth in ways that are minimally invasive and cosmetically pleasing. Understanding this background helps explain why contemporary fillings differ so much in appearance and behavior from older restorations.
Not all fillings are the same. Materials vary in strength, appearance, longevity, and the type of preparation they require. Choosing the right option means weighing the tooth’s location, the size of the defect, bite forces, and aesthetic expectations. In many situations we can offer a choice between a highly aesthetic restoration and a very durable one, and we’ll explain the trade-offs so you can make an informed decision.
Contemporary tooth-colored materials have closed much of the performance gap with older restoratives while offering a discreet appearance. These materials bond to the tooth surface and often allow us to conserve more natural structure during preparation. For back teeth that endure the greatest chewing pressure, there are also ceramic and metal-based options that offer exceptional wear resistance.
Whatever the choice, the emphasis is on compatibility with the tooth and oral environment. Properly selected and placed materials reduce the risk of future breakdown and help maintain the health of the surrounding tissues. We tailor recommendations to each patient’s needs and explain how different materials perform in everyday use.
Composite resins are the most commonly used tooth-colored fillings today. They are composed of a resin matrix with microscopic filler particles that create a strong, polishable surface. Composites can be closely matched to the natural shade of your tooth, require minimal removal of healthy tissue, and bond to enamel and dentin to help reinforce the tooth’s structure. They are versatile and suitable for both front and many back teeth.
Because composites are placed in layers and then hardened, they allow precise shaping and contouring. With appropriate care, composite restorations can last for many years, though they may be more susceptible to staining or gradual wear in high-stress areas compared with some indirect options.
Amalgam has a long track record for durability and resistance to wear, especially in posterior teeth. These metal restorations can withstand heavy biting forces and are less technique-sensitive during placement. While amalgam is strong and long-lasting, its metallic color makes it more visible compared with tooth-colored alternatives, so it is now used less often for visible areas.
Glass ionomer cements bond chemically to tooth structure and slowly release fluoride, which can help protect the repaired tooth from future decay. Because they are less wear-resistant than composites or ceramics, glass ionomers are frequently selected for baby teeth, small restorations near the gum line, or as temporary restorations while a more durable solution is planned.
Ceramic restorations are fabricated outside the mouth for cases that need a precise, long-lasting repair. Made from high-strength porcelains, these indirect restorations resist staining and wear and can be made to blend seamlessly with adjacent teeth. They are a conservative alternative to full crowns when significant tooth structure remains.
Although less common, gold and other metal restorations remain an excellent choice when strength and longevity are the primary concerns. Metal restorations are biocompatible, highly durable, and gentle to opposing teeth. They are typically used where aesthetics are less important and long-term performance is desired.
A filling visit typically begins with a careful examination and, when needed, targeted imaging to assess the extent of decay. We will discuss the recommended material and outline each step of the procedure so you know what to expect. For most restorations, local anesthesia is used to ensure your comfort while the tooth is prepared.
Once the area is numb, any decayed or weakened tooth structure is gently removed. The tooth is then shaped as required for the chosen material—this may involve cleaning and conditioning the surface for bonding or preparing an impression for an indirect restoration. Direct fillings like composites or glass ionomers are placed and contoured in the same visit; indirect restorations require a second appointment for final cementation after fabrication.
Throughout the process we prioritize a precise fit and comfortable bite. After placement we carefully check occlusion and make minor adjustments to ensure the restoration functions harmoniously with adjacent teeth. If you have dental anxiety, let us know—our team can discuss comfort options to help you feel more relaxed during treatment.
Good oral hygiene and routine dental care extend the life of any filling. Brushing twice daily with fluoride toothpaste, flossing daily, and keeping regular check-ups allows us to monitor restorations and catch any signs of wear or recurrent decay early. Eating patterns and habits such as grinding or chewing very hard items can influence longevity, so we’ll advise on protective measures when appropriate.
Some sensitivity after a new filling is common, particularly to temperature changes or biting pressure, and usually resolves within a few days to weeks. If sensitivity persists or if you notice pain when biting, contact the office so we can evaluate the restoration and make any necessary adjustments. Timely attention prevents small issues from becoming more complex problems.
With proper care, many modern restorations perform well for years. When a filling does eventually need to be replaced, options include a new direct filling, an inlay/onlay, or, in more extensive cases, a crown. We’ll always recommend the most conservative and clinically appropriate solution to preserve tooth structure while restoring function.
Preventing new cavities and protecting existing restorations is a shared effort between patient and dental team. Regular preventive visits allow for professional cleaning, timely detection of early decay, and application of protective therapies when appropriate. We also provide personalized guidance on brushing techniques, dietary choices, and habits that support long-term oral health.
For patients at higher risk of decay, additional measures such as fluoride applications, sealants on vulnerable chewing surfaces, or targeted home-care strategies can make a meaningful difference. Addressing factors like dry mouth, certain medications, or frequent snacking can further reduce the risk of future problems.
Our aim is to combine effective restorative care with prevention so that you keep a healthy, functional, and attractive smile. When repairs are needed, we focus on solutions that restore teeth efficiently while minimizing future complications.
Dental fillings are a cornerstone of conservative restorative care — they stop decay, restore form and function, and can be selected to meet both functional and cosmetic goals. Modern materials and techniques give patients more options than ever for discreet, long-lasting repairs. Murphy Dentistry provides thoughtful recommendations based on the condition of your tooth, your oral habits, and your aesthetic priorities.
If you have questions about a specific tooth, sensitivity, or would like to learn which restorative option is best for your situation, please contact us for more information. Our team is ready to explain your choices and help you make the decision that supports your oral health and comfort.