Tooth decay is not visible for a long time, because the tooth enamel and dentin structure starts to loosen first and there is no cavity formation at first. Patients tend not to notice caries until it has already started to form cavities, although the process is visible to the dentist much earlier. By the time the enamel over the softened dentin has broken through and a cavity is visible to the patient, the process has in most cases already spread very deeply.
The other reason why caries is not visible is that most caries does not start from the chewing surface, but from the area between the teeth, on the side of the teeth facing each other, so it is also invisible to the patient.
The deeper the decay, the greater the chance that a smooth filling will not be sufficient for treatment. This is because if the decay penetrates too deep into the tooth, the pulp, which contains the blood vessels and nerves of the tooth, can become inflamed, and root canal treatment is the solution.
In order to avoid more serious caries and the resulting diseases, it is worth visiting your dentist at least every six months!
The tooth-coloured light bonding filling is given to you by your dentist ready to use, so if you have not had anaesthesia for the filling, you can eat with the new filling straight away.
In most cases, however, dental fillings are prepared under anaesthetic by the dentist, so you should not eat or drink while the numbness lasts to avoid biting the inside of the tongue or cheek, or swallowing.
After traditional Lidocaine anaesthesia, the numbness will disappear within 2-3 hours, while the anaesthetic effect of Ultracain DS Forte lasts for about 4 hours.
Once the anaesthesia is gone, you can eat and drink safely, and it is recommended to drink plenty of fluids, especially clean water!
This depends largely on the extent of decay in the teeth to be filled, the condition of the teeth, the patient's ability to bear the weight, whether the fillings are placed on the top or bottom and which side the fillings will be on.
So there is no rule, every case is different. In most cases, one or two fillings are made. In the case of cervical fillings, more than one can be made at the same time.
It is important that if you want to get through the treatment quickly and would prefer to have more than one filling at a time, you should discuss this with your dentist and agree the process.
It's important to know that the dentist will anaesthetise one side at a time, so for example, in the lower arch, you can't have fillings on the right and left side at the same time, but you can have fillings on the top and bottom.
The undercoating is essentially a medicinal primer layer under the filling. It is primarily used when the decay is deep and after removal of the decayed part of the tooth, there is little dentin material left above the top of the pulp chamber (the pulp contains the blood vessels and nerves in the tooth).
The medicine in the pulp lining helps the so-called ingerdentin to recover, which is essentially the "wound healing" of the tooth.
If you have a shooting toothache in the evening, it doesn't go away, it's provoked by the cold and the pain is radiating, you're probably dealing with gingivitis.
In many cases, the patient cannot even identify the problem tooth, the pain can be so radiating.
The solution, apart from basic pain relief, is to visit the dentist as soon as possible. Treatment will most likely be root canal therapy.
Pain after a tooth filling can have several causes and in many cases is perfectly normal. Tooth filling should be understood as cleaning and then treating a wound. The wound here is the dentin and enamel from which the cavities are drilled out by the dentist. The smaller the degree of caries, the less sensitivity is expected after the filling. If it does develop, it will usually go away in a few days.
If the decay has already penetrated very deeply into the tooth, after the treatment the filling may not be deep enough to save the tooth and the root may become inflamed. In this case, root canal treatment may be necessary. In such cases, the tooth becomes more sensitive after the filling and starts to react with pain to cold and biting. It is important not to wait for weeks, but to see a dentist as soon as possible.
This can happen because at the final step of the filling, when the dentist is adjusting the tooth surface relief, the patient is still numb, so it is not always possible to tell whether the filling is really comfortable or not.
It is important that the filling is completely comfortable, so if you feel it is too high, make sure you make an appointment with your dentist to have the filling height adjusted.
There is no need for anaesthesia as the dentist will polish away a thin layer of the filling surface, which is completely painless.
In most cases, yes. There are exceptions, but it is always worth checking with your dentist beforehand. For cervical fillings, for example, an anaesthetic is not necessary in most cases. However, in many cases, a seemingly trivial filling can be very carious in the deep cavity and can extend deep into the tooth, so it is better to ask for anaesthesia even when treating minor caries.
There is always drilling during the filling process, as the cavity tissue can be removed with a drill. The filling is then made from a harder filling material.
In contrast, in the classic grooving process, there is no drilling, as there is no caries yet. With groove sealing, the grooves in the baby's newly emerged molars are filled with a liquid filling material that hardens when exposed to light.
The material fills the gaps in the grooves so that food particles and plaque cannot remain on the tooth surface, thus preventing caries.
Filling is therefore a treatment for an established caries problem, while groove sealing is a means of preventing tooth decay.
There could be several reasons. Firstly, the fresh filling may be a little too high, which can be helped by grinding it down. It could also be that the filling is old - that the filling is decayed, the tooth is either still alive or dead, but it is definitely sensitive to biting.
In many cases, a characteristic symptom of a dead tooth is sensitivity to biting, the tooth seems to be elongated. The reason for this is that there is inflammation at the tip of the root and this area becomes sensitive when biting.
The tooth does become raised, of course it is a micromillimetre rise, but the tooth is a sensitive organ and this small change is noticeable. The solution in this case is root canal treatment.
Don't believe that tooth-coloured white fillings are the same in every dentist's office! There are striking differences. How do you know if a filling is successful? Choose a quality dental practice with premium materials and an expert dentist who is experienced in filling techniques.
Painlessness, contact point, bite, and sealing of the filling - all key details when designing a filling. Building the original shape of the tooth is not an easy task, it requires precision, great care and, last but not least, useful and modern dental instruments.
Reduce the chance of re-caries to a minimum! Choose a traditional dentistry with a focus on professionalism, where both high quality professionalism and modern equipment are available, and be disciplined in your daily brushing routine and annual check-ups.
Four times more powerful impact
The Ultracain DS Forte anaesthetic used in our practice provides 4x more anaesthesia than the traditional Lidocaine anaesthetic. In addition, the effect lasts twice as long. With this anaesthetic, dental fillings can be carried out painlessly. Before the injection, the gums are pre-treated with a fruit-flavoured anaesthetic gel, so the injection itself is not painful.
A quick procedure
Tooth drilling is usually not long, taking about 10 minutes to complete. However, building up the tooth thoroughly and precisely takes time, ranging from 20-50 minutes.
When more than 50% of the tooth material is lost due to decay, it is better to have an inlay/onlay, which is more durable and less likely to cause pain.
60% less stress
In other cases, with large fillings, it is important to ensure that the large amount of filling material does not create tension in the tooth, which can cause after-ache. The Bulk-fill technology prevents tension and helps to avoid after-filling pain.
Do you think it's a good filling that we can forget about once the anaesthetic has worn off? We think so. It takes professional materials and good techniques. Quality nanocomposites, Bulk-fill fillings, are used to ensure that the filling works as well when chewing as it did before decay and that you can't tell it's a filled tooth when you smile.
Although it may look like a filling, grooving is not a filling. Grooving is used to prevent dental filling. It is used in children when the remaining molar appears in the mouth and the tooth is still fully intact. The deep grooves on the surface of the tooth are sealed with a special light-curing material. The treatment is completely painless and drill-free. By closing the grooves, caries on the chewing surface can be prevented. It costs a fraction of the price of a dental filling and can prevent future caries and fillings.
Tooth decay may not be visible for a long time, and even small ones are only noticed by more experienced dentists. Don't wait until you notice the cavity - you're in big trouble! This is why annual check-ups are so important, so don't miss them!
The digital panoramic X-ray can be enlarged on the computer, making the finer details easier to see. However, panoramic X-rays are not the best way to check cavities. Smaller caries are better shown by intraoral X-rays.
After the examination, the treatment plan will include which tooth needs a filling, how big it is and how much it will cost. It is important that you start treatment with a clear understanding of what treatment is expected and how much it will cost.
For anaesthesia, we use Ultracain DS Forte anaesthetic, so numbness is safe. Often several teeth can be treated in one session, but this is agreed with the patient in advance. You should not eat for about 4 hours after the treatment while the numbness lasts.
The first step in the treatment is to remove the cavities. The dentist tries to minimise tooth loss, as the advantage of modern composites is that more tooth material can be preserved during treatment.
With modern technology, the chances of pain after a filling are minimal. You may need to return to the practice to fine-tune the height of the filling once the numbness has passed. This is of course part of the treatment.
The "smelliest" part of the process happens at the beginning of the treatment. Patients with nausea should not worry, usually within a minute or two the diamond drill removes the softened tooth tissue that is saturated with cavities, bacteria and other food debris. This can smell distinctly unpleasant. In a professional practice, the dental assistant will also use a vacuum cleaner-like tool to hover around the drill. We call this an exthaustor.
Cavity in dental jargon means a drilled, cleaned cavity. It no longer has any cavities and the sides are smooth. The shape of the cavity depends both on the original extent of the tooth tissue destroyed by caries and on the shape of the tooth, and is therefore different in each case.
The mechanically cleaned cavitation should also be chemically cleaned of infectious bacteria. In our practice, for deeper cavities, we can kill 99% of the remaining bacteria using the antimicrobial photodynamic therapy technique, so there is much less chance of subsequent tooth pain or root canal treatment.
A medicated layer should only be used for very deep caries. The medicine helps the tooth tissue to regenerate and also acts as an insulator. However, most fillings have an undercoating underneath. This is mainly made by the dentist from a material called glass ionomer. It provides a good base for the filling, seals the dentin in many cases, and also insulates. At Budapest Dental, the medicated layer and the lining are a natural part of the filling, there is no extra charge, the filling costs what is indicated in the price list and the treatment plan.
The dental filling must be chemically bonded to the tooth tissue. This is a precise procedure and often the most delicate part of the filling. The dentist brushes, rinses, brushes again, rinses, blows dry, lights. Many small movements to make sure the tooth surface is perfectly prepared for the filling. The drilled cavity must be completely separated from saliva and blood, and this is often a lengthy process.
The filling is still soft when inserted into the cavity, but hardens later when exposed to light. The filling material must be placed in layers in the cavity for a better result, so this is usually a lengthy process. In the case of deep cavities, to reduce the possibility of post-cavity pain, the base of the filling - at least here at Budapest Dental - is formed with SDR filling material, Bulk fill technology.
The hardened seal should be smoothed off at the end with fine diamond polishers. The patient is happy, he can finally rinse and try. The dentures should be touched together, and this is when we dentists ask: "High?" With the jaw numb to numbness, the right answer is hard to give, and we know it. That's why the little blue coloured paper helps you to set the right bite height. It is important to know, however, that the tooth is a very sensitive thing, it can feel high by tenths of a millimetre, a difference that the dentist's eye can no longer detect. Therefore, after the anaesthetic has worn off, when you can feel with your teeth, you should always check whether the filling is comfortable or not. If the filling is too high, the tooth may react with pain, so feel free to ask your dentist to adjust the new filling a little more.