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Why Large Dental Fillings Pose Risk to Your Dental Health Dr. Peter Rumack, DDS on 17 Feb 2015

Flushing - FillingsTooth restorations using fillings is quite common. It’s an effective way of restoring functionality and reducing further bacterial infection of the tooth structure. Fillings have been used by millions across the globe with great success. They are also affordable. Thus they are used by most patients as a way to stop further tooth damage.

However, several medical reports indicate that fillings are most effective and long lasting when they are small.

Problems associated with overly filled teeth

Silver amalgam fillings have been used for over 100 years. Researchers have been able to follow up on patients who get fillings to ascertain durability and effectiveness. Such research has made it clear that silver amalgam is effective when used as small fillings. However the main causes of such problems are corrosion and distortion resulting from temperature changes and the pressure that is applied while chewing. Such are the factors which may cause cracks and fractures.

Although large composites (white filling) are more dimensionally stable and less likely to act as a wedge, they can lose their bonded adhesion to the wall of the tooth.The lack of bond is likely to open spaces for bacteria breeding.  This can lead to openings between the material and tooth creating new sites for decay to form.


The best solution for large restorations

Getting fillings, especially small ones, is a reliable solution for restorations. However, where the condition has advanced and the cavity is bigger, restoring teeth with extensive fillings may not be the best idea.

In situations where teeth have large areas of decay, it is actually more conservative to use an onlay or crown for a restoration rather that to place a large amalgam or composit filling. While your dentist may be removing more tooth structure than for fillings, the tooth should actually be stronger and last longer when a crown or onlay in place.  A crown will cost you a more, but it’s the most effective approach. In the long term you will save your teeth, and actually spend less for your dental care.

Dr. Peter Rumack, DDS

Dr. Peter Rumack, DDS

is a trained and experienced Queens dentist who has been delivering cosmetic, implant and functional solutions to patients for over 25 years. His mastery of the art had made him a sought after Queens dentist for even the most challenging dental situations. His commitment to “doing it right” and ability to “handle just about anything” has won him the admiration of both patients and doctors.
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Dr. Peter Rumack, DDS