Fillings and Restorations

At Hometown Dental in Okotoks Dental, we offer Fillings and Restorations services

Tooth decay or cavities are most commonly treated with fillings. There are different options for the material that is used to fill the cavity. First the tooth is anesthetized (frozen) with a local anesthetic to prevent discomfort during the tooth preparation. The decay is then removed with the dental handpiece (drill) to prepare the tooth for the filling. The tooth is then filled with the material of choice in either a direct or indirect fashion.
Direct
  • Amalgam (silver)
    Amalgam is a metal alloy that is very strong, predictable and easy to place. It lasts a very long time but does not have high esthetics so is reserved for posterior teeth.
  • Composite (white)
    Composite materials are very esthetic as there are multiple shades for matching adjacent teeth. They require that the tooth be isolated well for placement and proper bonding. These are the most common fillings placed even though they may not last as long as the metal materials.
Indirect
  • Gold inlay/onlay
    After the tooth is prepared, a mould is taken with an impression material or a scan is taken with our digital scanner, which is then sent to a dental lab. They fabricate a restoration out of a gold alloy that is cemented in the tooth at a second visit. These restorations are very strong and long-lasting.
  • Porcelain inlay/onlay
    Often these restorations are completed similar to the cast gold restorations. However, we have a CEREC machine in the office, which allows us to make this filling in office in one visit. Instead of taking a mould, we use a digital scanner, which takes a picture of the tooth and sends it to the milling machine where it is made. After some staining and glazing, the filling is cemented in the tooth. These are great restorations as they last a very long time and do not take a lot more time than white fillings.