Cavities and tooth decay (filling/inlay)

If your tooth is decaying it must be treated as soon as possible to avoid any further problems. Fillings are needed to restore chewing ability and aesthetic reasons as well. The later you get your tooth treated the bigger problem and more possible pain you have to face. Little decays can be treated by white composite fillings but bigger holes are rather treated by inlays and onlays depending on the recommendation of the dentist. In both cases the decaying part of the teeth is removed by a driller and the the hole is filled either by filling or inlays. The whole intrevention is performed in local anesthesia, so it is painless. Fillings and inlays are both white so they look like your natural teeth. Fillings are made of composit and inlays can be composie, ceramic or pressed ceramic. They are all white matching your teeth colors.

 

Information on Conservative Dental Intervention

Indication:

Filling: in case of smaller decays

Inlay:

  1. in case of bigger decayed area or cavities affecting more surfaces,
  2. in case of replacing bigger filling,
  3. in case of rebuilding rootcanal-treated tooth,
  4. in case of restoring occlusion height,
  5. in case of solving shape and aesthetic irregularity of tooth,
  6. when replacing lost tooth around gap are built inlay and they hold the replaced tooth,

Filling: preparing cavity is performed by a high speed micro motor, while the removing of decayed area is carried out by low speed micro motor. Subsequently, the anatomic shape of tooth is restored tooth-coloured and aesthetic filling material. The intervention is implemented with using a so-called rubber dam isolating set, which consists of rubber sheet and fixing clamps that is a useful and inevitable condition for the successful filling as it provides maximal overview and security and adequate sterile conditions for the intervention. Teeth are seized through holes on rubber sheet. Sheet is fixed on the tooth neck by clamp and remains outside of mouth with utilising a frame. Treatment requires the simultaneous isolation of numerous teeth. Height is checked upon performing filling, and filling is to be polished by rubber polish and polish paste.

Inlay and onlay: Subsequent to removal of old filling and cleaning of decayed area, special cavity preparation is performed. In various cases, the cusp needs to be removed as it is a part lacking supporter and might brake off due to occlusal force (in case of root-treated tooth, teeth are covered with onlay including cusps). The so-called undermined walls of cavity shall be filled with composite or glass ionomer material and then an impression of tooth is maken. Impression-making is performed with silicon based impression material: impression tray is filled and then placed to dental arch with pressing. The antagonist impression-making, namely the impression of the opposite arch of the treated arch is required for dental technician work. In such case, alginate impression material is used most commonly.

 

Material used:

Filling material: compound filling material

Inlay material:

  • Composite (strengthened by glass particles): Gradia, Belle Glass
  • Composite ceramic
  • Pressed ceramic: Empress

 

Temporary Treatment

Inlay: A temporary inlay is placed in prepared cavity that provides aesthetic solution and chewing function until finishing dental technician work. A more simple solution is the utilisation of the so-called temporary filling that hardens with light.

 

Handing over:

Inlays: inlays are fixed in teeth in a couple of days. Prior to attaching inlay, cavity shall be disinfected by ozone therapy as it provides germ-free cavity. Attaching is carried out under local anaesthesia in so- called rubber dam isolation (a rubber sheet is fixed on treated tooth by using a clamp to keep away saliva and blood). The possible height correction is carried out after attaching.

Why you should prevent tooth decay

  1. Did you know that orthodontics is important not only for aesthetic reasons but also contributes to healthy not decaying teeth plus makes your speech clearer and makes it easier to eat.
  2. Did you know that even invisible tooth decay has symptoms like soreness, pain and bad breath. If these symptoms appear seek medical help so that these problems can be treated in time.
  3. Did you know that the dental filling will prevent further deterioration of the teeth and will not let decay spread to the adjacent teeth.
  4. Did you know that it is not uncommon that there is a little hole visible on the surface of the tooth, but in fact there has been an extensive destruction inside the tooth.
  5. Did you know that poor diet is responsible for your decaying teeth as well? Consumption of white bakery products specifically destroys the teeth, while the right amount of protein intake strengthens the teeth.
  6. Did you know that proper intake of vitamins and minerals strengthens teeth: the most important materials are calcium and phosphorus.
  7. id you know that tooth decay can be prevented, but if it has already evolved it must be treated by filling cavities.
  8. Did you know that because of physical damage dental filling may be necessary. Worn and chipped teeth are also treated the same way.
  9. Did you know that when a tooth is filled without drilling the surface of the tooth is cleaned with tiny metal particles and prepared for treatment.

Facts about a filling (inlay/onlay) that is prepared by a dental technician

  1. Did you know that inlay and onlay is a type of dental filling, however it is stronger and more aesthetic than “average” fillings, as it fits the edges of the tooth and anatomically perfectly fits in both healthy and damaged teeth.
  2. Did you know that inlays and onlays are prepared by dental technicians based on the impression, once completed the dentist cements it to the tooth.
  3. Did you know that inlays and onlays are used most often when your amalgam fillings are replaced and it is the most effective treatment to fill root canal treated teeth.
  4. Did you know that in case of bad bite it is also recommended to use inlays, as the bite height can be easily adjusted by using inlays.
  5. Did you know that healthy teeth need the following vitamins: D, A, C and B vitamins.
  6. Did you know that healthy teeth need the following minerals: Ca, P, F, Mg, Mo.
  7. Did you know that an oxidation treatment with ozone is so effective that bacterias and micro-organisms are not able to develop immunity.
  8. Did you know that devices used in ozone dentistry are designed to 100% cover the treated area, so ozone does not get into the lung.
  9. Did you know that, if there is decay and you need fillings, ozone treatment during drilling will reduce the area of drilling.
  10. Did you know that, thanks to the CAD / CAM technology thousandth of a millimeter precise prosthesis (inlays, onlays, crowns and bridges) can be made? So that they look exactly like the original teeth.
  11. Did you know that in case of prosthetic treatment you do not have to spend any day without tooth? After treatment a temporary crown or bridge is prepared, which makes it invisible your temporary tooth shortage.