The Dental Filling Process and Types of Fillings - District Dentistry Charlotte

It is widely known that maintaining good oral hygiene practices is crucial for promoting healthy teeth and gums. Yet, a significant number of individuals still fail to consistently follow such a routine.

As such, neglecting dental health will surely lead to painful cavities, infections, and/or tooth loss. When left untreated, these cavities or infections and the decay associated with these conditions will eventually lead to severe damage. This damage will occur in the tooth’s structure and result in the need for more invasive dental procedures. 

Fortunately, for those who have neglected their oral health in the past, tooth fillings are an effective treatment option that restores your teeth to their former glory.  

At District Dentistry in Uptown Charlotte, NC, we are equipped to repair your cavities with a simple tooth-filling procedure.

In this article, we’ll explore the benefits of and the process for administering tooth fillings. Read along to learn more.

Uncovering the Causes and Symptoms of Tooth Decay

Tooth fillings are a common treatment option offered to individuals experiencing minor tooth decay. This treatment option works well to prevent the spread of further decay. The material used allows us to patch up the hole in your tooth. This tooth restoration practice also helps to reduce the pain caused by the tooth’s breakdown. 

It is important to note here that not everyone who is experiencing tooth decay will need a tooth filling. In some cases of early-stage cavities or demineralization, the condition can be reversed by routinely using fluoride toothpaste. However, if the case is more severe, the better, more lasting option is a tooth filling. 

Factors To Consider For Treatment

When determining whether or not fluoride toothpaste or tooth filling is the solution, Dr. Mjahed will consider a few factors. Factors include; the severity of mineral loss, enamel strength, and your willingness to maintain good oral hygiene practices to avoid further damage.

Your willingness is important for preventing tooth decay. This is because bacteria that produce acid can cause decay when there is no brushing to stop them. Lack of brushing is the chief contributor to bacteria multiplying rapidly, especially when you consume sugary or acidic foods. This acid erodes the enamel layer and results in white spots that appear on the surface of the tooth. 

According to Mayo Clinic, symptoms of tooth decay may also include:

  • Toothache that occurs without cause 
  • Mild to sharp pain 
  • Tooth Sensitivity
  • Visible holes or pits in the teeth
  • Black, brown, or white stains on the tooth
  • Pain when biting or chewing

Although these symptoms are pretty common in tooth decay patients, the white spots mentioned above are usually the earliest visible sign of early-stage tooth decay.

The Dental Filling Process and Types of Fillings

At our dental practice in Uptown Charlotte, NC, patients who present with cavities will first undergo an examination to determine the extent of the decay. Dr. Mjahed will begin treatment if it is recommended and accepted. The first step is to remove the decayed portion of the tooth. Then, he will clean the area to prepare it for the filling.

There are several types of dental fillings options available, including amalgam, composite, and ceramic. Each material is further explained below: 

  • Amalgam fillings – Made from a combination of metals.
  • Composite fillings – Made of a resin material that can be color-matched to the surrounding teeth.
  • Ceramic fillings – Made of porcelain, which provides a natural look and feels.

Which option is best for you will be determined collaboratively with you and Dr. Mjahed working together to finalize the decision. 

Pros & Cons of Filling Material 

We will help you choose the best filling material for your individual needs. Each type has its advantages and disadvantages. Consider the following when talking to the dentist or our staff about your options:

Amalgam Fillings

Amalgam fillings are a mixture of metals, including silver, copper, and mercury. They have been used for decades and are a popular choice for back teeth that need to withstand chewing forces. Several studies have reviewed the failure rate of tooth-colored fillings. The results indicate that these types of fillings may be nearly twice as likely to fail compared to dental amalgam fillings.


  • Durable and long-lasting
  • Can withstand chewing forces and pressure
  • Cheaper than other filling materials


  • A dark color can be visible, especially on the front teeth
  • Contains small amounts of mercury, which can be a concern for some patients
  • Requires more tooth structure removal for placement

Composite Fillings

Composite fillings are made of resin. They can be matched to the color of the surrounding teeth. This makes them a popular choice for front teeth. In addition, they bond well to the tooth structure, reducing the need for significant tooth structure removal.


  • Can be color-matched to surrounding teeth for a natural appearance
  • Bond well to the tooth structure, reducing the need for significant tooth structure removal
  • Can be used for both front and back teeth


  • Less durable and may require replacement sooner than amalgam fillings
  • More expensive than amalgam fillings
  • Can shrink slightly during placement, leading to gaps

Ceramic Fillings

Ceramic fillings are made of porcelain and offer exceptional durability, making them an excellent choice for back teeth. They can also be color-matched to the surrounding teeth for a natural appearance and are resistant to staining.


  • Highly durable and long-lasting
  • Can be color-matched to surrounding teeth for a natural appearance
  • Resistant to staining


  • Most expensive filling option
  • Requires a longer appointment time to place
  • May require more tooth structure removal than composite fillings

Patients should inform their dentist of any medical conditions, medications, or supplements they are taking before receiving a filling. This is important for the dentist to know. This can help the dentist determine the best type of filling material to use and any precautions that may be necessary.

Caring for Your Filled Tooth: Aftercare and Prevention Tips

After receiving a dental filling, you may experience some sensitivity or discomfort in the filled tooth for a few days. We explain to our patients that this is normal and should subside within days to a week. Other effects may include, some difficulty chewing or sensitivity to hot or cold temperatures for a short period. 

We understand that some minor pain and discomfort are normal. However, if the pain or discomfort persists for an extended period, we ask that patients contact us.

To Care for the Filled Tooth, Patients Should:

  • Avoid hard or sticky foods that could damage the filling
  • Brush twice a day with fluoride toothpaste
  • Floss daily to prevent future cavities
  • Schedule regular dental check-ups to monitor the condition of the filling and overall oral health

To Prevent Future Cavities, Patients Should Do These:

  • Limit intake of sugary and acidic foods that weaken enamel and promote tooth decay
  • Drink plenty of water and maintain a balanced diet rich in vitamins and minerals
  • Schedule regular dental cleanings and check-ups
  • Consider using fluoride mouthwash or toothpaste to strengthen enamel and prevent cavities

Better Oral Health: Benefits of Tooth Fillings

It’s essential to address cavities early to prevent more serious dental issues. Cavities can cause more serious dental issues if not treated. This could include root canals or extractions, which are more extensive and expensive.

The benefits of tooth fillings are numerous, including pain relief, restoration of tooth structure, and prevention of further decay.

Regular dental check-ups can help prevent cavities. Good dental hygiene habits, such as brushing and flossing twice daily, can also help. Both of these measures can help prevent cavities from developing. Other preventative measures include limiting the intake of sugary and acidic foods as these contribute to tooth decay. 

Risks and Precautions: What to Know

While dental fillings are generally considered safe, patients should be aware of some potential risks and precautions. Before administering a tooth-filling procedure we discuss the following risks and side effects: 

  • Sensitivity: Patients may experience tooth sensitivity to cold, hot, or sweet foods and drinks after filling. This is usually temporary and should resolve on its own within a few weeks. In some cases, a dentist may recommend desensitizing toothpaste or other treatments to manage the sensitivity.
  • Cracking or chipping: In rare cases, fillings can crack or chip, which can cause pain or damage to the tooth. This can happen if the filling is too large or the patient has a habit of grinding their teeth. In some cases, the filling may need to be replaced.
  • Allergic reactions: Some patients may be allergic to the filling material, such as composite resin or amalgam. Symptoms may include swelling, rash, or difficulty breathing. If a patient has a known allergy to a filling material, their dentist can recommend an alternative material.

Some patients may require a numbing agent, such as lidocaine, before receiving a filling. Patients should inform their dentist if they have any allergies or adverse reactions to these medications.

After receiving a filling, patients should follow Dr. Mjahed’s instructions. This may include avoiding hard or sticky foods for a certain period. Patients should brush twice a day and floss daily to prevent future cavities.

Exploring Alternative Treatment Options for Cavities

Dental fillings are the most common treatment for cavities. However, alternative options exist for those who may not be suitable for fillings. Some of these options include dental crowns and root canals.

Dental Crowns

Dental crowns are often recommended for patients with larger cavities or weakened teeth. A crown is a cap that is placed over the tooth, covering the entire visible portion of the tooth. This can help to restore the tooth’s function and prevent further decay. However, getting a dental crown requires more extensive tooth preparation than a filling, which can be more expensive.

Root Canal Treatment

Root canals are recommended when the decay has reached the tooth’s pulp. This is the innermost layer of the tooth. It contains nerves and blood vessels.

Root canal removes damaged pulp. The tooth is then filled with a special material to prevent further decay. While a root canal can save a severely damaged tooth, it is more invasive and expensive than a filling.

While these alternative treatments may suit some patients, dental fillings remain the most common and cost-effective treatment for cavities. A dental filling is a relatively simple and non-invasive procedure that can be completed in a single visit to the dentist. Additionally, dental fillings can be made from various materials, including tooth-colored composite resin, which can provide a more natural-looking restoration.

Taking Action Against Cavities with Tooth Fillings

Cavities are a common dental issue that can be treated effectively with tooth fillings. At District Dentistry in Uptown Charlotte, NC, our dental expert is committed to providing high-quality dental care to our patients. We use the latest techniques and technologies to ensure our patients receive the best treatment.

If you’re experiencing symptoms of tooth decay, such as sensitivity or pain, don’t delay seeking professional dental care. Early intervention can prevent further damage to the tooth and potentially save it from needing more invasive procedures.

To learn more about dental fillings in Charlotte, NC, or to schedule an appointment, contact District Dentistry today. We’re here to help you achieve optimal dental health and a beautiful smile.