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A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Cataraqui Dental Centre performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our Kingston, ON office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

You’ve made an appointment at our Kingston, ON office to treat your cavity, the decayed area has been removed, and the site has been cleaned and prepared for a filling. Now it’s decision time. What kind of filling should you choose? Well, that depends. There are durability, aesthetic, and price considerations involved in any of your choices, so let’s look at some options before you decide.

Gold

This is a classic choice for a reason. Gold is very durable and can last longer than fillings made from other materials. Because they are crafted from precious metal, gold fillings are more expensive than other alternatives. They are also most often indirect fillings—that is, they are not immediately placed in a tooth, but are formed based on a mold of your tooth taken on your first visit and set in position on a second visit. A gold filling is also noticeable, which can be a matter of concern or a style statement!

Metal Amalgam

An amalgam is a mixture, and an amalgam filling is usually composed of several metallic elements, including silver, tin, copper, and mercury. This filling is also very durable and is one of the most cost-effective choices. Its silver color does not blend into the tooth, so visibility is a factor. Amalgam fillings are considered a safe option, but, if you wonder about potential metal allergies or the amount and kind of mercury involved, we will be happy to discuss your concerns. One possible drawback to amalgam fillings is that sometimes more tooth structure needs to be removed to accommodate them, so this is also a subject we can discuss.

Composite Resins

These fillings are often selected because they are both durable and almost invisible when the color is matched to your tooth. Made of acrylic resin and powdered glass, a composite filling is what is called a “direct filling”—one that can be completed and bonded to the tooth in one visit. These are often more expensive than amalgam fillings, but might be preferable for cosmetic reasons, especially when a front tooth is involved. They also need less tooth structure removed to accommodate them and can be better bonded to small excavations than some other options. They can be prone to staining over time.

Ceramic

Ceramic fillings have the virtue of being virtually undetectable. They can be color-matched to your teeth for a seamless look, and are more stain-resistant than composite fillings. They are also a more expensive option, and, like gold fillings, can involve a two-phase process with a filling molded to fit the excavation site placed in your tooth on a second visit.

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team are happy to discuss all of your options before it is time to treat your cavity, since there are a number of factors which might impact your decision. A molar will require a more durable filling than a front tooth, while being less visible when you smile or speak. Insurance plans might pay for only a portion of a filling’s cost if it is more expensive than an amalgam, or will pay for a composite filling only if it is in a visible location. We can help you decide which filling best fits all your needs, providing you with the healthy and beautiful smile you deserve!

First word, first step, first day of school—these firsts are milestones every parent celebrates. And one of the earliest and most precious milestones is your baby’s first real smile! 

Keep that smile beaming and healthy from infancy to young adulthood with the help of dental milestones. These breakthrough events mark significant stages in oral development, and are a great guide to understanding, protecting, and supporting your child’s path to adult oral health.

• First Tooth

Baby’s first tooth often arrives around the age of six months. And this is the time to start cavity prevention, with twice daily gentle brushing with a soft-bristled, child-sized toothbrush. Talk to Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok or your child's pediatrician to learn how and when to brush and how much and what kind of toothpaste to use.

By the age of three, toddlers typically have all of their 20 baby teeth, and these little teeth are essential to children’s health. They help kids chew and eat, assist speech development and pronunciation, and act as placeholders so adult teeth can erupt in the proper place. Keep your child’s baby teeth their healthiest by partnering with the dental team at Cataraqui Dental Centre in Kingston, ON.

• First Visit to the Dentist

Once that first tooth has come in, or around age one, it’s time to bring your little one to the dentist for a first visit. Your dentist will do a careful exam to see if your child’s teeth and jaws are developing as they should, check the health of the teeth, and answer your questions about brushing, flossing, toothpaste, teething, pacifiers, thumb-sucking, or any other concerns. 

Early visits are important. They allow you and your child to establish a “dental home”: a place where the dental team is familiar and comforting, and where regular preventative care will help keep young smiles their healthiest.

• First Lost Tooth/First Permanent Tooth

Around age six, most children start to lose baby teeth, typically in the order in which they arrived. Losing a baby tooth is a big step for children and might be a bit scary. You can celebrate this milestone with a visit from the Tooth Fairy, or a certificate, or a new toothbrush in your child’s favorite color. 

As the permanent teeth come in, continue to encourage twice daily brushing and flossing, and consider proactive treatment with dental sealants. Even when children have learned to brush properly, and brush twice each day, it can be hard for kids to remove all the plaque and food particles from the grooved chewing surfaces on top of molars. That’s why molars are much more vulnerable to decay than any other teeth. 

Around the time your child’s first permanent molars erupt, the team at Cataraqui Dental Centre might suggest sealants. Sealants protect the chewing surfaces of the molars from food particle and plaque buildup. This safe and invisible protective coating, usually a plastic resin, is applied in the office and typically lasts from three to five years. 

• First Orthodontic Visit

Dentists and orthodontists recommend an orthodontic examination by age seven (or earlier, if you have any concerns). At this point, children have a mix of primary and permanent teeth, allowing an orthodontist to assess tooth spacing and alignment and the way the jaws fit together. 

Your orthodontist might find no issues with your child’s teeth or bite. Or, perhaps, follow-up appointments might be scheduled to determine if and when future treatment is advisable. Sometimes, because some problems can be treated more easily when your child is young, early intervention with a fixed or removeable appliance is recommended right away. 

Having an orthodontic plan in place helps ensure that children benefit from the most effective and timely treatment at any stage of their development.

• Orthodontic Treatment

Orthodontic treatment commonly begins in early adolescence (ten to 14) when most or all of the permanent teeth have erupted. The facial and jaw bones are still growing in preteens and young teens, which makes it easier to reposition teeth and guide jaw alignment.

More treatment options are available than ever before—and today’s braces, clear aligners, smaller and more comfortable appliances, and even 3D technology make treating malocclusions and misalignments more efficient than ever before.

A healthy bite and properly aligned teeth are a foundation of lasting oral health. Orthodontic treatment helps prevent decay, gum disease, jaw pain, and even early tooth loss. And, of course, the value of your child’s increased self-confidence is impossible to overestimate!

• Wisdom Teeth

Wisdom teeth, or third molars, generally start to erupt in the late teens or early twenties and often have a harmful effect on oral health.

Erupting or impacted wisdom teeth can push neighboring teeth out of position, damage adjacent tooth roots, and cause inflammation and infection in gum and bone around the wisdom tooth. For these reasons, preventative extraction is often recommended. 

If your teen shows any symptoms of erupting or impacted wisdom teeth—irritated, swollen, or bleeding gums, bad breath, jaw pain or swelling—a visit to the dentist is in order.

As parents, you do your best to guide your child’s journey from infancy to healthy adulthood. Each dental milestone marks a new stage in your child’s oral health journey, and new ways for you to encourage and protect that oral health. Use these milestones to set your child up for a lifetime of good dental habits—and a lifetime of healthy smiles!

One of the most appealing reasons to choose dental implants over options such as bridges, partial dentures, and complete dentures is the fact that they function like natural teeth. 

Unlike bridges and dentures, which sit above the gumline, implants are embedded in the jawbone, designed to look like and to work like a natural tooth:

• A cylinder or screw, usually made of bio-compatible titanium, is surgically implanted into the jawbone. After several months, the implant fuses with the bone, a process called “osseointegration.” 
• An abutment is secured inside the implanted piece. This abutment extends above the gumline and serves to connect the implant to a crown. 
• A dental implant crown customized to match surrounding teeth in shape and appearance is securely attached to the abutment.

The result is a tooth that looks and functions just like a natural tooth, with a secure implant acting as a root below the gumline attached to a realistic-looking crown above it. What does this unique design mean for you?

• Implants Are Secure

Because implants are rooted in your jaw, there is no need to worry about loose dental work or difficulties with pronunciation or eating. Dentures stay in place using a mild adhesive or suction, which attaches them to the gum ridge. Bridges are anchored to teeth on either side of the missing tooth or teeth. Implants, on the other hand, are anchored in the jawbone. The post of the implant fuses with the bone in your jaw, functioning just like the root of a natural tooth. 

Implants often are used to replace a single tooth, but if you have lost several teeth, you also have options. Implants are an effective way to hold bridges and dentures in place securely. Several posts are implanted in strategic locations. Once the posts have fused with the jawbone, the bridge or denture is secured to the posts. These appliances can be fixed in place or removable for easy cleaning. 

• Implants Maintain Bone Health

When you choose an implant, you are choosing an option which protects your natural bone health and facial appearance. When a tooth is lost, the jawbone beneath it can shrink over time. This process is called “resorption.” Bone loss can alter facial appearance, especially around the lips, cheeks, and profile. 

Why do we lose bone? The bone in our jaws stays healthy because the stimulation of chewing and biting encourages new bone cell production around the root. Without that stimulation, the jawbone doesn’t replace old bone cells as effectively, and gradually shrinks, even with a bridge or denture. Implants, on the other hand, provide the same stimulation to the bone that natural teeth and roots do, and bone cells regenerate just like they do with natural teeth.

• Implants Don’t Affect Surrounding Teeth

When you choose a fixed bridge to replace a missing tooth or teeth, the neighboring teeth must be shaped to hold the bridge attachment. This is done by removing some healthy tooth structure from each neighboring tooth. Retainer crowns are then placed on these teeth to hold the pontic, or replacement teeth, in position. 

Implants don’t require crowns or other anchoring mechanisms on surrounding teeth. What’s more, implants benefit the teeth around them by helping to preserve the shape and strength of the jawbone holding them in place. 

• Implants Last

Dentures and bridges can be a more cost-effective option initially, but they will need to be replaced every 5-10 years. Implants are the longest lasting tooth replacement. Many implants will last a lifetime. 

How to make sure your implant is successful? Look after your dental hygiene to prevent gum disease, a leading cause of tooth loss in adults. If you grind your teeth, talk to Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok about a nightguard. Wear a mouthguard when you play sports. Avoid biting into hard foods like ice and hard candies. Don’t smoke. In other words, protect your implants just like you protect your organic teeth.

• Implants Look Natural

For many of us, the realistic appearance of dental implants is the deciding factor. 

Dental implants are designed to look just like your natural teeth. The crown which sits atop the implant post is carefully fabricated to match the size, shape, and color of your surrounding teeth. You can eat, speak, and smile confidently once again.

If you’re considering tooth replacement, talk to the team at Cataraqui Dental Centre in Kingston, ON about which options are best for you. You might discover that a dental implant is the natural choice!