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Permanent tooth filling is a procedure to cover cavities or damaged teeth using long-lasting materials. Permanent tooth fillings can last more than 10 years. Apart from covering tooth cavities, these dental fillings are also useful for preventing long-term tooth decay.
Cavities can be treated with permanent tooth fillings so that they no longer cause problems, such as pain or aching teeth, which interfere with activities. However, because these fillings will last a long time, you must first ensure that the cavities are no longer problematic or infected.
Permanent tooth fillings can be done immediately if the hole is limited to the surface of the tooth. On the other hand, if the damage is more severe, the doctor will provide a temporary tooth filling and carry out further examinations to confirm the condition of the tooth.
If the tooth root is damaged or infected, the doctor will provide the necessary treatment so that the tooth can completely recover. . That way, the tooth will be ready to be filled permanently. The materials used to fill teeth can be resin composites, ionomers, porcelain, or gold.
Purpose and Indications for Permanent Dental Fillings
Permanent tooth fillings are performed to improve the appearance of damaged or cavities. The following are conditions that require permanent tooth fillings:
- Cavities
- Teeth are sensitive to hot, cold or sweet foods or drinks
- Prolonged toothache
- Changes in tooth color to brown or black
- Cracked or broken teeth, for example due to bruxism
As explained above , permanent tooth fillings cannot always be done immediately. There are things that make this procedure need to be postponed and the doctor will perform a temporary tooth filling as an emergency aid.
The following are conditions that can be a consideration for the doctor to postpone a permanent tooth filling:
- Cavities cause severe and sharp pain
- Very sensitive teeth
- Root canal treatment is required
Warning and Prohibitions on Permanent Dental Fillings
There are things that need to be considered if the patient is planning to undergo permanent dental fillings, namely:
- Tell your doctor if you are allergic to latex, certain types of anesthetics, or dental filling materials.
- Inform your doctor if you are taking certain herbal products, supplements, or medications.
- Tell your doctor if you plan to wear braces in the near future.
- Tell your doctor if you take blood thinners or aspirin. Consumption of these drugs may need to be stopped temporarily.
Before Ta Permanent Tooth Filling
Before getting a filling permanent teeth, the doctor will discuss with the patient the selection of the type of dental filling material that suits the patient's needs. The following are the types of materials and their advantages and disadvantages:
Types | Advantages | Disadvantages |
Porcelain |
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Gold |
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Composite |
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Ionomer |
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If the patient has chosen the type of filling material, the doctor will arrange a schedule for permanent tooth filling. There are a number of preparations that patients can make before the operation, namely:
- Brushing their teeth twice a day using toothpaste that contains fluoride
- Not chewing with the tooth to be filled
- Stop consuming certain medications according to the doctor's recommendations
Patients can still have breakfast or lunch first because the permanent tooth filling procedure does not require the patient to fast.
Permanent Tooth Filling Procedure
The process of permanent tooth filling with mild tooth damage can take around 20–30 minutes. The time required for surgery will be longer if there are quite a lot of cavities.
In general, the following are the stages of permanent tooth filling that will be carried out by the doctor:
- Providing local anesthetic to numb the area around the tooth being filled
- Punch a hole in the tooth with a dental drill after the patient is anesthetized
- Clean the part of the tooth that will be filled from dirt
- Filling the cavity area with the selected filling material
- Hardening each layer of the tooth filling with a special light
- Completing the operation by filing and polishing the tooth filling to make it neater
After Permanent Teeth Fillings
Patients can return home and carry out their normal activities after having their teeth filled. The effect of the anesthesia on the tooth may still last up to 1–2 hours after the procedure.
After the effect of the anesthesia wears off, the filled tooth may feel uncomfortable or become sensitive. This condition is not dangerous and will subside within 1-2 days. If the patient uses gold fillings, complaints of sensitive teeth may last longer.
To help relieve these complaints, there are several ways that can be done, namely:
- Brushing your teeth regularly regularly with toothpaste that contains fluoride
- Clean the gaps in your teeth using dental floss (dental floss)
- Brush your filled teeth more slowly
- Chew food using the side of the mouth opposite to the filled tooth until the complaint of sensitive teeth disappears
- Avoid consuming food and drinks that are too hot, cold or acidic
- Taking reliever medication pain, such as ibuprofen
- Use a cold compress or warm compress to relieve swelling and pain in the jaw area
Immediately see a doctor if the above efforts are not effective in relieving sensitive teeth or until it makes chewing difficult. That way, the doctor can determine the cause and provide appropriate treatment.
Side Effects and Complications of Permanent Dental Fillings
Fillings Permanent teeth are a safe procedure and can be beneficial in the long term for cavities or damaged teeth. However, there are still risks that can occur from this procedure, such as:
- Pain or aching in the tooth filling area
- Allergic reactions to permanent tooth filling materials
- Tooth fillings are eroded or have cracks
See a doctor immediately if you experience the following complaints after undergoing a permanent tooth filling procedure:
- Pain or aching that doesn't go away or gets worse
- Itching, swelling, or rash in the mouth or skin around the mouth
- Tooth fillings appear cracked or separated from the tooth
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