Jeffrey S. Coleman, D.D.S
Comprehensive Dentistry
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There are two types of dental restorations: direct and indirect.

Direct restorations are fillings placed immediately to a prepared cavity in a single visit. They include dental amalgam, glass ionomers, resin ionomers and some resin composite fillings. In one appointment, Dr. Coleman prepares the tooth, places the fillings and adjusts it. Usually, no follow-up appointment is needed.

 

Indirect restorations generally require two or more visits. They include inlays, onlays, veneers, crowns and bridges fabricated with base metal alloys, gold, cermaics or composites. During the first visit, the Dr. Coleman prepares the tooth and makes an impression of the area to be restored. This impression is sent to a dental lab which creates the dental restoration. In the next visit, the Dr. Coleman will cement the restoration into the prepared cavity and adjusts it as needed.

 

The following are the types of fillings that can be used depending on the condition of the cavity you have. Dr. Coleman can advise you to what is best for your particular case.

 

Dental Amalgam is a stable alloy made of combining elemental mercury, silver, tin, copper and possibly other metallic elements. They can withstand very high chewing loads and are used for restoring molars in the back of the mouth where chewing is the greatest.

Composite fillings are a mixture of glass or quartz filler in a resin medium that produces a tooth-colored filling. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure.

Glass ionomers are translucent, tooth-colored materials made of acrylic acids and fine glass powders that are used to fill cavities, particularly those on the root surfaces. This is used primarily in areas not subject to heavy chewing pressure. They are mostly used in small non-load bearing fillings (between the teeth) or on the roots of the teeth.

Resin ionomers are made from glass filler with acrylic acids and acrylic resin. They are used for very small, non-loading bearing fillings (between the teeth), or on the root surfaces of the teeth. They have a low to moderate resistance to fracture.

 

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