Restorative

Restorative procedures are what we call “fillings”.  The procedure is meant to replace any tooth structure that is missing due to a cavity, fracture, or any other pathogenic processes.  The idea of restorative materials is to stabilize the occlusion of the oral cavity and to help maintain the strength and integrity of the tooth.

Composite and GI

The “tooth colored” filling materials.  Composites were first discovered/researched in the 1930s, but were not truly mainstream in dentistry until the 1980s.  The filling material is a mix of different sized resin particles that, when stimulated by UV light, become a rigid meshwork strong enough to withstand occlusal loading; "your bite".  Some advantages of composite are its esthetics, the material is bonded to the tooth, and it’s easier to manipulate and shape.  Composite is a very dynamic and useful restorative material that can be used anywhere in the mouth with favorable esthetic outcomes.  Many offices use composite instead of amalgam for this very reason.   

Glass ionomer or "GI" has a very similar look to composite.  GI is tooth colored and many times is used near the gumline.  What separates GI from composite is how it is applied, and where it is applied.  GI contains a small amount of fluoride that is released over time to help prevent future decay and to strengthen the surrounding tooth structure.  This material is easier to work with in patients who naturally have a more moist oral environment and the fluoride release it has is a large positive quality.  Typically GI is placed when a restoration needs to be placed near the gumline or on the root surface.  However, GI is not typically used like composite on the chewing surfaces of teeth because it is inherently more brittle as a result of its chemical composition

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Sealants

Sealants are another form of "tooth colored" filling material that does not require the dentist to remove any tooth structure.  These restorations are used as a preventative measure against decay in children and adolescents most commonly.  Typically a dentist will apply sealants onto teeth with very deep anatomy or on the teeth of patients that are more prone to decay.  Sealants are not a requirement for all children and all teeth, but they are very useful in helping prevent decay.  The biggest advantage of this procedure is the restorative material can be placed on top of the existing enamel which means that there is no loss of tooth structure like there is with standard restorations.


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This information is meant solely for informational purposes and not as medical or dental advice.  Please consult your physician before any dental procedures.