Tooth Colored Fillings

There are multiple dental filling options available for patients today. 

Not only do tooth-colored fillings offer an aesthetic alternative to “silver” (dental amalgam) fillings that’s hard to match — they may also allow for a more conservative treatment method that preserves more of the tooth’s structure. When you put these advantages together, it’s no wonder some dentists say we’re moving toward a “post-amalgam” era.

In addition to restoring teeth that have fractured or decayed, tooth colored fillings may also be used cosmetically to change the size, color and shape of teeth.

When you talk about dental fillings, most people know about those dark/silver, ugly looking fillings that were done many years ago.

However, in recent years due to health and environmental concerns of mercury in amalgam, there is a global campaign to phase down and eventually eliminate the use of amalgam. Resin or composite fillings are now the standard of care.

At Tender Care Dental, we exclusively use composites for doing fillings on our patients. Composites are tooth coloured materials that are both aesthetic and help conserve tooth structure.

The advantages of tooth colored fillings (white fillings)

  • They closely match natural tooth color and appearance.
  • They bond to tooth structure chemically and thus do not require the placement of slots, grooves or pins in healthy tooth structure to mechanically retain them.
  • The bonding of white fillings to the tooth restore 85% – 95% of the original strength of the tooth.
  • They completely harden in seconds instead of days required by some other materials.
  • Tooth sensitivity, if any, due to composite resin use is minimal and brief.
  • They may be used on front and back teeth without compromising esthetics.
  • If damaged they can be repaired.

Here's a look at some of the more common kinds of tooth colored fillings

Composite fillings

Composite fillings are a mixture of acrylic resin and finely ground glasslike particles that produce a tooth-colored restoration. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the dentist prepares the tooth, and this may result in a smaller filling than that of an amalgam. Composites can also be "bonded" or adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth. In teeth where chewing loads are high, composite fillings are less resistant to wear than silver amalgams. It also takes longer to place a composite filling.

Glass Ionomers

Glass ionomers are tooth-colored materials made of a mixture of acrylic acids and fine glass powders that are used to fill cavities, particularly those on the root surfaces of teeth. Glass ionomers can release a small amount of fluoride that help patients who are at high risk for decay. Glass ionomers are primarily used as small fillings in areas that need not withstand heavy chewing pressure. Because they have a low resistance to fracture, glass ionomers are mostly used in small non-load bearing fillings (those between the teeth) or on the roots of teeth. Resin ionomers also are made from glass filler with acrylic acids and acrylic resin. They also are used for non-load bearing fillings (between the teeth) and they have low to moderate resistance to fracture. Ionomers experience high wear when placed on chewing surfaces. Both glass and resin ionomers mimic natural tooth color but lack the natural translucency of enamel. Both types are well tolerated by patients with only rare occurrences of allergic response.

Porcelain (ceramic) dental materials

All-porcelain (ceramic) dental materials include porcelain, ceramic or glasslike fillings and crowns. They are used as inlays, onlays, crowns and aesthetic veneers. A veneer is a very thin shell of porcelain that can replace or cover part of the enamel of the tooth. All-porcelain (ceramic) restorations are particularly desirable because their color and translucency mimic natural tooth enamel. All-porcelain restorations require a minimum of two visits and possibly more. Their strength depends on an adequate thickness of porcelain and the ability to be bonded to the underlying tooth. They are highly resistant to wear but the porcelain can quickly wear.

Studies have shown that almost 33% of children aged 2 to 5 have had a cavity. Even though baby teeth are only around for a few short years, it’s still important to keep them healthy because they hold the space for your child’s adult teeth. They also help develop proper speech patterns and help your child chew.

The procedure is the same for a child as it is for an adult. Depending on the size of the decayed area, a local anesthetic may be given, and if your child has any anxiety over the procedure, we have some sedation options available to make the procedure more comfortable.

After the decay is removed, a special gel is used to clean and etch the surface. Once the filling material is in place, it is light cured, polished, and adjusted to make sure it doesn’t interfere with your child’s bite. Tooth-colored filling material is much like a natural tooth in texture and is matched to your child’s tooth color.

After treatment, it’s important to maintain a regular homecare routine of brushing and flossing twice daily, so your child’s restorations stay healthy and prevent any more decay.

Meet Our Doctors

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Dr Gitonga Ndirangu graduated with a Bachelor of Dental Surgery (BDS) from the University of Nairobi in 2013. He is currently pursuing his Postgraduate Degree in Periodontology & Implant Dentistry.

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Dr. Meera Shah graduated with a Bachelor of Dental Surgery (BDS) from Moi University in 2014. She specializes in routine dentistry, endodontics, cosmetic, and restorative dentistry.

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Dr. Frankline Kidula graduated with a Bachelor of Dental Surgery (BDS) from the University of Nairobi in 2012. He is currently pursuing his Postgraduate Degree in orthodontics.

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Dr. Johnson Mwangi graduated with a Bachelor of Dental Surgery ( BDS) from the University of Nairobi in 1991. An MBA (Stratgic Management) in 2006 and a post graduate diploma in Oral Implantology from the University of Pretoria and New York University.

Emergency Cases

Please feel welcome to contact our friendly reception staff with any general or medical enquiry call us.

Opening Hours

8.00AM – 5:00PM Monday, Tuesday, Thursday and Friday.
8.00AM – 1.00PM Wednesday and Saturday.