Do You Need a Tooth Filling? Here's How You Can Find Out

Let’s face it: a toothache and cavity is the last thing you may want to think about. The good news is that small cavities can heal without a tooth filling. But how do you know if you need one? The best plan is to see a dentist for a dental exam, but a few symptoms may also be a sign.

What Are Dental Fillings?

Dental fillings are a type of restorative treatment to repair tooth decay. Your mouth is naturally full of bacteria that feed off the foods you eat. These bacteria create acid as they consume sugars and other foods, which slowly break down the hard outer layer of your tooth.

Good hygiene habits help clear away these bacteria and acids and keep your teeth strong. However, if acid builds up, it eventually wears down the enamel, creating a hole or cavity. As a tooth cavity spreads or gets bigger, bacteria can travel deeper into your tooth and cause an infection. 

Your dentist can fix a small cavity with fluoride treatment, but a deeper cavity needs a tooth filling. The procedure involves removing tooth decay and filling the tooth with long-lasting materials, so you can eat and speak comfortably without pain. 

Types of Dental Fillings

There are a few treatment options for tooth filling, depending on the size of the cavity. In some cases, you may need a temporary tooth filling before these options can be placed. However, this must be done by a dentist. Tooth repair kits or over-the-counter temporary tooth fillings are not recommended. 

Direct Fillings 

Direct fillings are those made in-office and placed directly into your mouth without being sent to a lab. These fillings are same-day appointments and come in a few styles. 

Resin Composite Tooth Filling

Tooth-colored resin composite fillings are a combination of glass or silica powder in a resin base. These are sometimes called plastic fillings and are a popular option because of their natural tooth appearance, especially for a front tooth filling. 

Composite fillings are durable and can withstand moderate pressure without cracking. They are suitable for front and back teeth but are best for small to midsize cavities. Composite material is also used as a tooth filler for broken tooth repair, such as a crack, or for dental bonding. 

Amalgam Filling

Amalgams, also called silver tooth filling or metal tooth filling, are a mixture of metals, including silver, tin, copper, and mercury. These used to be popular, but aren’t as common today as most patients prefer tooth-colored fillings. Amalgam fillings are strong and sturdy and may be cheaper than gold, porcelain, or tooth-colored versions.

Inlays and Onlays

Inlays and onlays are a type of indirect tooth filling used for large cavities. These fillings may be gold or porcelain, both of which are very sturdy, and may fit into or over the tooth to fill the hole or cavity.

Inlays and onlays usually take two or more appointments. During the first appointment, the dentist will take an impression of your teeth and send them to a lab for manufacturing. Once the dentist receives the finished fillings, you’ll have them placed at the next appointment. 

Signs You Might Need a Filling

You may not always know you have a cavity and need a filling, especially for smaller areas. However, deeper decay that causes infection may be uncomfortable. 

Symptoms of Tooth Decay

A few signs and symptoms may indicate you have tooth decay and need a filling. These include:

• Tooth pain
• Sensitive tooth
• High fever
• Feeling sick
• Facial swelling
• Red, swollen, and tender gums
• Bad taste in your mouth

Tooth pain is the most common symptom, and it may be severe in some cases. Other signs of a tooth infection, such as high fever, swelling, and feeling sick, are serious and can be life-threatening without treatment. Infection can spread to your blood, leading to a condition called sepsis. 

How to Check If You Need a Filing

Chances are you'll suspect you need a cavity if you have severe tooth or mouth pain. However, you can also inspect your teeth for other signs. For instance, a small cavity may look like a white spot on your tooth. A bigger or deeper cavity may look like a brown or black spot.

You may not always be able to see a cavity, though. It’s best to visit your dentist regularly for yearly exams and cleanings to keep an eye on your teeth and health. A dentist is trained specifically to spot these issues. 

Costs and Results

Tooth fillings are essential treatments for cavities, and the earlier you treat them, the better. Fillings generally last a long time and are affordable without insurance. 

How Long Does a Filling Last?

While all tooth fillings can become damaged, they are generally durable and long-lasting. The lifespan changes depending on the materials, but includes:

• Composite: 5 to 7 years
• Amalgam: 10 to 15 years
• Gold: 10 to 30 years
• Porcelain: up to 15 years

All fillings will eventually need replacing, but your eating and hygiene habits can shorten the lifespan. Diets high in sugary foods and drinks and poor dental hygiene may lead to more buildup and decay, which lead to replacement.

How Much Does a Filling Cost in California Without Insurance?

The average cost for a cavity filling in California is $284. However, fees vary depending on the type of filling needed, the materials, additional exams or other specialty requirements, and your location. Even so, many dentists offer financing options to help provide the dental care you need without extra stress.

Comfortable Dental Care and Tooth Filling in Huntington Beach, CA

Tooth fillings strengthen your teeth. The sooner you treat a cavity, the more you lower your risk of decay and damage, leading to better long-term health and savings. 

Our team at Dental Oasis of Orange County offers comfortable, expert care and personalized treatment. Book an appointment today to learn about your tooth-filling options.