Out With Old Mercury Fillings: In with New Porcelain Fillings
When decay damages your tooth and must be removed, the resulting cavity is traditionally filled with a metal amalgam. A filling not only restores the tooth’s shape and functionality, but also helps prevent bacteria from causing additional decay. But modern cosmetic dentists, including Dr. Pavlenko, no longer use the old metal amalgam for fillings, but instead use pearly-white dental porcelain.
Porcelain fillings are also called porcelain inlays or onlays. An onlay is a partial crown that fills a cavity and extends over the tooth cusps to an outside surface, building the tooth’s shape and strength. An inlay is smaller and fills a cavity within the tooth cusps. By using porcelain inlays or onlays, Dr. Pavlenko is able to strengthen and repair your tooth in a way that also holds it together; retaining as much of its natural structure and color as possible.
Porcelain fillings are indirect fillings, as opposed mercury and composite fillings which are direct fillings.
Advantages of porcelain fillings
Another little-noticed advantage of porcelain fillings is that they require less tooth tissue to be removed. As Dr. Pavlenko says:
Porcelain fillings can actually increase the strength of a tooth. Fillings made of other materials tend to weaken the tooth because of the need to drill more of the natural tissue.
The procedure
During the first visit, the decayed part of your tooth or the old filling is removed and the tooth is cleaned. Dr. Pavlenko will then make an impression of it for the dental lab to use as a model in creating your custom porcelain inlay or onlay. The cavity will be given a temporary filling to protect the tooth while your porcelain filling is being created.
In the second visit, Dr. Pavlenko will remove the temporary filling and permanently cement the porcelain inlay or onlay to your tooth.
You do not need to have a new cavity to get a porcelain filling. Old mercury fillings can be replaced, to give you a new bright smile. For more information, please see our Frequently Asked Questions page.
Please contact us if you would like to set up a personal consultation to discuss your options.