Dental fillings and restorations play an important role in maintaining oral health and are usually used to treat tooth decay, fracture or damage. However, no restoration is permanent and may erode, crack, discolor, or leak over time. In such a situation, referring to the best restorative dentist in Mashhad can help to accurately diagnose the state of restoration and choose the best treatment method. Recognizing the signs of failure of old restorations and taking timely action to treat them plays an important role in preventing more serious problems such as infection, severe pain or tooth loss, and helps maintain the health and normal function of teeth.

Why do old dental fillings and restorations have problems?

Dental restorations wear out under the influence of various factors. Constant chewing, grinding pressure, eating hard or sticky foods, and even temperature changes caused by eating hot and cold foods can all shorten the life of a restoration. In addition, older materials such as amalgam or composites of older generations are less durable than today's materials.

On the other hand, not observing oral and dental hygiene can cause bacteria to penetrate the edges of the filling and cause secondary decay; A problem that often starts without pain, but if it progresses, it complicates the treatment.

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The most important signs of the need to replace fillings and old restorations

Many people do not realize that their fillings are failing until severe pain occurs. While there are warning signs that should not be ignored. Sensitivity to cold and heat, feeling pain when chewing, chapping or cracking of the filling, discoloration around the teeth, bad breath or the feeling of food getting stuck in the restored area are some of the most important symptoms.

In some cases, the filling looks perfectly healthy, but underneath there is active decay that can only be detected by examination and radiography.

The importance of expert examination of old dental restorations

Treatment of old fillings and restorations always begins with a thorough examination. The dentist evaluates the state of restoration and the health of the underlying tooth tissue by examining the appearance, sensitivity tests and photography. Based on these investigations, it is determined whether the repair can be repaired or if it needs to be completely replaced.

Sometimes only polishing or minor restoration of the filling edges is sufficient, but in cases where there is secondary decay or extensive damage, more advanced treatments will be necessary.

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Modern methods of treating worn tooth restorations

The best and most effective methods of treating old restorations and fillings are:

• Complete replacement of old filling with new material

The most common treatment method is to completely remove the old restoration and replace it with new material. In this method, first the worn materials are removed, possible caries are cleaned, and then the tooth is restored with modern materials such as tooth-colored composites or ceramics. This work not only improves the function of the tooth, but also has a better result in terms of aesthetics.

• Partial restoration of damaged tooth filling

If a small part of the filling is loose and the main structure is healthy, the dentist can correct or restore the same area. This method is cheaper and faster and is used for mild cases.

• Using veneers to strengthen teeth

If a large part of the tooth is weakened or the previous filling is very large, using a dental veneer is the best option. Crowns cover the entire tooth and prevent future fractures. This method is especially recommended for teeth that are under a lot of chewing pressure.

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• Root treatment in advanced tooth decay

In some cases, the decay under the old filling has reached the nerve of the tooth. In this situation, before any new restoration, root canal treatment or nerve extraction is performed and then the tooth is protected with a filling or veneer.

Is it dangerous to replace old fillings?

Many people worry about removing old fillings, especially amalgam. If this work is done by a skilled dentist and in compliance with safety principles, there is no risk. The use of protective equipment, strong suction and standard replacement materials make this process completely safe.

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The importance of timely treatment of worn restorations

After repairing or replacing the filling, maintaining oral and dental hygiene becomes doubly important. Regular brushing, flossing, avoiding chewing on hard objects and visiting the dentist periodically will significantly increase the life of new restorations.

Also, if you grind your teeth, using a nightguard can prevent further damage to the restorations.

Conclusion

Dental fillings and restorations, like any other treatment, have a specific lifespan and may need to be modified or replaced over time. Neglecting old restorations can lead to pain, infection, and higher medical costs. By knowing the warning signs, visiting the dentist regularly and choosing the right treatment method, you can maintain the health of your teeth and prevent more serious problems. Timely care is the key to maintaining a healthy and beautiful smile.

Frequently asked questions about the treatment of old fillings and restorations

How often should dental fillings be checked?

It is better to check the condition of the fillings by the dentist during the six-month periodical examinations, so that possible problems can be detected early.

Should all old fillings be replaced?

No, if the filling is healthy and not rotting or leaking, there is no need to replace it.

Pain after replacement of the filling is normal?

Mild sensitivity is normal for a few days, but severe or prolonged pain requires re-evaluation.

Which type of filling lasts longer?

Modern materials such as high-quality composites and ceramic restorations, if properly cared for, are more durable and beautiful than old materials.

When does a dental filling need a Marginal Integrity Check?

If sensitivity, discoloration or gaps are observed at the edges of the filling, perform a Marginal Integrity Check integrity of the repair edge) is essential. This evaluation helps to detect leakage or weakness in the connection of the filling to the tooth in time.