White fillings can be perfectly matched with the original color of the teeth and perfectly molded in such a way that they become barely detectable. Unfortunately, the edges of the fllings change their color after a while. This is especially annoying with front-teeth, where esthetics usually are a very important criteria. With teeth located on the side big fillings are often strained and can lead to a fracture of a tooth or the loss of a filling.
Every filling is only substitute
There is no such thing as a perfect substitute for natural teeth. Fillings have to satisfy high standards as the conditions in the oral cavity are very extreme. Changes of temperature of 70 degrees celsius within a couple of minutes are not unusual. A pressure of up to 120 kilograms per square centimeter may weigh on grinders during the process of chewing. Such extreme pressures during the process of chewing and the extreme changes of temperature may deform the natural tooth. High humidity and to some extent the exposure to acid are additional factors as well as body compatibleness, color fastness and durability. The perfect filling material does not exist and will not in the near future.
In a nutshell we believe that:
- Smaller defects in the area of the front or side teeth can be corrected with komposit-fillings
- With bigger defects or in cases esthetics play an important role, it is best to use veneers.
- With bigger defects in the area of the side teeth, best results can be achieved with ceramic inlays.
- Amalgam is never used in our practice. We recommend exchanging amalgam-fillings only in cases where they are harmful or for esthetic reasons. Should a case of amalgam incompatibility be at hand, we will of course exchange the filling expertly and work together with specialists.