Yankton, South Dakota
Natural-looking fillings to restore your teeth. We'll explain your options and what to expect.
Not all tooth decay needs a filling right away. Early enamel decay can sometimes be stopped or reversed with fluoride and changes to daily habits. Once a hole has formed, brushing cannot rebuild it. At Yankton Dental Clinic, we assess the damage and explain whether prevention, a filling, or another treatment is appropriate.
A dental filling replaces tooth structure lost to a cavity and helps restore normal chewing. Some cavities cause sensitivity, while others cause no symptoms. An examination and any needed X-rays help determine the next step. Deep decay may affect the pulp inside the tooth, so a filling alone may not be enough; root canal treatment or extraction may need to be discussed.
We begin by examining the tooth and taking X-rays when needed to understand the depth of decay. We discuss the findings, your options, and the planned restoration before treatment. The tooth is then prepared for a filling, preserving healthy structure where possible. Larger or weakened areas may need an inlay, onlay, or crown instead of a direct filling.
Local anesthesia is used when needed to numb the tooth. Tell us if you feel discomfort or are anxious about treatment so we can discuss suitable comfort options. Placement depends on the material: composite is bonded to the tooth and usually hardened with a special light. We shape the restoration and check your bite before explaining how to care for it.
Metal and tooth-colored materials have different uses. Ask which options suit your tooth. Filling costs depend on the material, number of surfaces involved, and other care needed. We can discuss the estimate and your expected insurance benefits before treatment.
Amalgam is a durable filling material considered safe for most patients. A sound filling with no decay generally does not need removal just because it contains mercury. Unnecessary replacement removes healthy tooth structure and briefly increases mercury exposure. Replacement may be appropriate for decay, damage, or a diagnosed allergy. For a new filling, we consider your health history and the FDA's recommendations for higher-risk groups.
Among the most expensive restorative dental materials, cast gold combines gold with other metals for a very strong, long-lasting filling. It is also highly noticeable, which can be considered a plus or minus depending on your preference.
Composite is a tooth-colored resin containing fine filler particles. It bonds to the tooth and can blend with your smile. It may suit front or back teeth, depending on the size of the cavity and chewing forces. Like other restorations, composite fillings need regular checks and may eventually need repair or replacement.
Porcelain or other dental ceramics can be used for tooth-colored inlays and onlays, made to fit a prepared tooth. Their suitability depends on the size and location of the damage and the remaining tooth structure. These restorations differ from a filling placed directly in the tooth; ask about the process, appointments, and cost.
Glass ionomer is a tooth-colored material that can release fluoride. It has specific uses, including some areas with lower chewing pressure. It is more vulnerable to wear than composite, so it is not the right choice for every cavity.
Numbness may last for several hours. Wait until normal feeling returns before chewing, and avoid hot drinks while numb to reduce the risk of biting or burning your mouth. Follow the eating instructions for your filling material. Some sensitivity after treatment can occur and should gradually improve; a deeper filling may take longer to settle.
Contact us if your bite feels uneven, chewing hurts, or sensitivity persists or worsens. A filling may need adjustment, or the tooth may need further assessment. Seek prompt dental advice for swelling or severe pain. Keep brushing and cleaning between your teeth, and follow the checkup schedule recommended for your needs.
Lower your risk of new cavities by brushing twice daily with fluoride toothpaste, cleaning between your teeth, and limiting how often you have sugary snacks and drinks. Regular dental visits help identify early decay and check existing fillings. Your prevention plan should reflect your individual risk.
Patient education
Learn how early enamel decay differs from a formed cavity and what can help.
Read the patient guideHave sensitivity, a damaged filling, or questions about a cavity? Schedule an examination to understand your treatment options and next steps.
