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Dentist’s-Eye-View of a Filling

Here’s a pretty routine filling done on a tooth due to the obvious fracture and decay underneath a filling.

17 MOB Apr. 21, 2011

After removal of the filling, a surprising amount of decay was found.  This was likely the cause of the cold sensitivity reported.  The decay was deep, but fortunately did not extend to the pulp of the tooth.  If that had happened, a root canal or extraction would have been necessary.  Here’s a photo of the tooth in mid-filling:

17 MOB - mid-fill
17 MOB (upper right second molar) in mid-filling; Vitrebond pulp protection, phosphoric acid etch, Optibond FL primer and adhesive, EsthetX HD composite.

Finally, here is the completed filling.  Bite adjustment was done at the end.  The goal of fillings is not just to remove decay, but to create a tooth that closely resembles the original non-decayed tooth.

17MOB completed
17 MOB resin filling completed (upper right second molar)

At this point, the hope is that the tooth simply stays quiet – there is no way to know how a tooth will react in the long term when such deep decay is present.

Dr. Elston Wong Portrait

About Dr. Elston Wong

Dr. Elston Wong completed his dental degree at The University of Toronto in 1999 before arriving in Barrie in 2002. After graduating, he continued to learn everything he could about dentistry. Now he has taken the time to share important information for anyone to read.

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