When decay is detected early, a tooth-colored composite resin filling is the most conservative and aesthetically seamless way to restore the tooth. Dr. Woodward removes only the decayed portion of the tooth structure, bonds the composite material directly to the remaining enamel and dentin, and sculpts it to match your natural tooth shape and color. The result is a restoration that is virtually invisible, requires less removal of healthy tooth structure than traditional amalgam, and is completed in a single appointment.
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With good oral hygiene and regular check-ups, composite resin fillings typically last 7–12 years, though many last considerably longer. Longevity depends on the size and location of the filling — back teeth that bear heavy chewing forces experience more wear than front teeth, and very large restorations may eventually be better served by a crown.
For most fillings, local anesthetic is used to ensure you feel no discomfort during the procedure — you'll feel pressure and vibration but not pain. For very small, shallow cavities in certain areas, Dr. Woodward may be able to complete the restoration without anesthetic if you prefer, and he'll always discuss your comfort preferences before beginning.
Cracked or failing amalgam fillings should be evaluated promptly, as a crack in the filling can allow bacteria to re-enter the tooth and cause decay beneath the restoration. Dr. Woodward will assess the existing filling with magnification and X-rays to determine whether a new composite filling is sufficient or whether the damage to the underlying tooth structure warrants a crown.