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  • Writer's pictureQuek And Me Dental Surgery

Restoring Smiles: A Closer Look at Dental Fillings

Dental fillings are a common and essential part of modern dentistry. They play a pivotal role in treating cavities, restoring tooth structure, and preserving oral health. In this blog post, we will delve into the details of a recent dental filling procedure, highlighting the steps involved and the importance of timely intervention.


Dental Issues: The dental case at hand involved two teeth: #32 and #31 (AKA two front teeth), both presenting with DIBL (Distal-Interproximal Buccal-Lingual) cavities with gross recurrent caries. Additionally, both teeth exhibited carious lesions. The depth of the cavities was significant, indicating the need for prompt intervention.

Treatment Plan: Given the extensive damage observed in both teeth, the patient was advised of the possibility of requiring more extensive treatment in the future. The treatment plan discussed included three potential options:

  1. Root Canal Treatment (RCT): In cases of severe decay or infection, RCT may be necessary to save the tooth by removing infected tissue and sealing the root canals.

  2. Post and Core (PC) with Crown: This is a restorative procedure in which a post is inserted into the tooth to support a crown. It is often recommended when the tooth's structural integrity is compromised.

  3. Extraction (XAP) if Signs and Symptoms (S/S) Develop: In the worst-case scenario, if signs and symptoms indicate that the tooth cannot be saved, extraction becomes the last resort.

Treatment Process: The patient agreed to proceed with dental fillings as the initial step in managing their dental concerns. The procedure involved several key stages:

  1. Cavity Preparation: The cavities were carefully prepared, with extra attention to ensuring the removal of all decayed and damaged tissue.

  2. Bonding Process: After cavity preparation, the dentist utilized a bonding system involving etching, priming, and bonding. This crucial step helps the filling material adhere securely to the tooth structure.

  3. Filling Material: In this case, 3M Filtek Z350 XT Composite Resin (A3b) was chosen to restore the damaged areas. Composite resin is known for its durability and natural appearance, making it an excellent choice for restorations.

  4. Occlusion Check: The dentist carefully examined the patient's bite to ensure that the restored teeth came into proper alignment and fit comfortably within the oral structure.

  5. Finishing Touches: The final step involved meticulous finishing and polishing of the filled areas, ensuring that the restorations were smooth and indistinguishable from the natural tooth structure.


Dental fillings are a vital tool in preserving and restoring oral health. In this case, prompt intervention helped prevent further decay and discomfort. The patient is now on the road to better oral health, with the knowledge that ongoing monitoring and potential future treatments may be necessary. Dental professionals play a crucial role in guiding patients through these decisions, always with the aim of preserving their smiles and overall well-being. If you have concerns about your dental health, don't hesitate to consult with a trusted dentist to explore the best treatment options for your unique needs. Your smile is worth it!

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