Dr Neil Zastre Inc.
# 307, 6051 Gilbert Road,  
Richmond, BC    V7C 3V3

office 604-273-3415
fax
604-273-4121

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Fillings

 There are basically four types of filling materials available: composite, porcelain, amalgam and gold (metals).  All of these materials have advantages and disadvantages that need to be considered depending on the tooth in question and the size of the decay that needs to be treated.  All four of these filling options have strengths and weaknesses: resistance to fracture, estimated life span, cost, and  color matching flexibility  - to name a few.

 Generally speaking :

* the natural properties of gold make it ideal as a filling material

* porcelain, like gold is a more expensive option, but it offers very good color matching choices

* composite, white filling material,  tends not to last as long as the other options but is often the preferred choice for teeth that fall within your smile line

* amalgam tends to last longer than composite, is less expensive, but it is silver in color and has been accused of helping teeth crack. 

The actual life span of any one filling material over another depends on several factors including: oral hygiene, diet, personal biting habits, and general wear and tear.  Although each has different degrees of resistance to fracture how you care for your teeth plays an integral part in their longevity. 

 It is important for you to recognize that whatever choice you make, fillings are designed to repair an existing problem.  Cavities need to be treated and we will help you chose the best material that meets your needs. 

 Amalgam

Some patients have genuine concerns about the use of amalgam as a filling material.  It is one of several materials that we rely on, each one with their own benefits and disadvantages.  If you have any questions or concerns please let us know and we will help you make an informed decision.

 Health Canada’s  recommendations and position have not changed since 1996 when they issued a statement that current evidence does not indicate that amalgam is causing illness in the general population and that there is no justification for a ban on its use.

 After your filling:

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 numbness from anesthetic may last for 2 or more hours;

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 avoid chewing on your new filling for at least the first day if it is silver;

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watch young children carefully to ensure that they do not bite or chew on their lip or tongue

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 your bite may need to be adjusted – if the filling seems high please call the office as soon as possible and we will adjust it as soon as possible (freezing is not required for this procedure);

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 slight sensitivity of tooth and gums may occur for the first day or so following treatment;

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 sensitivity to cold may last for approximately 2 weeks; and

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there should be no throbbing or constant pain, please contact us if you have any such concerns.


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Dr Neil Zastre Inc.