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White Tooth Fillings

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"I've been going to the Smile Cliniq for the past couple of years, and the treatment, care and advice from Chetan and his team has been faultless. Highly recommended." - A.S.
"Yet again I have been blown away by Smile Cliniq. After my filling fell out on Sunday night, I was distraught. But I phoned the Cliniq in the morning and got an appointment for the same morning. Dr Kaher put me at ease, even though I was very anxious, and did an amazing job on my..." - Robyn B
"What a great dental clinic! I was having issues with a tooth and Dr Sarita Kotecha was brilliant. Solved my dental issue quickly and explained everything in a way that made me actually enjoy the appointment (!!). They were able to squeeze me in last minute too. Highly recommend t..." - Saya Jones
"The service was so good at Smile Cliniq by Dr Sarita Kotecha, I recommended my wife to change dentist. We've been looking for a good dentist since moving to London 2 and 1/2 years ago and the quality we had received from our previous dentist was sub-standard. That all changed at ..." - Greg Jones
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Fantastic service, professional and top notch technology. Very hygenic and Dr Chetan Kaher has a very steady and experienced hand. Highly recommend." - Amrita Chauhan
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Friendly and helpful manager. Dentist was also friendly and efficient,Gave me lots of advice about dental care showing video." - Filippa Milioto
"Needed an emergency appointment, I was seen the same day! Great service and friendly staff" - Elena Milioto
"I found the the team at smile very professional and friendly, nothing was too much trouble. Chet presented all the options and my selected course of treatment took place over a year. As it involved one of my front top teeth I had some concerns and Chet was always available to ans..." - Irin Wu
"I have a hereditary tendency to get dental cavities, ensuing painful dental treatments, which left me scared of visiting dentists. Now, in my early thirties, I did everything to avoid dental checks. I also gave up on having cavity-free teeth. Two years ago, I was forced to find a..." - Rukmini
"I have just finished my year long lingual brace treatment with Dr Sarita Kotecha which has been a huge success. I'm so happy with the results! The staff at Smile Cliniq have always been friendly, helpful and welcoming; fitting me in for last minute appointments when necessary and..." - Maayan Bianca
"My wife needed to see a dentist on an emergency basis on a Saturday after a bad fall the evening before. We called on Saturday morning and they were able to take us that afternoon. The quality of care, both technically and inter-personally, could not have been better. If we lived..." - Hal N.

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White Tooth Fillings – Composite Bonding

White Tooth fillings are used to replace old amalgam (metal based) cavity  fillings, or to restore decayed, chipped and cracked teeth. Composite bonding is a process in which tooth coloured materials are applied to a tooth’s surface, hand crafted and sculpted into shape, hardened, and then polished for the ultimate natural appearance.

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White Fillings (non mercury)

Composite
Price
Membership plan price
Small
£80
£68
Medium
£180
£153
Large
£220
£187

Composite Tooth Fillings

Composite tooth fillings are white dental fillings.  We use high quality, strong, reliable and aesthetic composites such as Venus from Hereus Kulzer, and G-ænial from GC, with low shrinkage properties (to prevent post-operative sensitivity). A particular shade is selected to match the natural shade of your teeth.  Often two or more shades maybe used, to build up the dentine and then the enamel shades (no tooth is one colour, instead the tooth near the gum is darker, whereas the tooth at the biting surface is more translucent and lighter). The procedure of a composite tooth filling is to firstly to isolate the tooth adequately, from the oral environment, sometimes using a rubber dam material to protect the composite from moisture.  We then remove the decay inside the tooth or the old mercury filling, and shape the cavity. An etchant gel, and occasionally a aluminium oxide blaster is applied, which roughens the surface of the tooth on a microscopic level which promotes adherence (micro mechanical retention) of the composite to the tooth. A good quality bond is then applied to allow the filling to “bond” to the dentine. We use Optibond fl, or similar, which is the industry gold standard and costs 400% more than equivalent bonding agents.  Optibond fl has consistently been found to have the highest bond strengths, which reduces post-op sensitivity and reduces failure of restorations. The selected shade of composite is placed inside the cavity in small increments, curing each time with a blue light (around 450nm wavelength) to initiate the polymerisation reaction. Incremental build up is important to minimise shrinkage and stresses on the tooth, caused by the setting of the composite.  The restoration is finally shaped and polished at the surface and margins to allow perfect bite and prevent food trapping.

Glass Ionomer

Another white tooth filling restoration used at Smile Cliniq is a type of glass ionomer filling material called Fuji IX Extra. The beneficial characteristic of this material is that it sticks to the tooth surface well and also releases fluoride.  Fuji IX Extra compared to other class ionomer materials releases much more fluoride (upto 5 times more). In deep restorations a Fugi IX filling maybe placed, underneath composite restorations to protect the pulp (nerve tissues) and minimise the possibility of future problems, such as root canal treatments.

Prices of restorations (fillings) depend on their size, complexity of case, whether a base is required to protect the nerve and the amount of time needed.

All occlusal (bite surface) restorations (fillings) have a 5 year guarantee unless otherwise specified.  Buccal restorations (side of tooth) have a 2 year guarantee.

Why are Dental Fillings Used?

Provision of direct composite restorations is relatively quick and one of the most cost effective cosmetic dental procedures. Composite resin is a versatile, clinically proven, successful and aesthetic material that can be used in many common clinical situations.

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The Dental Filling Procedure

This depends on the reason for prescribing the treatment, in some instances there is no need for drilling or preparation of your tooth, the need for local anaesthesia may also be eliminated.

Your dentist selects the shade of composite that matches your tooth. The tooth surface will be etched with an acid gel then coated with a liquid that allows the tooth coloured resin to bond to your tooth. The composite resin is then sculpted, shaped and hardened with a special light. The material will be further trimmed and shaped. Once this has been completed, meticulous polishing will be undertaken.

The procedure usually is a single visit of 30 minutes; however this maybe longer or involve multiple visits depending on the extent, complexity and number of restorations you require. We only use high quality, strong, reliable and aesthetic composites such as Venus from Hereus Kulzer, and G-aenial from GC.”

Recall and Review

You may experience mild sensitivity in the immediate post-operative period, in the vast number of cases this is temporary. Composite restorations usually last several years before needing to be repaired or replaced. Cigarette smoking, tea, coffee and other pigmented substances may discolour composite restorations. It is therefore important to employ a strict oral hygiene regime encompassing professional hygiene intervention. Regular recall and review is required to ensure the status of your composite restorations.

Very rarely, if the sensitivity and pain persists due to having a very deep filling, then root canal treatment may become necessary.  In time white fillings can uncommonly stain, debond or fracture, however current research suggests they should last for on average 12 years. Occasionally if the decay or fracture is very large it’s advisable to have a dental crown or an onlay instead of a filling to reduce the risk of tooth or filling fracture.

An example of how decay develops

decay

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