Aesthetic appeal and oral health
TOOTH cavities, commonly referred to as “tooth holes” by the public, result from carious lesions that, if not addressed in their early stages, can progress to the formation of cavities in the teeth.
Beyond the cosmetic concerns that may impact an individual’s confidence, tooth cavities can lead to more severe consequences, such as tooth infection and bad breath.
Timely intervention is crucial not only for maintaining an aesthetically pleasing smile but also for overall oral health and well-being.
Treatment for a cavitated tooth is essential to prevent decay progression and eliminate foodretaining areas. In dentistry, various restorative materials, commonly known as “dental fillings“, are employed for treatment.
Amalgam, composite resin, glass ionomer cement (GIC) and resin-modified glass ionomer cement (RMGIC) are commonly used dental fillings. These materials vary in appearance, with amalgam presenting a metallic look, while composite, RMGIC and GIC provide a toothcoloured appearance.
Notably, composite resin stands out as the optimal choice for patients with high aesthetic expectations due to its versatility in shades and optimal translucency, ensuring a seamless blend with natural teeth.
Decades ago, amalgam was widely used but has undergone a phasedown to contribute to a reduction in environmental mercury levels. As a result, alternative restorative materials such as GIC, RMGIC and composite resin are now commonly used by dentists in Malaysia.
GIC and RMGIC are often employed to restore cavities caused by abrasion induced by excessive toothbrushing or the use of a hard-bristled toothbrush.
Despite their aesthetic limitations compared to composites, GIC and RMGIC have the advantage of releasing fluoride, crucial for tooth remineralisation, with survival rates of 50% and 79% over five years, respectively.
Composite fillings, with a 90% survival rate over ten years, have emerged as highly effective materials for tooth restorations. They are preferred for their aesthetic appeal, excellent mechanical properties and biocompatibility, contributing to the success and longevity of tooth restoration.
However, the potential for discoloration remains a notable concern, often requiring the replacement of the entire restoration.
In conclusion, the journey from cavities to confidence involves informed choices that consider both aesthetics and well-being. Each dental filling material brings its own set of advantages and considerations.
Open discussions with dentists, understanding the nuances of each option, and embracing preventive measures are essential steps towards a radiant smile and enduring oral health.
As dental care continues to evolve, a proactive approach today can lead to a brighter, healthier tomorrow for both smiles and overall health. – BY