What it is
Restorative dentistry, as the name suggests, aims to preserve the natural tooth by removing decay and rebuilding the damaged part. Today this is done using tooth-coloured composite materials, which bond to the tooth and reproduce its colour, restoring shape, function and appearance in a way that is virtually invisible.
When it’s needed
- When there is decay, including early-stage cavities.
- To repair old or leaking fillings.
- On chipped or fractured teeth.
- To correct minor cosmetic flaws in the front teeth (shape, small gaps).
- In cases of sensitivity caused by wear or erosion of the enamel.
How we treat it
- Diagnosis. Identifying the decay through a clinical examination and X-rays, and assessing how far it extends.
- Anaesthetic and isolation. Local anaesthetic and, where appropriate, a rubber dam so we can work in a dry, clean field — an essential condition for good bonding.
- Removing the decay. Removing the decayed tissue in a minimally invasive way, preserving as much of the healthy tooth as possible.
- Adhesive restoration. Applying the composite in layers, shaping and light-curing it, chosen to match the shade of your tooth. For larger restorations we can use composite or ceramic inlays and onlays.
- Finishing and polishing. Checking the contact with the neighbouring teeth and the bite, then polishing for a smooth, natural surface.
Benefits
- You keep your natural tooth, with a minimally invasive procedure.
- A natural appearance: the filling is the same colour as the tooth.
- In a single appointment, in most cases.
- You stop the decay before it reaches the nerve (avoiding root canal treatment).
FAQ
Are composite fillings visible?
No: the composite is chosen to match the colour of your tooth, making it virtually invisible even on the front teeth.
How long do they last?
Many years, with good oral hygiene and regular check-ups. Over time they may need to be renewed.
Do I need to replace my old (grey) amalgam fillings?
Not always: they are replaced if they are leaking, fractured or for cosmetic reasons. We assess this on a case-by-case basis.
Is treating decay painful?
It is carried out under local anaesthetic and, if the decay is at an early stage, sometimes none is even needed. The sooner we treat it, the simpler the procedure.