Tooth fillings are dental restorations used to repair damage to tooth structure caused by decay. When a filling becomes dislodged, the underlying tooth structure is exposed to the oral environment. This exposure can lead to several consequences, including increased sensitivity to temperature changes, pressure, and sweet foods. The unprotected dentin, the layer of tooth beneath the enamel, contains microscopic tubules that lead directly to the pulp, the nerve center of the tooth, allowing stimuli to reach the nerve more easily.
The loss of a filling compromises the structural integrity of the tooth. The remaining tooth structure may be weakened, making it more susceptible to fracture or further decay. Additionally, the exposed area can become a breeding ground for bacteria, accelerating the decay process. Prompt replacement of the restoration is essential to prevent more extensive and potentially costly dental treatments. Historically, various materials have been employed as filling materials, evolving from simple amalgams to more advanced composite resins and ceramics, each with varying degrees of durability and aesthetic appeal. The long-term success of any dental restoration depends on proper oral hygiene and regular dental check-ups.