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Fillings fail because of changes in the filling, tooth or the bond between them. Secondary cavity formation can also affect the structural integrity the original filling. Fillings are recommended for small to medium-sized restorations. Inlays and onlays are more expensive indirect restoration alternative to direct fillings.
Indirect dental composites can be used for: Filling cavities in teeth, as fillings, inlays and/or onlays; Filling gaps (diastemas) between teeth using a shell-like veneer or; Reshaping of teeth; Full or partial crowns on single teeth; Bridges spanning 2-3 teeth; A stronger, tougher and more durable product is expected in principle.
Structure of dental inlays and onlays. In dentistry, inlays and onlays are used to fill cavities, [1] and then cemented in place in the tooth. This is an alternative to a direct restoration, made out of composite, amalgam or glass ionomer, that is built up within the mouth.
It does not resorb, and is biocompatible, forming a seal against the tooth material that minimizes leakage. [1] Originally, MTA was dark gray in color, but white versions have been on the market since 2002. Bismuth oxide, which was added as a radioopacifier (to make the filling stand out on X-rays), [citation needed] can discolour the teeth. [3]
Compomers can be used as a cavity lining material to provide pulpal protection. [2] Compomers are notable used in Paediatric dentistry. Possible uses include: As a restorative material, particularly for Class I and II cavities (see Dental restoration § Cavity classifications) Fissure sealants; For cementation of orthodontic bands [2] [3]
Dental fillings are often used to fill cavities or holes after root canal treatment. [6] They can also be used to restore worn teeth or fill gaps between teeth. [7] Fillings can be made of amalgam (a metal alloy) or materials such as composite resin and glass ionomer. [8] [9]