Dental filling for a period of time?
I recently visited the dentist for a filling and found out that I might need a partial denture.
It seems that there is a dark discoloration at the base of some of my filled teeth, but not all of them.
I've been getting my fillings done at the same dental office.
Could you please explain why some filled teeth develop this dark discoloration after a period of time while others do not? Thank you!
Hsu, 20~29 year old female. Ask Date: 2018/10/23
Dr. Lin Jiayong reply Dentistry
Hello: In Taiwan, the commonly used materials for dental fillings are amalgam and composite resin.
Amalgam, being a metal type, can corrode and rust over time, especially noticeable at the interface with the tooth.
Composite resin, on the other hand, is a polymer that can undergo thermal expansion and contraction over time, which may lead to staining from food.
Therefore, if there is any discoloration, it is advisable to consult a dentist to evaluate whether a replacement filling is necessary to prevent micro-leakage or secondary caries.
Sincerely, Dr.
Lin Chia-Yung, Director of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2018/10/23
More Info
The darkening of dental fillings over time can be attributed to several factors, and understanding these can help you make informed decisions about your dental health. When you receive a dental filling, the material used can undergo changes due to various influences, leading to discoloration.
1. Material Composition: Different types of filling materials have varying properties. For instance, amalgam fillings, which are made from a mixture of metals including silver, mercury, and tin, can sometimes cause a darkening effect due to the oxidation of the metals over time. Composite resin fillings, which are tooth-colored, can also stain or darken due to exposure to certain foods, beverages, and smoking. The quality of the material and the technique used during placement can also influence how well the filling resists staining.
2. Microleakage: Over time, fillings can develop small gaps between the filling material and the tooth structure. This phenomenon, known as microleakage, can allow bacteria and food particles to enter, leading to decay underneath the filling. If decay occurs, it can cause the area around the filling to appear dark. Regular dental check-ups can help identify these issues early.
3. Staining from Foods and Beverages: Just like natural teeth, dental fillings can absorb pigments from foods and drinks. Items such as coffee, tea, red wine, and certain fruits can stain both natural teeth and fillings. If you consume these regularly, you may notice that some fillings appear darker than others.
4. Age of the Filling: As fillings age, they may become more porous, allowing for greater absorption of stains. Older fillings may also be more susceptible to wear and tear, which can contribute to discoloration.
5. Underlying Dental Issues: If a filling appears dark, it could also indicate an underlying problem such as recurrent decay or a failing filling. If the tooth structure beneath the filling is compromised, it may lead to discoloration that is not solely due to the filling material itself.
6. Oral Hygiene Practices: Poor oral hygiene can lead to plaque buildup and gum disease, which can affect the appearance of fillings. Regular brushing, flossing, and dental visits are essential to maintain both the health of your teeth and the appearance of your fillings.
If you notice that some of your fillings are turning dark while others remain unaffected, it’s important to consult your dentist. They can evaluate the condition of your fillings and the surrounding tooth structure. Depending on the findings, your dentist may recommend options such as replacing the filling, performing a root canal if decay is present, or even considering a crown if the tooth is significantly compromised.
In summary, the darkening of dental fillings can result from the type of material used, microleakage, staining from foods and beverages, the age of the filling, underlying dental issues, and oral hygiene practices. Regular dental check-ups are crucial for monitoring the condition of your fillings and addressing any concerns promptly. If you have specific fillings that are darkening, discussing these with your dentist will provide clarity and help you decide on the best course of action for your dental health.
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