Signs You May Need a Filling
Cavities don’t always announce themselves, but these are the changes patients notice most often:
- Sensitivity to Sweets, Heat, or Cold: A quick zing when you drink something cold or eat something sugary often means decay has reached the dentin.
- A Dark Spot or Visible Hole: Brown or black areas on the chewing surface, especially ones that catch floss or a fingernail, are worth having checked.
- Food Catching Between Two Teeth: A cavity between teeth can open a gap where food packs in after every meal.
- A Rough or Chipped Edge: If your tongue keeps finding a sharp spot, part of the tooth or an old filling may have broken.
- No Symptoms at All: Early cavities are usually painless, which is why we rely on digital X-rays and intraoral camera images during routine dental exams.
What to Expect During Your Filling Appointment
A filling visit follows the same basic sequence from start to finish:
- Diagnosis: Dr. Bartz confirms the size and location of the decay using digital X-rays and an intraoral camera, and you’ll see the images on screen.
- Numbing: A local anesthetic numbs the tooth and surrounding gum. Nitrous oxide is available if you’d like help relaxing.
- Removing the Decay: The softened, infected portion of the tooth is cleaned out, leaving only healthy structure behind.
- Bonding and Layering: The tooth is prepared with an adhesive, and the composite is placed in layers and cured with a light.
- Shaping and Polishing: The filling is sculpted to match your natural bite, checked with articulating paper, and polished smooth.
When a Filling Isn’t Enough
Fillings work best for small to moderate cavities. When decay or an old filling covers a large portion of the tooth, a big composite filling can flex under chewing pressure and crack the thin walls that remain. In that case, Dr. Bartz may recommend an inlay or onlay, which is fabricated as a single solid piece, or a dental crown when the tooth needs full coverage. You can compare all of these options on our restorative dentistry page.
Caring for Your New Fillings
Composite is fully hardened before you leave, so you can eat as soon as the numbness wears off. Waiting until feeling returns keeps you from accidentally biting your cheek or tongue. After that, a filled tooth needs the same care as the rest of your teeth: brushing twice a day, flossing daily, and regular cleanings so we can check the edges of each filling for wear or new decay.
How Much Do Tooth-Colored Fillings Cost?
In the United States, a composite filling typically costs about $150 to $300 per tooth, with a national average near $225. The price rises with the number of tooth surfaces involved, so a small filling on one surface costs less than one that wraps around two or three sides. Many dental insurance plans cover fillings as basic restorative care, often at 70% to 80% after the deductible.
If you don’t have insurance, the KB Dental Membership Plan includes 20% off fillings along with your annual exam and X-rays. We’ll give you an exact estimate before any treatment begins.