Fillings & Inlays

Fillings and Inlays

What Is a Filling Made Of?

A filling is material that is used to replace missing or fractured tooth structure. Fillings are made of either composite or porcelain. In my practice, I utilize two tiers of fillings depending on what is required.

Composite

Composite is ideal for restoring small holes in teeth. It is a putty that forms a matrix and is subsequently bonded to the tooth.

Shaping Composite is an art. I start with shade selection to match the tooth. Composite needs to be placed very purposefully, designed and molded into the shape of the tooth, then finished and polished to mimic the natural tooth structure.

Porcelain Inlays (A Porcelain Filling)

In my practice, Porcelain Inlays are the conservative standard to restore large holes in teeth when a crown is not necessary. There are several benefits to inlays.

First, utilization of an inlay saves precious tooth structure that would have to be removed by fabrication of a crown.

The second benefit is the added strength that inlays give to the overall tooth structure. The increased strength of the porcelain compared to composite provides more strength, which in turn strengthens the tooth and increases the restorations prognosis.

Porcelain Inlays are fabricated by our ceramist. They are custom tailored to ensure that the shade and contour matches the natural tooth.

Dr. Hoyt Fort Worth Dental
Insurance

Let Us Handle The Hassel

Insurance benefits and policies can be confusing. To help, we have a dedicated insurance specialist available in person or by phone or text message to give you a simple and straightforward explanation of your coverage.

No insurance? No problem.

We are a self-pay friendly office. You’ll always know all costs ahead of time without any surprises and we’ll talk through payment options to find one that works the best for you.

*We also accept CareCredit.

Dr. Hoyt Fort Worth Dental

Frequently Asked Questions About Fillings & Inlays

What is the difference between a filling and an inlay?

Both fillings and inlays are used to repair teeth affected by decay or damage, but they are applied differently. A filling is placed directly into a prepared cavity and shaped during the same visit. An inlay, on the other hand, is custom-crafted to fit a larger or more complex area of damage and then bonded into place. Each option restores strength and function, but the size and location of the repair often determine which is recommended.

When is an inlay a better choice than a filling?

An inlay may be suggested when damage is too extensive for a standard filling but does not require a full crown. Teeth that endure heavier biting forces or have decay between cusps often benefit from the added strength of an inlay. Because inlays are custom-made, they provide a precise fit and long-term stability while maintaining a natural appearance.

How long do fillings and inlays usually last?

The lifespan of a filling or inlay varies depending on the material used, the tooth’s location, and daily habits. Fillings may last several years, while inlays often provide longer durability due to their custom design and strength. Good oral hygiene, routine dental visits, and avoiding habits like chewing ice can help extend the life of both restorations.

Are there side effects or risks after getting a filling or inlay?

Some patients notice temporary sensitivity to temperature or pressure following treatment. This typically resolves as the tooth adjusts. Allergic reactions or complications are uncommon, especially when materials are carefully selected. Most concerns can be addressed quickly with minor adjustments or follow-up care, making these restorations very reliable overall.

How should I care for my teeth after receiving a filling or inlay?

After treatment, patients should continue brushing twice daily and flossing carefully around the restored tooth. Avoiding very hard or sticky foods right away helps protect the restoration. Regular dental checkups allow the dentist to monitor the area and ensure the filling or inlay remains secure and functional.

What happens during a filling or inlay procedure?

The process begins with numbing the area to ensure comfort. Damaged tooth structure is removed, and the tooth is prepared for restoration. Fillings are placed and shaped during the same visit, while inlays require impressions and are bonded at a later appointment. Both procedures are routine and performed with patient comfort in mind.

How can I tell if I might need a filling or an inlay?

Symptoms such as tooth sensitivity, pain when chewing, or visible dark spots on a tooth may indicate decay. In some instances, cavities can be identified during regular dental exams, even before any symptoms present themselves. A professional evaluation is the only way to determine the most appropriate treatment and prevent further damage.

Do fillings and inlays look natural once placed?

Modern dental materials are designed to blend with natural tooth structure. Color-matched options allow restorations to be discreet and visually seamless. Inlays, in particular, are crafted to fit precisely, helping them look and feel like part of the original tooth.

Can old fillings be replaced with inlays?

Yes. Older or failing fillings can sometimes be replaced with inlays if additional strength or coverage is needed. This approach can reinforce the tooth while preserving more natural structure than a crown. A dental exam determines whether this upgrade is appropriate.

Why is early treatment important for cavities?

Addressing decay early helps limit how much tooth structure must be removed. Small cavities can often be treated with simple fillings, while delayed care may require inlays or more extensive treatment. Early intervention protects tooth health and reduces long-term costs and complications.

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Dr. Spencer Hoyt

Dr. Spencer Hoyt earned his Doctor of Dental Surgery degree and subsequently followed with a residency and Advanced Education in Dentistry at the prestigious University of the Pacific School of Dentistry in San Francisco, CA. In 2011, he established Fort Worth Dental Arts with the goal of revolutionizing dental care, motivated by his dedication to delivering exceptional service to his community.

Dr. Hoyt actively participates in several professional organizations, including the American Dental Association, Texas Dental Association, American Academy of Cosmetic Dentistry, CEREC Doctors, and Spear Education. His commitment to excellence has been recognized with the "Best Dentist" award by Fort Worth Weekly in 2019, 2020, and 2021.

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