What are composite fillings? The conservative, natural-looking way to treat cavities in Chevy Chase, MD
It is “non-negotiable” that all procedures at Health 360 Dental in Chevy Chase, MD, balance the desire to restore or create a stunning smile with the requirement to maintain or elevate health, function, and comfort. With that being said, composite fillings prepared and placed by Drs Erick Hosaka and Valerie Cassis are a seamless fit with these principles and the other aesthetic and safe treatments available at our D.C.- and Bethesda-area office.
A modern (superior) treatment option
Over the past 150 years, dentists have used a metallic mix to “fill in” decayed areas (cavities), rebuilding teeth. This mixture, amalgam, does not resemble natural teeth structure. It appears silver and sticks out in the smile in an unpleasant way. Plus, some patients have sensitivities to the metals that are used to make dental amalgams. The fillings that we place at Health 360 Dental are made from composite resin, an advanced dental plastic perfectly color-matched to blend in with the surrounding natural teeth. Additionally, this material is formulated with glass-like compounds that mimic the appearance of natural enamel down to how light is reflected off the resin’s surface. So, composites look like natural teeth!
Modern resin materials are more than a thing of beauty; they are designed to withstand significant stress and wear and tear from behaviors such as grinding and breaking down food. In addition, the conservative techniques that are used in the placement of composites support sustained strength and durability.
Fillings – in six steps
If we determine that fillings are the most appropriate way to treat cavities, Drs Hosaka or Chassis will generally:
- Administer a numbing anesthetic precisely to the treatment site. So, you won’t feel anything.
- Remove remaining damage from the tooth. You start with a clean slate again!
- A specialized “bonding agent” is placed on the surface of the area to be treated.
- The composite material is pliable and putty-like when first applied to the treatment site, and it is applied in layers.
- As each layer is applied, the composite is hardened with a curing light.
- The “finishing touch” involves shaping, refining, and polishing the tooth. It looks untouched, like the damage never affected the tooth.
Composite Fillings FAQs
What is a composite filling?
A composite filling is a tooth-colored restorative material used to repair areas damaged by decay. Unlike older metallic fillings, composite resin blends naturally with surrounding enamel. At Health 360 Dental in Chevy Chase, MD, Dr. Erick Hosaka and Dr. Valerie Cassis use advanced resin materials that are precisely shaded and sculpted to match the treated tooth. The result is a restoration that strengthens the tooth while maintaining a natural appearance.
Why choose composite over traditional silver fillings?
Composite restorations provide aesthetic and structural advantages. Metal fillings are noticeable and expand and contract with temperature changes, which can stress the tooth over time. Composite resin bonds directly to the enamel, reinforcing the remaining structure instead of merely sitting inside the cavity. This bonding approach supports durability while keeping the restoration discreet and harmonious with your smile.
Are composite fillings durable enough for molars?
Modern composite materials are engineered to withstand daily chewing forces. When placed using precise layering techniques and properly cured, they provide dependable performance for both front and back teeth. Advances in dental materials have significantly improved wear resistance, making composites a reliable long-term option for restoring molars as well as visible teeth.
How is a composite filling placed?
The procedure begins with the gentle numbing of the treatment area to ensure comfort. Decayed or weakened tooth structure is carefully removed, preserving as much healthy enamel as possible. A bonding agent is then applied to help the composite adhere securely. The resin is placed in small increments, shaped carefully, and hardened using a specialized curing light. The final step involves refining and polishing the surface to blend seamlessly with the surrounding teeth.
Does getting a composite filling hurt?
Most patients experience little to no discomfort during treatment. Local anesthesia is administered precisely to the affected area, allowing you to remain relaxed throughout the procedure. After the appointment, mild sensitivity to pressure or temperature may occur briefly, but it typically resolves quickly.
How long do composite fillings last?
The lifespan of a composite filling depends on factors such as oral hygiene, bite forces, and habits like grinding. With consistent brushing, flossing, and regular professional cleanings, composite restorations can function reliably for many years. Routine exams allow early detection of wear, so small adjustments can be made before larger problems develop.
Will my filling be noticeable?
One of the primary benefits of composite resin is its ability to blend naturally with enamel. The material is carefully color-matched and polished to reflect light similarly to natural teeth. In most cases, even close inspection makes it difficult to distinguish the restoration from untreated tooth structure.
Are composite fillings safer than amalgam?
Composite fillings do not contain mercury and are metal-free. For patients who prefer a restoration that avoids metallic components or who have sensitivities to certain metals, composite offers a biocompatible alternative.
How long does the appointment take?
Most fillings can be completed in a single visit, often within 30 to 90 minutes, depending on the number and size of cavities. Patients can typically return to normal activities the same day.
How do I care for a tooth after receiving a filling?
Teeth restored with composite should be maintained just like natural teeth. Brushing twice daily, flossing, and attending regular hygiene visits at Health 360 Dental in Chevy Chase, MD, are essential for protecting both the restoration and overall oral health.
Depending on the size of the cavity and the number of cavities to be treated, fillings can be placed in a single, 30- to 120-minute appointment. Afterward, treated teeth should be cared for just like unaltered teeth – with consistent brushing, flossing, and regular hygiene appointments at Health 360 Dental. Contact us today at (301) 657-2225 to schedule your visit.
Dr. Erick Hosaka, DDS, MBA, FAGD
Dr. Erick Hosaka is a fourth-generation dentist with over 28 years of experience in Chevy Chase. He holds an MBA from Johns Hopkins University and is a Fellow of the American Academy of General Dentistry. Dr. Hosaka's commitment to excellence has earned him recognition as a Top Dentist by Washingtonian Magazine and Bethesda Magazine. He is known for his expertise and patient-centered care. Outside of work, he enjoys spending time with his daughter and watching the Ravens.
Dr. Valerie Cassis, DMD
Dr. Valerie Cassis is a compassionate and skilled dentist who graduated from the University of Pennsylvania's School of Dental Medicine. She further honed her expertise through a General Practice Residency at Abington Memorial Hospital near Philadelphia. Now proudly serving the Bethesda community, Dr. Cassis is dedicated to providing personalized care to her patients. In her free time, she enjoys exploring new restaurants, crocheting, drawing, and spending time with her beloved cat, Amelia.
