General & Cosmetic Dentistry
The office of Keith A. Kye, DDS, FAGD serves the neighborhoods of Huntersville, Lake Norman, Davidson and Cornelius.
When a tooth is weakened by decay or a small fracture, a well-placed filling restores the tooth’s form and function while protecting the remaining healthy structure. Fillings are conservative by design: they remove only the compromised tissue and replace it with a biocompatible material that helps the tooth withstand chewing forces and everyday wear.
Treating cavities promptly reduces the risk of complications such as root infection, spread of decay, or structural failure that can lead to more involved procedures. A timely restoration interrupts the disease process, preserves natural tooth material, and helps maintain comfortable chewing and clear speech.
At the office of Keith A. Kye, DDS, FAGD, we prioritize minimally invasive techniques and precise diagnosis so each restoration supports long-term oral health. Our goal is to deliver fillings that feel natural, maintain strength, and integrate discreetly with your smile while minimizing future intervention.
Restorative dentistry has evolved considerably—from early, functional repairs to today’s science-driven materials and bonding systems. This history informs modern practice: clinicians now have options that let them balance durability with appearance and conservation of tooth structure.
Advances in adhesives, composite chemistry, and laboratory-fabricated restorations give dentists flexibility to tailor care to each tooth’s needs. The emphasis is on preserving healthy enamel and dentin whenever possible while choosing materials that meet a patient’s functional and aesthetic goals.
Every restoration begins with a careful evaluation of the tooth’s condition, the extent of decay, and the functional demands placed on that tooth. We discuss the pros and cons of each option so patients understand why a particular approach is recommended.
Open communication and conservative planning help us protect your natural teeth over the long term. Our treatment recommendations focus on reliable outcomes and predictable maintenance rather than quick fixes that may lead to future problems.
Not all fillings are the same, and the material selected affects durability, appearance, and how the restoration interacts with the remaining tooth. The right choice depends on the tooth’s location, the size of the defect, biting forces, and the patient’s cosmetic preferences.
Modern adhesive techniques allow tooth-colored materials to bond to tooth structure, often enabling more conservative preparations. These bonded restorations can strengthen the treated tooth and provide a discreet result that blends with adjacent teeth.
For areas that endure heavy chewing loads or for larger defects, indirect restorations fabricated outside the mouth may provide superior longevity. Each material has trade-offs, and we match those characteristics to your clinical needs and expectations.
Composite resins are versatile, tooth-colored materials that can be shaded to blend with natural enamel. Because they bond to the tooth, composites often allow for smaller, more conservative preparations and are an excellent choice for visible front teeth and many posterior restorations.
With proper placement, finishing, and ongoing oral hygiene, composite restorations deliver reliable function and pleasing aesthetics. They are a popular option for patients who want their fillings to be virtually invisible.
Amalgam restorations have a long history of reliability and are particularly well-suited to posterior teeth where chewing forces are greatest. Their strength and wear resistance make them a practical choice in certain clinical situations.
Because amalgam does not bond to tooth structure in the same way as bonded composites, preparation designs differ. The clinical priority is always to choose a restoration that provides long-term function while preserving as much healthy tooth as possible.
Glass ionomer cements bond chemically to dental tissue and release small amounts of fluoride, which can help protect the margin of a restoration. These materials are often used for pediatric cases, restorations near the gumline, or as temporary solutions when a longer-term plan is being prepared.
While glass ionomers are not as wear-resistant as some alternatives, they serve an important role when fluoride release and chemical adhesion are beneficial to the tooth’s health.
Ceramic inlays and onlays are laboratory-crafted restorations that provide excellent aesthetics, precise contours, and strong resistance to staining and wear. They are typically used for larger defects where a direct filling may be less durable.
Because these restorations are made outside the mouth and bonded in place, they can restore larger areas of the tooth while preserving remaining structure and delivering predictable chewing contacts.
Gold alloys remain one of the most durable and biocompatible options for certain restorations. They offer exceptional fit, longevity, and wear characteristics, making them appropriate in cases where mechanical performance is the highest priority.
Although less commonly selected for cosmetic reasons, gold restorations provide predictable clinical outcomes when long-term durability is the key objective.
A typical restorative visit begins with a focused exam and, when needed, digital X-rays to assess the size and depth of decay. We review the findings with you and outline treatment options that align with your oral health goals and the specific functional demands of the tooth.
Most routine fillings are completed in a single appointment. Local anesthesia is used as necessary to ensure comfort, and we employ modern instruments—from precision handpieces to adhesive systems—to prepare the tooth and place the restoration with care.
For larger defects or when an indirect restoration is the better long-term choice, two visits may be required: one to prepare the tooth and record the shape, and a second to cement the laboratory-fabricated restoration. We plan visits to minimize inconvenience while maintaining exacting standards for fit and function.
After a filling is placed, patients can expect mild sensitivity for a few days as the tooth adjusts. This is common and usually resolves without intervention. We ask patients to report any persistent pain, increased sensitivity, or unusual symptoms so we can evaluate the restoration and address concerns promptly.
Long-term success depends on good oral hygiene—brushing with a fluoride toothpaste twice daily, flossing daily, and keeping routine dental visits so we can monitor the margins and wear patterns of restorations. Early detection of marginal breakdown or recurrent decay lets us intervene before larger problems develop.
With proper care, many restorations function well for years. If a filling shows signs of wear, fracture, or new decay, we will recommend the appropriate next steps to restore comfort and preserve tooth structure.
Protect the treated area while numb
Until the anesthetic wears off, avoid chewing on the treated side and be careful not to bite the lips, tongue, or cheek to prevent accidental injury.
Anticipate short-term sensitivity
Temporary sensitivity to hot, cold, or pressure is common. If sensitivity increases or does not improve over several weeks, contact our office so we can reassess the restoration.
Report bite discomfort
If you feel a high spot when biting, return for a quick adjustment so the restoration contacts are even and comfortable with chewing.
Keep up routine maintenance
Regular brushing, flossing, and dental checkups help prevent recurrent decay and allow us to monitor restorations for wear or marginal concerns.
If you notice anything unusual after a restoration—persistent pain, swelling, or a change in how the tooth feels—please contact our office so we can advise you and schedule an appropriate clinical evaluation.
Dental fillings are one of the most effective ways to stop decay, restore function, and preserve natural teeth. Advances in materials and adhesive techniques give clinicians many options to match a patient’s needs—whether the priority is tooth preservation, a natural appearance, or long-term strength.
Our team emphasizes conservative, individualized care: we select materials and techniques that align with each tooth’s condition and a patient’s overall oral health goals. Thoughtful planning and regular follow-up help ensure restorations remain comfortable and effective over time.
If you would like to discuss which filling options are best for your smile or have questions about an existing restoration, please contact our office for more information or to arrange a consultation.
If the pleasure of eating a delicious bowl of ice cream or sipping a soothing cup of tea gets overshadowed by dental pain that makes you wince; it's time to contact our office. As skilled providers of care, we'll determine what's causing your discomfort and perform the treatment required to alleviate your symptoms and get you back on the road to oral health.
Cavities develop because of an infectious process that causes progressive damage to tooth structure. Despite starting as a pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay progressively compromises more and more healthy tooth structure as it works its way to the inner layers of your tooth.
Yes, you can still develop tooth decay on other surfaces of the tooth, around the margins of an old filling, or in fewer instances, recurrent decay underneath it. For this reason, it's essential to maintain excellent oral hygiene, a diet low in sugary beverages and sweets, and be sure to visit our office for routine checkups and care. While tooth decay is second only to the common cold in frequency, it's almost entirely preventable.
We value the time and comfort of our patients. If cavities are located on adjacent teeth, or in the same section of your smile, it may be possible to treat more than one tooth during your visit. However, how much is done each visit depends on several factors. We keep our patients well informed and tailor every treatment plan and visit to address their unique needs.
Addressing concerns on the presence of elemental mercury in silver fillings, the American Dental Association (ADA), The Center for Disease Control and Prevention (CDC), the FDA, and the World Health Organization have all stated that amalgam restorations do not pose a risk to health. However, individuals with allergies or sensitivities to the metals in dental amalgam are advised to pursue other restorative options.
Dental fillings are performed under local anesthesia to help ensure your comfort throughout the entire procedure. The involved tooth remains completely numb for the extent of your visit. Within one or two hours after the procedure is completed, the local anesthetic will gradually wear off, and normal sensations return.
A tooth-colored composite filling is fully hardened and set by the end of your visit. However, we may advise you to wait a couple of hours until the local anesthesia has completely worn off. This advice is to help ensure you don't accidentally bite your lip, cheek, or tongue while still numb.
The lifetime of a dental filling varies depending on the type of material used. While popular dental materials can last a decade or more with proper care, they can degrade over time, wear down, or even break. When this happens, you may experience some tooth sensitivity, a jagged edge, or a loose or dislodged piece of filling material. Whatever the case may be, it's essential to get the filling replaced before the tooth sustains further damage or other consequences arise. Beyond taking good care of your smile to help ensure the longevity of your fillings, our office regularly checks the status of your existing fillings as part of a routine checkup exam.
Dental fillings are an essential investment that serves to preserve and protect the health of your smile. With that said, how much a filling costs depends on the number of surfaces of the tooth involved and the filling material that is used. Amalgam restorations are the most economical. While tooth-colored composite fillings have a slightly higher cost, they offer the added benefits of being metal-free and much more aesthetically pleasing. Ceramic fillings, inlays, and onlays are more expensive than the preceding options but provide outstanding, long-lasting, and natural-looking results.
Dental insurances typically cover the cost of dental fillings. While we work with you to maximize your insurance benefits, there may still be an out-of-pocket expense. At the office of Keith A. Kye, DDS, FAGD, we strive to help you begin care without any additional financial stress or delay.
Dental fillings are restorative materials used to repair teeth damaged by decay or trauma. They restore the tooth's shape and function and help prevent further deterioration. Fillings can be placed on front or back teeth depending on the extent of the damage. The primary goal is to preserve as much healthy tooth structure as possible.
A dentist assesses the tooth with an exam and X-rays to determine whether a filling, inlay, onlay or crown is the best option. Small cavities and minor fractures are often well treated with fillings, while larger or weakened teeth may need more extensive restoration. Timely treatment limits the spread of decay and reduces the chance of needing root canal therapy later on. Your dentist will discuss the most appropriate material for your specific situation.
Several materials are commonly used for dental fillings, each with distinct properties. Composite resin is tooth-colored and bonds to enamel and dentin, making it suitable for visible areas. Amalgam is a durable metal alloy traditionally used for posterior teeth. Ceramic and gold restorations are options when greater strength or longevity is desired.
Glass ionomer is another option that releases fluoride and can be useful for areas near the gumline or for pediatric patients. Material choice depends on factors such as the size and location of the cavity, aesthetic concerns and bite forces. Your dentist will explain the benefits and trade-offs of each material during treatment planning. Advances in adhesive dentistry have expanded the situations where tooth-colored materials are appropriate.
The filling procedure begins with a thorough examination and removal of decayed or weakened tooth structure. Local anesthesia is used to numb the area and ensure patient comfort during treatment. Once the dentist cleans and shapes the cavity, the chosen material is placed and contoured to restore function. For composite fillings a curing light hardens the material before finishing and polishing.
Larger restorations may be completed in multiple steps or fabricated outside the mouth as inlays or onlays made from ceramic or gold. Temporary restorations can be used when additional laboratory work is required. The dentist will check your bite and make final adjustments to prevent high spots and ensure comfortable chewing. Routine follow-up visits help monitor the restoration and surrounding tooth structure.
Most patients experience minimal discomfort during a filling thanks to local anesthesia and modern techniques. You may feel pressure or vibration but should not feel sharp pain while the procedure is performed. If any sensitivity or pain occurs, notify your dental team so they can adjust anesthesia or technique. The dental team will take steps to keep you comfortable throughout the appointment.
After the anesthetic wears off some patients report temporary sensitivity to temperature, pressure or sweet foods. This sensitivity typically diminishes over days to weeks as the tooth recovers and the restoration settles. Over-the-counter pain relievers and avoiding very hard or sticky foods can help during the initial healing period. If sensitivity persists or worsens, return to the office for an evaluation to rule out other issues.
The lifespan of a dental filling depends on the material used, the location of the filling and how well you maintain your oral health. Composite fillings commonly last several years, while ceramic and gold restorations can last longer under proper care. Bite forces, grinding habits and the size of the restoration also affect longevity. Regular dental checkups help identify wear or failure before it leads to more significant problems.
Routine oral hygiene, avoiding excessive chewing on hard objects and addressing clenching or grinding can extend the life of a filling. Your dentist may recommend a night guard or other interventions if bruxism is a concern. X-rays and clinical exams during recall visits allow your dentist to monitor margins and detect recurrent decay early. Timely maintenance or replacement preserves tooth structure and prevents more invasive treatment.
Good oral hygiene is essential to protect fillings and the surrounding tooth structure from new decay. Brush twice daily with fluoride toothpaste and floss once a day to remove plaque along restoration margins. Consider an antibacterial mouthrinse or fluoride treatment if recommended by your dentist. Consistent care reduces the risk of recurrent cavities and prolongs restoration life.
Avoid chewing on ice, hard candy or other very hard objects that can crack or dislodge a filling. If you notice rough edges, a change in bite, or a loose filling, contact your dental office promptly for assessment. Maintain regular dental visits for professional cleanings and monitoring of restorations. Your dentist can advise on diet, home care and any special products that benefit your specific restorations.
Signs that a filling may need repair or replacement include persistent pain, sensitivity that does not improve, visible cracks or a loose restoration. Recurrent decay at the margins, dark staining around the filling or an altered bite are also common indicators. Small repairs may be possible, but larger failures often require replacement or a different type of restoration. Your dentist will evaluate the extent of damage and recommend the conservative option that preserves tooth structure.
X-rays and clinical tests help determine whether there is underlying decay or structural compromise of the tooth. In some cases root canal therapy may be needed if the tooth is infected or the decay reaches the nerve. Prompt attention to symptoms and routine exams help avoid emergency situations and more extensive procedures. Treatment planning will consider long-term function and protection of the tooth.
Most dental filling materials are considered safe and biocompatible, but individual sensitivities and medical histories should be discussed with your dentist. Amalgam contains elemental mercury in an alloy form, and major health organizations have found it to be safe for most patients, though some people prefer alternatives. Composite resins and ceramics avoid metal components and are widely used for aesthetic reasons. Allergic reactions are rare but can occur with any dental material.
When removal of an old filling is considered, dentists follow protocols to minimize exposure and protect patient safety. Pregnant patients or those with specific health concerns should discuss material choices and timing of treatment with the dental team. Your dentist can review current guidelines and tailor material selection to your health profile and restorative goals. Open communication ensures you receive a restoration suited to your needs and comfort.
Tooth-colored composite and ceramic fillings can improve the appearance of a damaged or discolored tooth while restoring function. These materials are matched to the natural shade of your teeth and shaped to blend seamlessly with adjacent surfaces. Cosmetic considerations often influence material choice for front teeth and other visible areas. The office of Keith A. Kye, DDS, FAGD evaluates both esthetic and structural needs when recommending a restoration.
Replacing an old metal restoration with a tooth-colored option can enhance a smile, but clinical factors such as remaining tooth structure must be considered. Sometimes a larger restoration like an onlay or crown offers a more durable and esthetic result than an oversized filling. Your dentist will present options that balance longevity, esthetics and preservation of healthy tooth tissue. A conservative, well-planned approach delivers both functional and cosmetic benefits.
You may need a filling if your dentist detects decay during an exam or X-rays, or if you experience symptoms such as toothache, sensitivity or a visible defect. Routine dental visits are the most reliable way to catch early cavities before they progress. If you notice a persistent spot that hurts, a rough or dark area on a tooth, or food trapping around a specific tooth, schedule an evaluation. Early treatment is less invasive and helps preserve more of your natural tooth.
During a consultation at our Huntersville office your dentist will perform a clinical exam, take necessary radiographs and discuss treatment options tailored to your needs. The decision to place a filling depends on the size and location of the lesion as well as your overall oral health goals. You will receive clear explanations of the recommended approach and what to expect during and after the procedure. Ongoing preventive care and monitoring reduce the likelihood of future restorative needs.
The office of Keith A. Kye, DDS, FAGD serves the neighborhoods of Huntersville, Lake Norman, Davidson and Cornelius.