Seal / Loss filling

What is tooth sealing?

Tooth sealing is a common name for a popular dental procedure, which is the treatment of cavities in hard tooth tissues. It is probably the most frequently performed dental procedure in Poland, which is based on the assumption of filling a cavity, which is usually the result of poor oral hygiene, poor diet or, in most cases, developing caries. What is a tooth loss? In other words, a hole in the tooth or a similar lack in the structure of the tooth.

Types of fillings

  • Composites – the most common, are made of a mixture of plastics and are characterized by good durability, the lowest invasiveness during treatment and high aesthetics. The dentist selects them under the colour of a natural tooth so that the difference between the composite filling and the patient’s tooth is practically invisible.
  • Glasjonomers – are made of glass ionomer cements, which combine very well with enamel and dentine. They release fluoride ions over a long period of time, which reduces the risk of caries. They are less durable than composites. The possibility of their abrasion and crushing makes them recommended for use only with deciduous teeth.
  • Compomers/Giomery– it is a mixture of glassyonomer and composite, so the fillings created have similar properties – including a high plastic potential for the dentist, well tolerate polishing, are more solid than typical glassyonomers and quite universal. On the other hand, the aesthetic effect is worse.

Seal – techniques of filling cavities

There are two techniques for filling cavities. The first one is direct filling. In this case, it is simply a seal. The defect is filled with plastic material directly in the tooth.

The second method of filling the defects takes place outside the patient’s mouth. It involves preparing a prosthetic inlay (inlay, onlay, overlay, crown, bridge, veneer).



Seal – materials

A seal can be placed permanently or for a certain period of time. The temporary seal is made of such materials as fleece, cement, gutta-percha, light-cured and chemically-cured materials.

A permanent seal is made of composite materials, silicon cement or amalgam. Ceramics, metal ceramics, various metal alloys and complex materials are used to prepare the intermediate filling.

Does tooth sealing hurt?

This is one of the most frequently asked questions in the dental office. The answer is: sealing can sometimes hurt. It depends on the type of caries and how much cavity was formed in the tooth. If the change is small, we will not feel anything. Most often, however, the procedure causes discomfort for the patient – especially during drilling (drilling) in a place infected with caries. When treating large lesions and cavities and lack of contraindications, usually anesthesia is used to perform this procedure, which significantly improves the comfort of the patient during the visit. There are patients who cannot imagine drilling in the tooth without anaesthesia applied earlier, so if someone belongs to this group, it is worth asking the dentist for anaesthesia before the procedure.