Natural-Looking Tooth Restorations
Composite Filling
30 - 45 minutes
Immediately
Immediately
$15 - $50
What is a Composite Filling?
A composite filling (also called a tooth-colored filling, white filling, or composite resin filling) is a modern dental restoration used to repair teeth damaged by cavities, decay, chips, or minor fractures. Unlike traditional silver amalgam fillings that are dark and conspicuous, composite fillings are made from a mixture of tooth-colored plastic resin and fine glass or ceramic particles that can be precisely matched to your natural tooth color, making them virtually invisible.
Why Are Composite Fillings Necessary?
Tooth decay (cavities) is one of the most common dental problems worldwide, affecting people of all ages. When bacteria in your mouth feed on sugars and starches, they produce acids that gradually erode tooth enamel, creating holes or cavities. If left untreated, these cavities grow larger and deeper, eventually reaching the inner layers of your tooth and causing pain, infection, and potentially tooth loss.
Stop Decay from Spreading: Removing the decayed portion of your tooth and filling the cavity prevents bacteria from continuing to damage the tooth.
Restore Tooth Function: a filling restores the tooth's shape and structure.
Prevent Tooth Fracture: Weakened teeth with untreated cavities are prone to breaking or cracking, especially under chewing pressure.
Eliminate Pain and Sensitivity: Cavities often cause discomfort when eating sweet, hot, or cold foods
Improve Aesthetic Appearance: Composite fillings are ideal for visible teeth because they match your natural tooth color.
The Composite Filling Procedure: Step-by-Step
Initial Consultation and Examination (5-10 minutes)
Your appointment begins with a thorough examination of the affected tooth. The dentist will visually inspect the cavity, may take digital X-rays to assess the extent of decay, and discuss your treatment options. This consultation allows the dentist to determine the appropriate filling size, select the composite shade that perfectly matches your natural teeth, and explain the procedure. You'll have the opportunity to ask questions and express any concerns about pain, sensitivity, or the procedure timeline.
Local Anesthesia Administration (3-5 minutes)
To ensure a completely painless experience, your dentist will administer local anesthetic to numb the tooth and surrounding gum tissue. You may feel a small pinch followed by a tingling sensation as the area becomes numb. The anesthetic takes effect within 5-10 minutes and will keep you comfortable throughout the entire procedure.
Isolation and Tooth Preparation (5-10 minutes)
Once the area is completely numb, your dentist places a rubber dam (a thin rubber sheet) or uses cotton rolls to isolate the tooth and keep it dry. Moisture control is critical for composite fillings because the material bonds poorly in wet conditions.
Cavity Cleaning and Etching (2-3 minutes)
After removing all decay, the dentist thoroughly cleans the cavity to eliminate bacteria and debris. Next, an acidic liquid (usually phosphoric acid gel) is applied to the cavity walls for 15-30 seconds. This etching process creates microscopic pores in the enamel and dentin, roughening the surface to enhance bonding. The acid is then rinsed away with water, and the tooth is dried completely. This step is crucial for establishing a strong chemical bond between the composite material and your natural tooth structure.
Bonding Agent Application (1-2 minutes)
A thin layer of liquid bonding agent (adhesive) is painted onto the prepared cavity surfaces. This primer penetrates the microscopic pores created during etching and forms a strong connection between your tooth and the composite resin. The bonding agent is then air-dried and light-cured for 10-20 seconds using a special blue LED curing light that hardens the adhesive.
Composite Resin Layering and Curing (10-20 minutes)
Your dentist applies the tooth-colored composite resin in thin layers (typically 2-4mm thick), sculpting each layer to recreate your tooth's natural shape and anatomy. Each layer is hardened immediately using the curing light for 20-40 seconds. This layering technique prevents shrinkage and ensures optimal strength. For larger fillings, multiple layers are built up gradually. The dentist carefully shapes the composite to match the contours, cusps, and grooves of your natural tooth, ensuring proper bite alignment.
Shaping, Trimming, and Bite Adjustment (5-10 minutes)
Once all composite layers are applied and cured, the dentist uses fine diamond burs and discs to shape and trim the filling, removing any excess material. You'll be asked to bite down on articulating paper (thin colored paper) to check your bite. The dentist makes precise adjustments to ensure the filling doesn't interfere with your natural bite and that opposing teeth come together properly. This prevents future jaw pain, uneven wear, and filling fractures.
Final Polishing (3-5 minutes)
The completed filling is polished using special rubber cups and polishing paste to create a smooth, lustrous surface that matches your natural tooth enamel. Proper polishing is essential because rough surfaces attract plaque and stain more easily. A well-polished composite filling is virtually indistinguishable from your natural tooth and resists discoloration over time.
Timeline: Total procedure time: 30-60 minutes for a single tooth, depending on cavity size and location. Multiple fillings can be completed in the same visit if needed, though this extends appointment time.
How Much Do Composite Fillings Cost in Vietnam?
Composite fillings in Vietnam cost a fraction of what you'd pay in Western countries, with savings typically ranging from 80-96%.
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Small Filling
$15 - $20 -
Medium Filling
$20 - $35 -
Large Filling
$40 - $70
Final costs vary based on individual case complexity.
Why Picasso Dental Clinic?
Why Patients Choose Picasso Dental Clinic for Composite Fillings
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Common Questions About Composite Fillings in Vietnam
A single composite filling typically takes 30-60 minutes from start to finish, including anesthetic administration and all procedure steps. Small, simple fillings may be completed in 20-30 minutes, while large, complex multi-surface fillings can take 60-75 minutes. If you're getting multiple fillings, dentists can often treat 2-4 teeth in one appointment (90-120 minutes total), saving you multiple visits. Vietnamese clinics are efficient and many offer same-day appointments for urgent cavity treatment.
Yes, you can technically eat right after a composite filling because the material is fully hardened before you leave the dental chair. However, it's recommended to wait 2-3 hours until the local anesthetic wears off completely. Eating while your mouth is numb is dangerous. You could accidentally bite your cheek, tongue, or lip without feeling it. For the first 24 hours, avoid extremely hard, sticky, or crunchy foods that could stress the new filling. After that, you can resume your normal diet.
Yes, modern composite materials come in dozens of shades that can be precisely matched to your natural tooth color. Your dentist will use a shade guide to select the perfect match before starting the procedure, ensuring the filling blends invisibly with surrounding teeth. For front teeth, dentists often use multiple shades and layering techniques to recreate the natural translucency and color variations of real enamel. The result is virtually undetectable.
With proper care, composite fillings typically last 5-10 years, with many patients experiencing even longer lifespans. Factors affecting longevity include filling size (smaller fillings last longer), tooth location (front teeth fillings last longer than molars under heavy chewing pressure), oral hygiene habits, diet, and whether you grind your teeth at night. Composite materials have improved dramatically, and premium materials used in Vietnamese clinics can match or exceed amalgam durability.
Yes, one major advantage of composite fillings is that they're easy to repair. If a filling chips or cracks, your dentist can simply add new composite material to the damaged area, bonding it to the existing filling without replacing the entire restoration. This repair process takes only 15-20 minutes and costs much less than a full replacement. This reparability makes composite fillings more practical than porcelain or ceramic options that must be completely replaced if damaged.
The terms are often used interchangeably, but there's a subtle distinction. Composite fillings specifically repair cavities or structural tooth damage caused by decay. Composite bonding (or direct veneers) uses the same material for purely cosmetic purposes: closing gaps, reshaping teeth, or covering stains: without removing decayed tissue. Both procedures use identical composite resin materials and techniques. In Vietnam, some clinics may list them separately on price lists, but the process and materials are essentially the same.
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