Tooth Fillings Liverpool
Fix Tooth Decay for a Beautiful Smile

Tooth Filling

Sometimes teeth crack or get damaged.  This can be because of tooth decay, grinding or trauma.  Usually on the back teeth the reason is tooth decay or fractures caused by biting and chewing.  This is where tiny fissures in the teeth allow bacterial into the tooth and this damages its internal structures.  Dental filling material can be used to block these fissures and cracks to repair the damage.  Sometimes if this decay is left untreated the bacteria creates acids and harmful by-products that can literally eat away at the tooth causing cavities or holes in your teeth.

 

 

Dental fillings are a very common procedure and patients can choose from a variety of different materials.  In the past fillings were made of precious metals like gold and silver or a substance called amalgam.  The problem with using these materials is that they don’t look like natural teeth and can be seen when you laugh, smile or eat and some patients want white fillings that are more subtle and look just like your natural teeth.

 

visible amalgam fillings

 

 

Sometimes people need fillings on their front (anterior teeth) and these will typically be made of white filling materials to give you the best aesthetic outcome.  Consult with your dentist or dental hygiene therapist to find out the best course of treatment for you bearing in mind the aesthetic outcome, health benefits and any other concerns you might have.  Our dentists and hygiene therapists are obsessed with listening to precisely what you want and getting you the result that makes you feel great every day.

 
 

Here’s what it’s like to be a patient at Smileworks:

 


 
 

Having a brace to straighten my teeth and I can honestly say serve has been outstanding and my teeth are straightening... so quickly! I’d like to thank Eduardo for making me feel so relaxed (I get a little nervous!) along with Lacy, Emily, Paula, Kerry, Georgie and everyone else who has made it such a lovely experience 😆read more
Andi Culkin
Andi C.
21:47 11 Feb 20
After years of having hardly any eyebrows I recently decided to have semi permanent eyebrows done at Smileworks with... Hannah. I felt quite nervous at the first appointment but Hannah was so professional, took her time to explain the procedure and I was happy to go ahead. I felt really relaxed by the end and everything went well.I can honestly say I’m absolutely made up with my eyebrows now. It was a bit of a shock at first after having none for some time, but I love them.I have had loads of lovely comments too off people saying how great they look.I have one more top up appointment to go and I’m really looking forward to it and eventually to seeing the end results. I would definitely recommend Hannah to anyone, she done an amazing job on mine.Thanks so much again Hannah xread more
Alison H
Alison H
17:51 11 Feb 20
Had my eyebrows done by Hannah and they are nothing short of amazing! I’ve gone from having next to no eyebrows to... having eyebrows I could never even dream of! She was so professional throughout the experience and genuinely wanted the best for me and my brows! Cannot thank her enough! Already had people complimenting me on them and I will be sending everyone Hannah’s way! Xxxread more
Sian Wilson
Sian W.
18:54 07 Feb 20
I had to seek emergency help after an incident involving some super sticky toffee...Ismail and Georgie were incredibly... professional, quick and efficient. As a VERY anxious patient, this has been the easiest dentist trip ever. Thank you so much!read more
Ty Pike
Ty P.
09:20 02 Feb 20
Amazing place didn’t feel like a dentist. Really nice staff and a nice vibe from everybody. Were very helpful and... professional. Had an amazing experience with Paula and Nikola for my first check upread more
Tia Bernard
Tia B.
21:53 31 Jan 20
Simply the best, I can't recommend this dental practice highly enough, visited recently as a new patient requiring... treatment and the advice, welcome and professionalism is second to none. An extended thank you to Dr Ahmed, Lacy, Kerry and all the supporting staff who have been fantastic from the start.read more
Alun Davies
Alun D.
14:13 30 Jan 20
I've never been so impressed with a dental practice before. All the staff are so friendly and helpful. The place is... very clean. I currently have braces fitted from Smileworks and have been seeing Eduardo and Emily for my follow-up appointments. The process has not been daunting at all and actually enjoyable to get my dental work done in such a friendly atmosphere. I'll be sticking with Smileworks as my regular dentist for the foreseeable future.read more
Colin Goodman
Colin G.
13:05 29 Jan 20
First time coming to the surgery, I was made to feel at ease. I had followed my previous dentist (Clare) who had... already looked after me before, she instantly explained everything about Smileworks and how they work. After having my consultation with Clare and Tasmin, a dental plan was set up and a detailed explanation was given outlining what initial work needed to be done and a plan was set up.I would highly recommend there service if you are nervous about the dentist.read more
Declan Hulme
Declan H.
10:50 22 Jan 20
I went to see Hannah for my top up microblading treatment yesterday. Hannah was very professional as always. She put... me at my ease and explained what she was doing throughout the treatment. She checked that I was comfortable throughout the treatment. Hannah has a lot of pride in and clearly enjoys her work and this shows in her treatment results. I am thrilled with my brows and will be back to see Hannah again for more treatments.read more
Sally Bentley
Sally B.
17:09 19 Jan 20
I have had a fear of the dentist for a long time and was very anxious to go. I wanted to have a composite veneer and... whitening ready for my wedding. I booked an appointment for a consultation with the lovely Paula and I cannot thank her enough for putting me at ease throughout each visit. She has been professional, friendly and has done a wonderful job. I will definitely be back and can recommend smileworks to anyone who has a fear of the dentist . Thank you Paula for my new smile 🙂read more
Susan Woodcock
Susan W.
16:20 17 Jan 20
The staff here are always very helpful. I wouldn't go anywhere else for facial aesthetic or dental work. Dr MJ is... incredibly knowledgeable and I personally wouldn't use anyone else. I felt very well looked after and listened to. My outcome on both occasions has been nothing short of amazing. Would highly recommend. In very safe hands.read more
Michelle Barrow
Michelle B.
21:39 04 Jan 20
Who looks forward to going to the Dentist?... Since signing up with Smileworks...I certainly do!The experience is... literally second to none with a clever visual set up, including a waiting room which is designed as the interior of a plane... Random yet intriguing, and setting good first impressions of what is yet to come.I've been here now on a number of occasions and each time I am impressed with the exceptional service and professionalism of every team member. Zoe, my Dentist is warm and friendly, always making me feel at ease and happy to answer in depth any questions I have. I'm very happy with all the results I have gained since signing up with Smileworks and can not recommend this service enough!read more
Kirsty Maples
Kirsty M.
21:26 18 Dec 19
It was my first time visiting and had a brilliantly warm experience. The staff are very welcoming and professional, and... Dr MJ is fantastic at what she does. She’s a hoot! I highly recommend Smileworks.read more
Kella Colton
Kella C.
22:34 17 Dec 19
My 1st visit here a month ago, such a professional experience from the staff at reception and of course and Dr MJ who... has done and absolutely amazing job on my lips.... I love them!! Would totally recommend to anyone thinking of having any kind of aesthetic work.read more
Melissa
Melissa
15:18 13 Dec 19
Always a great experience from start to finish! All members of staff are friendly, helpful and professional, the... whole process is very easy. MJ is fantastic and always makes you feel at ease, she's very knowledgeable, personable, a good laugh and highly skilled. Highly recommended!read more
Chris
Chris
18:25 19 Nov 19
Great experience! MJ was calming, reassuring and knowledgeable, definitely put me at ease and guided me through my... procedure. Staff were always helpful and friendly. I would thoroughly recommend smile works for anyone, they will take care of you 100%!read more
Rosa Sun
Rosa S.
20:37 17 Nov 19
Recently had some aesthetic work with MJ. Consisted of fillers to mid and lower face, chin and lips . This woman is an... absolute genius. She really takes her time discussing your expectations and what you would like to achieve . She is highly professional and really good fun. I never felt rushed and the results are amazing...actually better than I’d hoped. She is a true artist .Discomfort during the procedures was minimum to none. The staff are friendly and make you feel at ease .I highly recommend this lovely lady.Thank you so muchread more
Paula
Paula
20:24 13 Nov 19
Highly recommended! Had my first pro facial with Hannah, she was lovely and professional. She talked me through each... step on my treatment. My skin is super lovely and clean! The whole team is fabulous and it's a wonderful environment. Thank you!read more
Mary .
Mary .
19:01 08 Nov 19
MJ is amazing and a big thank you to her. Her aesthetic work is second to none and she is extremely professional and is... willing to spend a lot of time making sure she does the best job. All the staff are exceptionally friendly and I would highly recommend Smileworks.read more
Janet Clare
Janet C.
13:58 16 Oct 19
Had scale and polish today with Zoe and Georgie couldn’t be happier. They explained the procedure step by step and... continuously checking and making sure I was comfortable. My teeth looked noticeably whiter when they had finished this has never happened before at my previous dentist. I would definitely recommend.read more
Denise Greenway
Denise G.
13:09 11 Oct 19
Had my eyebrows done today with Hannah they look amazing. Hannah had a real attention to detail and was a perfectionist... and also very friendly and professional the procedure didn’t hurt anywhere near what I had imagined. I have previously had dental work done at the practice with Patri and Eva. Everyone is so friendly and welcoming I wouldn’t go anywhere else now.read more
lauren gates
lauren G.
19:09 09 Oct 19
Had lip fillers on Saturday by MJ and i love them! she made me feel so relaxed and comfortable, talking me through... everything and always asking was i okay. It was my first time so i was very nervous. She made me feel like i had nothing to worry about and it was over in no time! 🙂 Thanks again xxxread more
Amanda Samuel
Amanda S.
08:36 07 Oct 19
Finally gained the courage to get my eyebrows done. Was pretty nervous going but soon as I entered the room Hannah made... me feel so relaxed with her lovely personality. She took her time creating the perfect brow shape; she was professional, caring and an absolute perfectionist 😊 Can’t believe the difference my new brows have made to my face. Thank you so so so much!!! Leeanneread more
Leeanne Conteh
Leeanne C.
22:41 05 Oct 19
Smileworks have certainly put a smile on my ‘mysteriously youthful’ face!When you’re not getting any younger, and your... confidence needs a boost, this first class team of aesthetic art, work wonders in subtle ways. I’ve recently had my forehead smoothed and my lips very subtly filled to regain their shape from ten years ago! Smileworks captain’s outstanding skills are her ability to actually listen to you and then produce precise, awe inspiring results - FANTASTIC!!read more
Thegirlsopinioncounts
Thegirlsopinioncounts
17:19 25 Sep 19
Clare and Georgie were the dream team. They worked together to share ideas and find the best solution to fix my broken... tooth. I was treated with care and respect and am so pleased with the result. I have no hesitation in recommending smileworks and all the wonderful people I met there on Saturday. Thank you so muchread more
Marie Morgan
Marie M.
20:33 23 Sep 19

 
 

And here are some of our favourite patient reviews in a short 30s video:

 
 

 
 

The benefits of dental fillings

 

The benefits of fillings are that they keep your teeth healthy.  They are a reparative measure and also can be an aesthetic one.  So they fix it and make it look nice too.  Fillings are less invasive than many other procedures and are a better option than what you may face if you leave the tooth decay to spread or don’t visit the dentist when you feel something is wrong. This can:

 

  1. Cause teeth to break and crack requiring expensive dental crowns or porcelain veneers.
  2. Cause painful abscesses and infections that require emergency dental treatment and cause distress.
  3. Create an unaesthetic appearance of the smile and confidence issues when you smile or laugh.
  4. Cause pain and discomfort when you chew your food.
  5. Cause sensitivity on hot or cold when the root of the tooth is exposed or when the enamel is cracked or very thin on the surfaces of the teeth.
  6. End up with you needing a a root canal.

 

Here’s a video to show how caries (also called tooth decay and cavities) occurs in the tooth:

 

 

 

 

How do I know if I need a filling?

 

 

As with many dental problems (except gum disease) it’s usually pain that brings people to the surgery.  Teeth are made of hard enamel that protects the pulp and living parts of the teeth beneath.  These living structures have nerves and blood vessels and when bacteria get past the protective enamel layer it can cause pain such as sensitivity and cause serious problems with the function and prognosis of the tooth.

 

 

Anatomy and structure of a tooth

 

 

In some cases the bacteria can cause an infection and an abscess can form.  This is a red flag (and usually really hurts) so you need to visit the dentist for an emergency appointment if you are in pain and think you might have an abscess. Sometimes the  pain can be very severe but don’t worry, we can get you out of pain and on your way within a short while so you an enjoy the rest of your day.

 

What is amalgam?

 

 

Dental amalgam has been one of the most popular materials to use to fill cavities for the last 100 years.  Amalgam is also sometimes referred to as a ‘silver filling’ because they have a silver appearance.  They are actually an alloy (mixture of metals) containing silver, tin, copper and small amounts of mercury.  Sometimes other metals are used in trace amounts like zinc and palladium.  Mercury in fillings is not considered dangerous and we’ll explain why if you read on.

 

 

Amalgam is extremely popular simply because it’s a very good material to use.  It’s less expensive (most patients don’t want to pay a huge amount for gold fillings) and it’s durable and great for posterior (back teeth –like molars) that undergo a great deal of wear and tear from chewing food.

 

Composite vs Amalgam Fillings Video

Is Mercury Safe?

 

 

There are literally hundreds of millions of people in the world who have amalgam fillings containing mercury and it is one of the most studied materials in dental science. [insert studies]  The authorities in the UK and US have deemed it safe for use in amalgam for anybody over the age of 6 but not for pregnant women or people with kidney disease.  The reason dentists use amalgam is because it makes the other metals more malleable and creates an ‘Excellent and versatile restorative material’

 

 

To read more about the safety of amalgam you can see the research here:

FDA Research

British Dental Association Research

Department of Health Statement on Toxicity of Amalgam

Leading Article in the Journal “Nature”

 

 

This is pretty complicated stuff so the TL:DR is as follows.  Mercury is a hazardous substance and ideally we don’t want to be using anything hazardous in our dental work.  This is why Smileworks is a Mercury-free practice.  But the damage you might cause to your teeth and underlying health by avoiding the dentist far outweighs any dangers that amalgam might cause you.  People ingest all sorts of toxins and mercury is commonly ingested in much higher amounts from foods, the air you breathe and even your drinking water.

 

 

As with any toxin it’s all about the amount that’s ingested.  And the tiny amounts of mercury in amalgam fillings are dwarfed by the amount you consume unwittingly from the environment.  Ever wondered why they tell pregnant women not to eat shellfish and tuna?  it’s because of the accumulation of heavy metals like mercury.  Also once the mercury is in the amalgam it’s almost ‘locked in’ and has formed a compound with the other metals and is safe.  The amount released into your body (in vapour form) as the filling wears, is almost nothing.  As we shall see, the best way to release mercury from amalgam is by drilling it out of your teeth by removing perfectly viable amalgam fillings.  So this is something you must think about.

 

Can I be allergic to Amalgam?

 

 

Yes, like anything some people are allergic to amalgam.  Just like some people are allergic to pollen, honey, bees, nuts, cats and caffeine.  Of the hundreds of millions of people with amalgam fillings, only 100 cases of allergy have ever been confirmed.  So getting any type of sickness from Amalgam is like winning the lottery twice in a week.

 

 

It often depends on the clinical considerations of a patient whether amalgam is used and your dentist wants to do the best job for you taking into account factors like your underlying dental health, systemic health, overall health and your budget.  We don’t use amalgam at Smileworks.

 

 

But don’t take our word for it.  If you don’t want amalgam fillings then there are dozens of other materials that we can use that don’t contain mercury or even any metals at all.

Should I have my amalgam fillings removed?

 

 

We wouldn’t advise removing amalgam fillings if they are functioning well.  If it’s not broken – don’t fix it.  That’s a good rule of thumb in dentistry.  We are clinical dentists and our training involves the management of risks and keeping you safe and healthy.  So if you come to us worrying about mercury poisoning but have a perfectly functional amalgam filling then we are going to advise you that replacing it may cause you real – not imagined – harm.

 

 

Out job is first to do no harm.  But it’s your choice and if you want amalgam fillings replaced then this is something we can do, will do and do quite frequently.  Incidentally the best way to release the most mercury from an amalgam filling is to replace it.  So bear that in mind.  An entire lifetime of chewing on an amalgam filling releases less mercury into your body than having it drilled out and removed.

 

White Fillings (composite fillings)

 

 

Composite fillings are used to solve the same problems as their amalgam cousins.  If you have decay, cracks or damage then we use composite materials to fill the holes to stop anymore bacteria getting in and prevent the spread of any infections.  Composite fillings are not the same as composite veneers or composite bonding that is usually chosen for aesthetic reasons rather than health ones.  But just because fillings are about keeping the teeth healthy does not mean they cannot also look aesthetically pleasing and improve your smile by helping you not feel self-conscious laughing, smiling or chewing.

 

 

How a composite filling works on a back tooth

 

 

 

Composite material is a resin (plastic) mixed with glass to make a hard enamel-like material that is very similar to your natural tooth enamel.  It is sculpted into the cavity and finished to produce an extremely life-like and translucent look.  Just like your natural tooth.  Composite fillings can be used on the back teeth and the front teeth and are an extremely popular choice in 2020.

 

 

The price of composite fillings depends on how many of the tooth surfaces need filling.  Here’s an idea of what we mean by tooth surfaces.  Basically the more surfaces the more work and materials and the higher the cost.

 

 

Tooth surfaces

 

 

White Fillings Cost

How much is a white tooth filling? Here's the itemised prices for 2020

 
 

Many people are worried about the cost of white fillings but you’d be surprised how inexpensive they are. Your qualified dental hygiene therapist can create them for you so you can have this treatment at your hygiene appointment at Smileworks. The cost of your filling depends on how many of the tooth surfaces are damaged or decayed. Your teeth have a number of surfaces and we will usually calculate the cost based on how much work it takes to restore the tooth.

Anything more than 4 surfaces may need other types of treatments that you can read about here: dental crowns or porcelain veneers. The price will also depend on who is doing the treatment for you. Dental hygiene therapists will not charge as much as dentists and then specialists or restorative dentists will charge more as they have more experience.

 
 

In the case of an emergency there may be extra costs. These are itemised below.

 
 

  • One tooth surface filling | From £90
  • 3/4 tooth surfaces | From £175
  • Replacement crown or veneer | £50
  • Tooth Extraction/ surgical extraction | £80-350
  • Emergency assessment | £50
  • Removal of nerve | £30
  • Temporary dressing | £20
  • Fissure Sealant | £25/tooth

 
 
Anything more than 4 surfaces may need other types of treatments that you can read about here: dental crowns or porcelain veneers. The price will also depend on who is doing the treatment for you. Dental hygiene therapists will not charge as much as dentists and then specialists or restorative dentists will charge more as they have more experience.
 
 

 
 

If you're concerned about the affordability of treatment then take a look at our patient finance calculator here:
 
 



 
 

White fillings vs Dental Onlays?

 

An onlay is like a filling that’s made in the dental lab. So an impression is taken of your teeth and the onlay is created by a ceramist in a laboratory chosen by your dentist. The master ceramist will construct the onlay to be strong, durable and aesthetically beautiful and make it out of EMAX, Zirconia, gold, non-precious metal, alloy or other types of porcelain. Imagine an onlay like a mini-crown. It covers the cusps of the tooth and is different for a composite filling and is indicated when a composite filling cannot be used because the filling is too large to survive in the tooth and covers too many or to much of the tooth surfaces.

 

Below the image is a video explaining how an inlay works

 

dental onlay / Inlay

 

 

How an Inlay Works

 

 

 

 

Fissure Sealants – How to Prevent Tooth Decay

 

Prevention is better than cure. And we now have treatments that can prevent the small fissures in the back teeth from accepting bacteria and causing damage. Dental sealants prevent tooth decay by filling in the tiny recesses in the molar surfaces – so the back teeth.

 

 

These are susceptible to cracks and holes because they are under immense pressure from your biting down on them when you chew. The human bite force is 140kg for a normal adult or 70kg per side. Also they are harder to clean and food sticks to them. Fissure sealants create a smoother surface that’s easier to clean and also provide a protective layer to prevent harmful bacteria and the build up of tartar and plaque. Your dental health practitioner can advise you of the best treatment and sealants are not expensive at all and can save you costly dental treatments in the future.

 

 

We will usually offer this treatment in the course of most hygiene appointments where appropriate and the scientific evidence is very compelling that this is one of the best ways to prevent dental caries and tooth decay.

 

 

Tooth Filling Process

 

The process for a filling is very simple for a dentist or a dental hygiene therapist. You don’t actually need to see a dentist for this type of work but some patients like to have front teeth filled by dentists or even extremely qualified restorative practitioners if they are interested in getting a superior aesthetic look. That said, our dental hygiene therapists and dentists make the most beautiful front tooth fillings so most patients are happy to have wither perform their treatment because they will get a consistently good result at Smileworks.

 

 

The first thing to do is assess the positon and remove any decay, tartar or remains of any other failed work. The area is then thoroughly cleaned to remove any bacteria and the damaging chemicals that bacteria leave behind on the teeth. Then the filling material is applied in layers to give it a lifelike and translucent appearance.  To help the filling stay in place for a long time the tooth is coated with special materials. The tooth is then sculpted by your dentist or dental hygiene therapist and hardened with a special light. It is then finished to look precisely like the tooth that was damaged and match your surrounding teeth so you can smile again with confidence.

 

 

How a Front Tooth Filling Works

 

 

Depending on how well you look after your new filling it should last for several years and protect the tooth from additional damage. The materials used are extremely hard and durable and will be able to withstand pressure and chewing just like your natural teeth.

 

Risks & Alternatives to Fillings

 

All dental procedures carry risks although hundreds of millions of fillings have been carried out successfully for the last 100 years. The main concerns of fillings are usually down to the skills of your dentist, the correct diagnosis, the materials used and the size of the filling.  Here at Smileworks you’ll find some of the most highly qualified dentists, dental hygiene therapists and specialists anywhere in Europe. Some patients come to us when their fillings have fallen out. This is usually because they have failed.

 

 

It is a fact that the benefits of fillings far outweigh the risks – and the common problems we encounter are when people have neglected their failing fillings or have not replaced older or broken fillings. The benefits of white fillings are that they look just like your natural teeth and can restore your smile helping you feel happy, confident and healthy.

 

FAQ

Here are some frequently asked questions about white fillings

  • White filling vs Silver
  • Silver is another word for amalgam and we don’t do amalgam fillings at Smileworks (not necessarily because they are harmful but because we want the most aesthetic results for our patients). There is still some potential hazards that are largely unsupported in the mainstream medical literature so we would rather keep people 100% safe than take even the tiniest risk.
  • How long does a filling last?
  • Like any dental restoration, a filling will last longer if you look after it. Brushing and going to the dentist regularly and flossing can make it last longer. If you eat lots of sugar, don’t brush and avoid the dentist it will fail more quickly.
  • Are white fillings worth it?
  • Yes. If you want your tooth to look natural and not be noticeable when you smile, eat or laugh then composite fillings are the best option and are certainly worth it. The filling material is more compatible and can be shaped better to look natural, lifelike and beautiful.
  • Pain after Fillings?
  • After a filling there can be pain and the most common cause of dental pain is a recently placed filling. Cold sensitivity is routine but pan on hot or biting needs to be investigated because this could mean that the nerve of the tooth is compromised (dying off and may need to be removed) if the nerve is compromised you might need an extraction or a root canal treatment.
  • Why do fillings fall out?
  • Sometimes fillings fall out because either you’ve not looked after them well enough or cause them trauma. There are cases of fillings being torn out of the patients mouth from DIY dentistry such as clip on veneers purchased online.
  • Where can I get white fillings near me?
  • Smileworks are the leading provider of dental restorative work in Liverpool and there is no better place to have a thorough examination by a dentist or dental hygiene therapist to get you the best results for a happy, confident and successful life.

 

 

To see what it’s like having treatment at Smileworks watch our short 30s video here: