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:

 


 
 

Paula did my composites and I love them so much!! The whole process was explained so well and Paula made sure I was relaxed and comfortable throughout. They look so natural and the before and after photos are amazing 😍😍 thank you!!!read more
Francesca Clarke
Francesca C.
21:21 08 Jul 19
I had my eyebrows done by the lovely Hannah yesterday - oh my word they are amazing! I could not be more pleased with them. The hair stroke detail is incredible. So much less uncomfortable than other clinics I've had them done at in the past. Hannah is not only very knowledgeable, experienced and professional, but is also hilarious and offers a free life counselling service at no extra cost!!!!!!read more
Cat Woman
Cat W.
14:38 02 Jul 19
Made up with my appointment with Laurence and George. They were so kind and welcoming, they gave me a detailed review of my situation so I could make a decision. Would definitely continue treatment here. Thank you very much!! xread more
Louise Leigh
Louise L.
13:39 28 Jun 19
Great dental practice offering comprehensive services. Everyone is very helpful and professional. Their facilities are the best I have ever seen! If you need any dental treatment and/or hygienist services this is the best place to go.read more
Ceren Kabukcu
Ceren K.
10:03 19 Jun 19
Absolutely amazing customer service. Had lip fillers done at other places but will not be going anywhere other than Smile Works from now on. Thank you so much Dr. Susan, you are amazing!! 👄read more
Sinead Griffiths
Sinead G.
11:18 06 Jun 19
Had my first appointment with Zoe n Sophie today.the clinic is amazing with its on board a flight waiting room and air hostess receptionist.I went for the £199 scale polish flight package,I can honestly say I’ve never had a deeper clean,it lasted about 20 minutes.My teeth are whiter before I’ve even started the bleaching process! I’ve bleached my teeth for the last 13 years and have used several companies.This company are the best at what they do.Both my daughters had dark teeth,and now are very proud of there b1 shade.Zoe and Sophie were brilliant today,I can’t recommend them enough.read more
Mary Gallagher
Mary G.
23:14 28 May 19
I was at the dentist for a temporary dressing / filling and a scale & polish this morning, the ladies that tended to my teeth were Paula and Tamzin... they took extra steps to explain exactly what is going on with my teeth and to ensure that I was okay and comfortable with the forthcoming procedures... typically I would bee more nervous but today I felt comfortable at all times and the job on my teeth was great, safe, quick and efficient, I find solace in the fact that they will take extra lengths to preserve my natural teeth👍👌read more
JoEYEleven *
JoEYEleven *
11:21 23 May 19
I’ve had an amazing experience at smileworks. From the first appointment, my dentist Susan has been fabulous, listening to exactly what I didn’t like and helping me with solutions and options to fix it. Susan made me feel very comfortable at all my appointments, I’m so happy with the end result. Would definitely recommend. 😁read more
Melanie Usher
Melanie U.
00:10 16 May 19
After bad experiences with dentists in the past, I decided to try Smileworks and I’m so happy I did. I received treatment from Zoe who is so lovely, chatting throughout the sessions and talking through each part of the treatment, she really makes it a calm and easy experience and I have never had any problems with any work done by her. Thank you, Zoe! The front of house staff are also extremely friendly and very helpful, an all-round, great dentist to go to!read more
Sarah B
Sarah B
18:14 14 May 19
Had my first microneedling session with Hannah which has left my skin feeling funky fresh! Hannah explained the entire procedure from start to finish, it was painless. Cant thank you enough for making me feel at ease, knowing it is not easy for me to go out and about without make up due to years of acne. Cannot wait for my next session!read more
Rachel Kelly
Rachel K.
18:28 04 May 19
Excellent professionalism, swiftness and care when performing 4 of my wisdom teeth extractions. Didn't feel a thing! Thanks to the amazing Abd & Eva. The whole team have been so helpful in identifying the right treatment course for me. Many thanks!read more
Arron Jackaman
Arron J.
11:13 28 Apr 19
Had my dermaplaning and peel with Hannah at Smileworks yesterday and can't thank her enough! My skin has been getting me down lately but just one course of both of these treatments together and I feel brand new and confident. Thanks so much Hannah! I'll be back next week! 😛 xxxread more
Erinns Fit Life
Erinns Fit L.
19:49 16 Apr 19
Amazing place. Everyone is so friendly, I have been a few times for different things and always brilliant. I recently had semi permanent make up (eyebrows) which I love. Hannah is a perfectionist and this is reflected in all the does. Would highly recommend her!read more
Nicola Bray
Nicola B.
19:10 15 Apr 19
Great place and friendly staff! Currently halfway through treatment and everything is explained properly so you understand. Great value for money I'm sorry I didn't come sooner. Can't wait for the end result!read more
Nicky lavelle
Nicky L.
18:56 08 Apr 19
The ideal Place to visit if you have any dental fears. I needed treatment but was worried, these guys put me at ease and the treatment has been successful and much easier than expected. A great environment to get your teeth sorted.read more
Steven Joyce
Steven J.
15:40 05 Apr 19
I Visited smileworks last week for a teeth whitening consultation. I had my appointment with Bambi. She was very welcoming and friendly as were all the staff.This place is amazing and the airline theming is great. The best dentist I've been to. I would recommend this place to Everyone.read more
Mike Dutton
Mike D.
12:52 04 Apr 19
First of all I wanted to say a big thank you to all the staff at Smileworks for making me feel very welcome. I also wanted to say a huge personal thank you MJ for her complete transparency through the consultation period. The honesty demonstrated was so valuable to me and helped me make what I believe is the best decision.I have upcoming teeth whitening treatment and wouldn't recommend anybody else other than Smileworks.read more
Jay
Jay
09:54 04 Apr 19
Had an appointment with Patri for a painful wisdom tooth. I was terrified of the extraction but she was absolutely amazing. Fantastic job! Also, if you think Smileworks might be a bit pricey, think again. I ended up paying considerably less than what another dentist would have charged me. A super happy customer 🙂read more
Minodora Zidaru
Minodora Z.
22:05 22 Mar 19
Susan (dentist) and Eva did my composite bonding and Susan is excellent at her work! I am in love with my new smile and can't recommend her enough! The staff at Smileworks are so professional and friendly. Thank you!read more
Sophie Siu
Sophie S.
11:40 10 Mar 19
Went to Smileworks for lip fillers and had a wonderful experience! I had Susan doing my fillers and she is absolutely amazing at what she does.. She is so so lovely and easy to get on with and answered all my questions and worries before I even asked and made sure she discussed exactly the outcome I wanted. She made me feel completely safe and at ease which is what I was hoping for as it was my first time. I cant recommend Susan enough, she is an absolute gem and is truly amazing at what she does, I love my new lips! Also the girls at reception were lovely and very helpful, I even had a call from Davina the day after (who was really really lovely) to see how I was and if i had any questions. It is obvious that they care about their patients and the work that they do for them.read more
Maddie Dooley
Maddie D.
17:30 08 Mar 19
I had semi-permanent makeup (eyebrows) done by Hannah. What can I say? I LOVE them. They have changed my face and my confidence! Hannah is lovely and takes her time to talk you through everything. I felt at ease with her-she's friendly and approachable and doesn't make you feel silly for asking questions. She goes through the design process and makes sure you are 100% happy before continuing. She spent hours designing my brows with me until they were perfect. Seems nothing is too much trouble for her!! Would definitely recommend and I shall most definitely be back in the future! (Should also note everyone I have come into contact with at Smileworks has also been lovely!!) 😁😁read more
Ellie Roberts
Ellie R.
20:35 04 Mar 19
I had semi-permanent eyeliner with Hannah. it was a great experience I came back 3 times in all for all the top ups.(included in the price ) She made sure that I was 100 percent happy with the look and pain free. She took the time, and was extremely friendly and welcoming as well as totally professional .I will definitely come back as it fades It's amazing to not put eyeliner on and know you look good at 6.30 am at the gym!read more
J Lo
J L.
19:31 12 Feb 19
Visited here today staff were so warm and friendly! I had an aesthetic appointment with MJ she made me feel so relaxed and at ease. I would highly recommend Smileworks!read more
E Bailey
E B.
17:08 12 Feb 19
Great place with professional staff and nice atmosphere. My appointment was with Louise and Eva who were very helpful, friendly and knowledgeable. They have explained everything clearly and made me feel relaxed. Would highly recommend.read more
Denise Colley
Denise C.
22:42 27 Jan 19
I had my lips done here in November and a quick check up in December... I was amazed at how professional it was and I love the aesthetic of the office too. MJ made me feel a home, as did the rest of the team, and I will definitely be returning when I need to!read more
Danielle Piper
Danielle P.
20:12 20 Jan 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 2019.

 

 

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 2018 & 2019

 
 

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: