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Fillings are often used to repair a modest sized area of tooth decay. While a filling is designed to last for a long time, as the years pass, it’s not unheard of for the natural bacteria in your mouth to start to exploit the cement anchoring a filling, causing it to fail. As a general rule of thumb, the larger and older a filling is, the more likely it is to fail or fall out.

Sometimes A Plus Smiles can restore the tooth with another filling. However, if there isn’t enough healthy enamel to anchor a filling effectively then we might recommend having the tooth restored with a crown

In most cases, restoring a tooth with a crown requires two separate appointments.

The first appointment starts with your dentist examining the tooth, and taking X-rays to assess the overall health and integrity of the internal structures of the tooth. If additional decay has penetrated the pulp, nerve or infects the root of the tooth, they might need to perform a root canal to remove and restore the affected internal structures.

Your dentist will then form an abutment by removing the majority of the enamel layer with a drill. This abutment will eventually provide a strong anchor to secure your crown in place. Finally, an impression is made and the abutment will have a hard plastic temporary crown cemented in place over it. The impression will be sent to our dental lab where your permanent crown is made.

Once the lab has completed your crown, A Plus Smiles will call you back in for the second appointment. This procedure is brief, as the dentist removes the temporary crown and cements your permanent crown in place.

If you have recently lost a filling, you should call A Plus Smiles at 956-627-3446 to schedule an appointment.