Name of the Procedure:

Common Name: Amalgam Filling
Technical/Medical Term: Amalgam-One Surface (HCPCS Code: D2140)

Summary

An amalgam filling involves placing a metal alloy into a cavity in a tooth to restore its shape and function. It often appears silver in color and is known for its strength and durability.

Purpose

Amalgam fillings are used to treat cavities and tooth decay. The goal is to eliminate decay, restore the tooth’s integrity, and prevent further damage or infection.

Indications

• Presence of cavities or dental decay
• Visible or detectable damage to the tooth surface
• Tooth pain or sensitivity indicating decay

Preparation

• No specific preparation is typically required.
• Patients may be advised to avoid eating immediately before the procedure to ensure comfort.
• Inform your dentist about any allergies or medical conditions.

Procedure Description

1. Examination: The dentist will examine the tooth and may take an X-ray to assess the extent of decay.
2. Anesthesia: Local anesthesia is administered to numb the area around the tooth.
3. Decay Removal: The decayed portion of the tooth is removed using a dental drill.
4. Filling Placement: The dentist will place and shape the amalgam material into the cavity.
5. Hardening: The amalgam hardens quickly, allowing the dentist to polish and adjust the filling for a proper bite alignment.

Duration

The procedure typically takes about 20-30 minutes, but this can vary based on the extent of decay and the tooth's location.

Setting

The procedure is performed in a dental office or clinic.

Personnel

• Dentist: Performs the procedure
• Dental Assistant: Assists the dentist with tools and preparation

Risks and Complications

• Minor pain or sensitivity in the filled tooth
• Rare allergic reactions to amalgam components
• Potential cracks or fractures in the filling over time
• Teeth discoloration near the filling

Benefits

• Durable and long-lasting filling
• Effective restoration of tooth function
• Immediate resolution of decay-related pain

Recovery

• Resume normal activities right away.
• Avoid eating hard foods for the first 24 hours.
• Sensitivity to hot or cold foods can occur but usually resolves in a few days.
• Follow-up visits may be scheduled to check the filling.

Alternatives

• Composite Resin Fillings: Tooth-colored and aesthetically pleasing but less durable.
• Ceramic Fillings: Durable and aesthetically pleasing but more expensive.
• Gold Fillings: Extremely durable but costly and require multiple visits.

Patient Experience

• Minimal discomfort during the procedure due to local anesthesia.
• Post-procedure numbness which typically wears off within a few hours.
• Possible temporary sensitivity to temperature changes.
• Routine dental exams will help monitor the filling's condition.

Pain management and comfort measures include local anesthesia during the procedure and over-the-counter pain relief for any temporary discomfort пост-procedure.