Posterior or Anterior Composites:
Be sure the patient understands the benefits of composite restorations over amalgams.
1. Unlike amalgam, composites are at their full strength at the end of the appointment. They are strong enough to chew on right away, as long as the numbness has worn off (so they don’t inadvertently chew their tongue or something.)
2. With an amalgam, the tooth will always be more sensitive to cold (because metal conducts cold so well). The composite, however, is an excellent insulator, so the only sensitivity we expect is the irritation to the tooth from our having worked on it, which should last only a couple of days. If there is sensitivity that doesn’t get any better after a couple of weeks, or if any sensitivity occurs that seems to get worse, they should call the office.
3. Composites are so hard that they will not mold to the bite after the appointment. If they feel high after the anesthetic wears off, they should call to have the bite adjusted.
4. Point out that with a composite restoration, most of the original strength of the tooth is restored, and the tooth is much less likely to break than with an amalgam.
5. Check the tooth with floss before dismissing the patient. If they have any difficulty flossing, or if floss snags around the filling, or if there are any rough or sharp places, they should call the office and have it smoothed.
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