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What is restorative dental treatment in?

Restorative dental treatment is the broadest area of dentistry, covering everything to do with keeping your natural teeth: treating tooth decay, fillings, reducing sensitivity, repairing surface enamel defects, starting root canal treatment and placing temporary restorations. Unlike surgical treatment, where a tooth is removed, restorative treatment aims for the opposite: to keep the tooth in your mouth for as long as possible, often for decades.

Our clinic's philosophy is conservative: if we can avoid drilling, we do; if we can keep a tooth alive without removing the nerve, that is what we do. We use light-cured composite, work under rubber dam with loupes or a microscope, and choose materials to suit each tooth. You can find all restorative treatment prices in the price list.

When is it needed?

  • Early decay: a dark spot or small cavity that does not hurt yet but is already visible.
  • Tooth sensitivity: a reaction to cold, hot or sweet shows the enamel is damaged or the necks of the teeth are exposed.
  • Replacing an old filling: an old filling has cracked, the margin has opened and bacteria are building up underneath.
  • Tooth trauma: a small chip, crack or broken edge after an accident.
  • Deep decay near the nerve: advanced decay that can still be stopped without root canal treatment.
  • Raising the bite with fillings: restoring height to worn teeth and avoiding crowns.
  • Prevention after hygiene: fluoride, sealants for children, sensitivity relief for adults.

How the procedure works

  1. 1

    Consultation and diagnosis

    We examine the teeth, take an X-ray if needed, and assess the depth of the decay and the condition of the nerve.

  2. 2

    Treatment planning

    We agree which teeth to treat first, which can wait, and what the costs will be.

  3. 3

    Local anaesthetic

    We give the anaesthetic slowly so the procedure is painless even for deep decay.

  4. 4

    Conservative removal of damaged tissue

    We drill only as much as necessary, preserving as much healthy tooth as possible.

  5. 5

    Isolation and restoration

    Under rubber dam we layer the composite, rebuilding the anatomy and the colour.

  6. 6

    Adjusting the bite

    We check that the filling meets the opposing teeth correctly so food does not catch.

  7. 7

    Care instructions

    We tell you what to expect in the first days, when to expect changes, and when to get in touch.

Filling size and complexity compared

Filling sizeDepth of decayTime in the chairPrice
Small filling (1 surface)Surface decay that has not yet reached the dentine30 min80 €
Medium filling (2 surfaces)Moderate decay in the dentine, the nerve still safe45 min100 €
Large filling (3+ surfaces)Deep decay, a large part of the tooth damaged, sometimes a lining near the nerve is needed60 min120 €
Complex case with silicone guidesDemanding cosmetic rebuild of a front tooth60 to 90 min120 €
Needs root canal treatmentDecay has reached the nerve, the tooth throbs, pain at nightSeparate procedure, 2 to 3 visitsFrom 140 €

Restorative Dental Treatment in cost

  • Small filling (1 surface)composite, rubber dam, linings80 €
  • Medium filling (2 surfaces)100 €
  • Large filling (3 or more surfaces)120 €
  • Glass ionomer fillingreleases fluoride, often used as a lining80 €
  • Filling with silicone guidesdemanding rebuild of front teeth120 €
  • Temporary filling20 €
  • Treatment under the microscope (by time)one visit up to an hour100 €

You can find the full price list here. We confirm the exact price after an examination.

Aftercare following restorative dental treatment

After restorative treatment most patients return to their usual day straight away. Light-cured composite sets at once, so you can eat as soon as the local anaesthetic wears off. There are a few things worth knowing in the first days:

  • Wait 2 to 3 hours for the anaesthetic to wear off so you do not bite your cheek, tongue or lip.
  • Sensitivity to cold or heat is possible for the first 1 to 2 weeks, especially if the filling was deep. This is a normal reaction, not a complication.
  • If the filling feels high in your bite (it touches first, before the other teeth), get in touch straight away; we adjust it quickly.
  • If the pain grows over a few days, throbs or appears at night, this may mean the decay has reached the nerve and root canal treatment will be needed.
  • Keep brushing twice a day and use floss around the filled teeth.

Regular prevention is the cheapest treatment we know. Come for a check-up after 6 months and professional hygiene: spotting a small problem in time saves you time, money and stress.

Why choose Miško Dental Clinic for restorative dental treatment

  • A conservative treatment philosophy: both Dr Lauras and Dr Rasa Smilgevičienė work on the principle that if we can avoid drilling, we avoid it, and if we can keep a tooth alive, we protect it.
  • Modern equipment: microscope, loupes, rubber dam, layered light-cured composite, all so a filling lasts a decade rather than three years.
  • Treatment under rubber dam: the dam isolates the tooth from saliva, the filling bonds more firmly and the risk of recurrent decay drops.
  • 12-month guarantee on fillings: with regular check-ups, a filling of ours that falls out or cracks within 12 months other than through trauma is replaced free of charge.
  • Experience with complex cases: deep decay, cracked teeth, repeat restorations, raising the bite with fillings, we discuss and solve it all together.

Dentist Rasa Smilgevičienė on restorative dental treatment:

"Most trouble in the mouth starts with decay. It is an infectious disease with no vaccine, so prevention remains the most important and the cheapest treatment.

A modern diet, plenty of sugar and a fast pace of life do not help teeth. The most effective 'vaccine' is still the same: a toothbrush, toothpaste, interdental floss and excellent oral hygiene.

A regular check-up at least once a year saves both money and stress. If it does not hurt, that does not mean nothing is going wrong. Treatment today is quite different from before: we use modern equipment, effective pain relief, and do our best to keep the patient at ease.

A small cavity caught in time means a small filling, a quick procedure and simpler treatment. A large cavity often turns into root canal treatment, later a crown, and sometimes the tooth has to be removed. That is how the cycle of trouble starts, and stopping it takes more time and money.

Our treatment philosophy is conservative: if we can avoid drilling, we do; if we can keep a tooth alive, we protect and treat it. That is how we were trained and how we try to work."

Restorative Dental Treatment in: frequently asked questions

What is restorative dental treatment?
It is the area of dentistry covering decay treatment, fillings, reducing tooth sensitivity and other procedures aimed at keeping your natural teeth.
When is restorative treatment needed?
When you notice tooth pain, sensitivity, colour changes or cavities. Also as prevention, to head off bigger problems.
Is the procedure painful?
It is carried out under local anaesthetic, so pain is minimal. There may be some sensitivity afterwards, which soon passes.
How long does restorative dental treatment take?
It depends on the condition of the tooth and the complexity of the procedure, but usually a single visit is enough. A small filling takes 30 minutes, a large or cosmetic front-tooth filling up to an hour.
Can restorative treatment be avoided?
Regular dental hygiene, preventive visits and a healthy diet help you avoid decay and other tooth problems.
Is restorative dental treatment suitable for children?
Yes, restorative treatment is also used for children, to preserve milk teeth and prevent problems with the permanent teeth. Children's treatment is carried out by Dr Rasa Smilgevičienė; read more about children's dentistry.
How many years does a composite filling last?
A well-made composite filling lasts on average 7 to 10 years, sometimes 15 or more. Its lifespan depends on the size of the filling, its place in the mouth, your bite (whether you grind your teeth), hygiene and diet. We monitor fillings at check-ups every 6 months.
Do you provide a guarantee on fillings?
Yes. With regular check-ups (every 6 months), a filling we have placed that falls out or cracks within the first 12 months other than through trauma is replaced free of charge. The guarantee does not apply if check-ups are missed or the filling is damaged by a bite problem we warned about in advance.
What should I do if my tooth has started to hurt at night?
Night pain that wakes you from sleep usually means the decay has reached the nerve and pulpitis has begun. A filling will no longer be enough and root canal treatment will be needed. The sooner you get in touch, the better the chance of saving the tooth without urgent surgery.
Can restorative treatment be done during pregnancy?
Yes, especially in the second trimester (weeks 13 to 27). Untreated decay is a greater risk than a filling, as the infection can reach the nerve and cause an abscess that is dangerous for both mother and baby. Always tell us about your pregnancy: we will choose a safe local anaesthetic and postpone X-rays or protect your abdomen with a lead apron.
Can a tooth stay sensitive after a filling?
For the first 1 to 2 weeks there may be mild sensitivity to cold or sweet, which is a normal reaction, especially if the filling was deep. If sensitivity lasts longer than a month or gets stronger, call us; the bite may need checking or the nerve assessing.
Do you place all fillings under rubber dam?
Yes, for permanent teeth we always fill under rubber dam (a rubber sheet that isolates the tooth from saliva), which matters for the bond and the longevity of the filling. For children's milk teeth we sometimes skip the rubber dam if the child is very young and unwilling, and then we work with good dry suction.

Need restorative dental treatment?

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