Ceramic dental fillings When to use them and how to install them step by step

If you're looking for a way to maintain your dental health and show off a natural, beautiful smile, ceramic fillings might be the perfect solution for you. Ceramic fillings not only restore teeth damaged by cavities or cracks, but they also maintain the natural appearance and color of the tooth for a long time. In this article from Daly Medical, we will explore when ceramic fillings are used, their benefits, and the step-by-step procedure for placing them, so you can know everything before choosing the right type for you.

Is ceramic filling suitable for children?
Yes, but it’s usually used for older children or at the back molars, because it’s strong and can withstand chewing pressure, and it also has a natural appearance that resembles real teeth.
Is the procedure painful for the child?
Usually not, because the dentist uses local anesthesia. Some children might feel slight sensitivity or discomfort for a day or two after the procedure.
Does the color of the filling change over time?
No, the color of ceramic is stable and resembles the natural color of teeth, which is an important feature, especially for front teeth.
Can ceramic break in children?
Ceramic is strong, but children who have a habit of grinding their teeth or biting on hard objects might cause it to break. Parents should monitor their child and discourage these habits.
How long does a ceramic filling last in children?
Usually between 10 to 15 years if well cared for. It may decrease if the child has harmful habits or if cavities continue to affect the surrounding teeth.

Does the child need more than one visit for the filling?
Yes, typically the child needs two visits:

The first visit: to prepare the tooth and take the impression.
The second visit: to place the filling after it is made in the lab.
Some newer types (CAD/CAM) may only require one visit.

Does the child need special care after placement?
Definitely! Tips include:

Brush the teeth twice daily with a toothbrush and toothpaste, and use dental floss.
Avoid hard or sticky foods.
Regular check-ups with the dentist every 6 months.

Is ceramic filling suitable for milk teeth?
Usually not, because it’s designed for permanent teeth that need more strength.
However, in certain cases, the dentist may use it for milk teeth if the child has specific issues.
Is ceramic filling painful?
Usually not, as it is placed after local anesthesia. Some people may feel mild sensitivity or discomfort for a day or two after placement.
How long does a ceramic filling last in a tooth?
The filling can last between 10 and 15 years if well cared for.
The lifespan may decrease if there are harmful habits like grinding teeth or applying excessive pressure.
Does the color of the filling change over time?
No, ceramic is resistant to staining, which is one of its major advantages over composite fillings.
However, the surrounding teeth may be affected by color if they are exposed to food or drinks that stain.
Can it be placed on front and back teeth?
Yes, but it’s an excellent choice:

For front teeth: for cosmetic purposes and a natural appearance.
For back teeth: for strength and durability during chewing.

Can ceramic fillings break?
Although ceramic fillings are very strong and durable, they may break under extreme pressure or impact, especially if the patient has a habit of grinding teeth or biting down hard on solid objects.

Does ceramic filling require more than one visit for placement?
It depends on the type of filling:

Traditional fillings (Inlays & Onlays): require two visits, one for preparing the tooth and taking the impression, and the second for placement after manufacturing.
CAD/CAM fillings: can be done in a single visit using advanced digital techniques.

Are ceramic fillings suitable for all cases?
Not always. If the tooth is severely damaged or needs a full crown for protection, ceramic may not be enough.
The dentist will determine the most suitable option based on the condition of each tooth and the extent of the damage.

Does it require special care after placement?
Definitely! Daily care is essential to ensure the filling lasts as long as possible, including:

Brushing teeth twice a day with an appropriate toothpaste.
Using dental floss once a day.
Avoiding hard or sticky foods.
Regular dental check-ups every 6 months.

How long does a ceramic filling last?
Ceramic fillings are among the longest-lasting types of fillings, typically lasting between 10 to 15 years or more, depending on how well they are cared for and the cleanliness of the mouth.

Additionally, their color is very stable and closely resembles the natural color of teeth, which makes the smile look natural and attractive.

What are Ceramic Fillings (Inlays – Onlays)?
They are a type of advanced cosmetic fillings used to restore and rebuild teeth that have been damaged by cavities or fractures.

They are made from high-quality ceramic.

They are resistant to wear and stains.

They provide a very natural appearance for teeth.

They combine both strength and beauty.

What are the benefits of ceramic fillings for teeth?
Ceramic fillings are considered one of the latest and best cosmetic fillings because they combine beauty and durability. This makes them the ideal choice for people who want both a beautiful smile and a strong tooth at the same time. Let’s explore their main benefits:

✅ 1. Very natural appearance
Ceramic's color closely matches the natural color of teeth, making it very difficult to distinguish from the rest of the teeth, especially for front teeth.

2. Strong and resistant to wear
Ceramic is a very hard material that can withstand chewing pressure without breaking or wearing out easily, making it last for many years.

☕ 3. Not affected by food or drinks
Ceramic fillings do not change color over time and resist staining from coffee, tea, and colored foods.

4. Safe for gums and tissues
Ceramic is biocompatible, meaning it doesn’t cause inflammation or sensitivity in the gums, and it is very comfortable in the long run.

5. Stable and doesn’t come off easily
It adheres very well to the tooth, preventing bacteria leakage and protecting the tooth from further decay.

6. Preserves the natural tooth structure
The dentist only removes a minimal amount of the tooth during preparation, helping to preserve as much natural tooth as possible without causing damage.

Types of Ceramic Fillings

Ceramic fillings vary based on how they are made and placed, and each type has its own advantages and disadvantages:

1. Traditional Fillings (Inlays & Onlays)
These are fabricated in a laboratory after the dentist takes an impression of the tooth:

Inlay: Replaces the inner portion of the tooth only.
Onlay: Covers a larger portion of the tooth’s surface (such as the edges or cusps).

Advantages: High precision, comfortable, and very stable.
Disadvantages: Requires two dental visits.

2. Digital Fillings (CAD/CAM)
This is the latest technology in dentistry, where the filling is designed and made in the office using a digital device.

Advantages: Placed in a single visit, looks very natural, and is highly accurate.
Disadvantages: Requires advanced equipment and a dentist experienced with the technology.

3. Glass-Ceramic Fillings
This type combines ceramic and glass, making it very translucent and aesthetically pleasing.

Advantages: Gives a natural look like real teeth.
Disadvantages: Less durable under pressure, and not suitable for strong back teeth.

4. Zirconia Fillings
The strongest and most advanced type of ceramic available today.

Advantages: Very durable, resistant to breaking, and has a very natural appearance.
Disadvantages: More expensive than other types and requires a skilled dentist for placement.

What are the disadvantages of ceramic fillings?

Although ceramic fillings are among the best cosmetic fillings in terms of natural appearance and beauty, they are not without their disadvantages. Here is a summary of their most important downsides that you should be aware of before placement:

1. Its cost is high

Ceramic fillings are more expensive than other types like composite or amalgam, because the material itself is costly, and the placement requires precision and advanced equipment.

⏱️ 2. It requires more time for placement

Regular fillings can be done in a single visit, but ceramic fillings usually require two visits:

The first visit: to prepare the tooth and take the impression.
The second visit: to place the filling after it’s made in the lab.

⚙️ 3. It can break in certain cases

Although it is very strong, it is somewhat more brittle compared to metals, meaning it can break if someone bites on hard objects or has a habit of grinding their teeth.

4. Difficult to repair if broken

If a ceramic filling breaks, it typically needs to be replaced entirely, unlike composite fillings, which can often be repaired easily.

❄️ 5. May cause temporary sensitivity

Some people experience mild sensitivity to hot or cold after placement, but this usually disappears after two or three days.

Are ceramic fillings suitable for front teeth?

Yes ✅, because they closely resemble the natural color of teeth, making them hard to distinguish from the original tooth. This makes them ideal for front teeth and cosmetic purposes.

⏳ How long do ceramic fillings last?

Typically, ceramic fillings last between 10 to 15 years, and sometimes longer if they are well cared for. The duration depends on:

The skill of the dentist and the placement technique.
Oral hygiene and daily care.
Regular follow-up visits to the dentist.

Can ceramic fillings be removed?

Yes, they can be easily removed or replaced if needed, but this should be done by a specialized dentist to avoid damaging the tooth.

Comparison table between ceramic fillings and other types of dental fillings

Type	Material Composition	Aesthetic Appearance	Durability & Lifespan	Cost	Best Use	Advantages	Disadvantages
Ceramic Fillings (Porcelain)	Made of ceramic or porcelain	Very high – matches natural tooth color	Very durable (10-15 years)	High	For both front and back teeth requiring good appearance	Stain-resistant – very natural	Expensive – requires more visits
Composite Fillings (Laser)	Resin composites in tooth color	Excellent – very natural	Durable, but less than ceramic (5-7 years)	Medium	For small to medium cavities	Easy to place and shape	Less wear-resistant
Amalgam Fillings (Silver)	Mixture of silver, mercury, and metals	Poor aesthetic (gray/silver)	Very durable (10+ years)	Low	For back teeth	Strong and durable, inexpensive	Not aesthetic – may cause sensitivity
Gold Fillings	Pure gold or alloy	Fair (shiny gold color)	Longest-lasting (15-20 years)	Very high	For back teeth	Very durable and non-wearable	Very expensive – unnatural appearance
Glass Ionomer Fillings	Mixture of glass and adhesive material	Acceptable	Medium (about 5 years)	Low to Medium	For children or temporary fillings	Releases fluoride to protect teeth	Weak for large teeth

What are the steps to place a ceramic filling?

Placing a ceramic filling requires high precision and is done in specific stages to ensure both aesthetic and functional results. Let’s go through the detailed steps of the process:

1. Examining the teeth and identifying cavities
The dentist starts by carefully examining the teeth using X-rays or specialized tools to precisely locate the cavities or damage. This is the same procedure done before any type of filling.

2. Cleaning and preparing the tooth
In this step, any decay or damaged parts are removed using drills or air abrasion. Then, the dentist carefully prepares the cavity and measures it precisely to ensure the filling fits perfectly.

3. Choosing the filling color
The dentist selects the shade that matches the natural color of the patient's teeth and ensures it’s perfectly matched for a natural look that blends seamlessly with the tooth.

4. Placing a temporary filling (in some cases)
In some situations, the dentist places a temporary filling to protect the tooth until the permanent ceramic filling is made in the lab. The temporary filling also helps maintain balance during chewing and prevents pain or sensitivity.

5. Manufacturing and firing the ceramic
In the lab, the filling is made from high-quality ceramic material. Afterward, it is heated and processed to match the exact shape of the cavity and be ready for placement.

6. Placing the final filling
During the second visit, the dentist places the ceramic filling in the cavity using a strong adhesive. The filling is pressed firmly to ensure it bonds perfectly to the tooth and provides a natural feel when eating.

7. Final inspection and adjustments
After placement, the dentist checks:

If the filling aligns well with the surrounding teeth.
If the patient feels any discomfort or unevenness while chewing.
If any minor adjustments are needed, the dentist makes them during the same session.

✨ Result:
The ceramic filling looks very natural, has a smooth texture, is durable enough to withstand pressure, and enhances the smile, making it more beautiful and confident.

When should ceramic fillings be used for teeth?

Ceramic fillings are not used in all cases, but the dentist chooses them when the goal is to treat cavities or fractures while preserving the tooth’s strength and natural appearance. Here are the most common cases where ceramic fillings are used:

1. When there is moderate or severe decay
If the cavity is deep and can’t be treated with a regular composite filling, but doesn’t require a full crown, ceramic is the perfect solution as it is strong, durable, and can withstand pressure.

2. For back teeth
Back teeth endure a lot of pressure during eating, so ceramic fillings are the best option because they can handle this pressure and last longer than other types.

3. When you need a natural aesthetic appearance

Ceramic has a color that closely matches the natural color of teeth, so if the filling is in a visible area like the front teeth or premolars, it’s the best aesthetic choice.

4. In cases of fractures or partial wear of the tooth

If a tooth is cracked due to an accident or heavy pressure, a ceramic filling can replace the missing part and restore the tooth’s natural and functional appearance.

5. For people who are allergic to metals

Some people’s bodies react to metal fillings like amalgam, causing inflammation or sensitivity, but ceramic is a safe, non-metallic material that is biocompatible with the gums and tissues.

6. If the patient wants a long-lasting filling

Ceramic fillings are known for their long lifespan and resistance to color changes, making them an ideal choice for those seeking long-term comfort.

⚠️ Key signs that indicate your ceramic filling needs to be replaced

Like anything in the body, ceramic fillings have a lifespan. Here’s how to tell if they need replacing:

Pain or sensitivity in the tooth: If you feel pain when eating or drinking hot or cold items, it could indicate a leak or small gap under the filling.
Changes in shape or edges of the filling: If it becomes rough or has gaps, it’s a sign that it’s worn out or lost its stability.
Staining or color changes: Dark lines or spots around the filling may indicate the beginning of new decay.
Cracks or fractures: Ceramic is strong, but it can crack under heavy pressure, requiring immediate replacement.
Pain when biting: There may be a small issue with the bite, which should be adjusted by the dentist.
Gum inflammation: If the gums around the filling are red or bleeding, the filling should be examined immediately.
More than 10 to 15 years have passed: Even if the filling still looks good, the typical lifespan is around this period, so it's best to get a preventive check-up with the dentist.

Diagnosing the need for a ceramic filling

Before a dentist decides to place a ceramic filling, they must make an accurate diagnosis of the tooth’s condition to ensure it's the right solution. This step is crucial as it determines the type of filling and its long-term success. The diagnosis is done through a series of precise stages, as we will see:

First: Clinical examination in the clinic
The dentist starts by examining the affected tooth and checking for decay, cracks, or damage. Then they assess the extent of the damage:

If the damage is minimal, a regular cosmetic filling (composite) might be sufficient.
If the decay is deeper or the tooth is in a high-pressure area, such as the back teeth, the dentist may opt for a ceramic filling, as it is stronger and longer-lasting.

The dentist also checks the gums and tissues around the tooth, as healthy gums are essential for proper bonding and to prevent inflammation after placement.

Second: X-ray examination
The dentist orders an X-ray to assess:

The depth of decay or fracture.
The condition of the nerve and whether there is inflammation beneath it.
The extent of the area that needs to be prepared before placing the filling.

This X-ray helps the dentist make a very precise decision and choose the best ceramic material.

⚙️ Third: Bite assessment (occlusion)
One of the key diagnostic steps is ensuring that the bite is balanced, as excess pressure on the tooth with the filling can cause it to break over time. A simple test is done to check the force distribution on each tooth.

Fourth: Patient consultation
Before starting treatment, the dentist sits with the patient and asks important questions, such as:

Is the cosmetic appearance more important, or is durability the priority?
What budget fits you best?
Do you have any allergies to certain materials?

Based on these answers, the dentist decides whether ceramic filling is the most suitable choice, or if there’s a better alternative.

Fifth: Treatment plan
After a complete diagnosis, the dentist formulates a clear treatment plan, including:

Removal of decay or damaged parts of the tooth.
Preparing the tooth for an impression or digital scan.
Selecting the most appropriate ceramic type for the case (Zirconia, Glass-Ceramic, or CAD/CAM technology).

Important Instructions Before and After Ceramic Fillings

If you decide to get a ceramic filling, the process doesn’t end with the dentist’s session. Here are some important tips before and after the placement to ensure the filling is properly placed and lasts many years without issues:

✅ First: Before placing the ceramic filling

Get a comprehensive dental check-up: The dentist needs to ensure there’s no decay, nerve inflammation, or gum issues before starting, as even small problems can cause the filling to fail later.
Ask about the most suitable filling type: Not all cases are suitable for ceramic, so ask your dentist if it’s the best choice or if an alternative would be better.
Avoid eating before the session: Especially heavy or rich meals, so you feel comfortable during the procedure and avoid nausea or fatigue.
Inform your dentist if you have allergies or are taking medications: Some materials used may cause a reaction, so it’s crucial that the dentist knows your health status before starting.
Prepare yourself mentally: If you’re nervous about dental work, you can ask for a consultation or a simpler procedure before the main treatment to feel more at ease.

✨ Second: After the ceramic filling placement

Avoid eating or drinking for the first two hours: Especially if the anesthesia is still active, to prevent accidentally biting your cheek or tongue.
Avoid hard or sticky foods for the first two days: Such as chewing gum, nuts, or sticky candies, to give the filling time to set properly.
If you experience mild pain or discomfort: This is normal for the first couple of days. However, if the pain persists or swelling occurs, contact your dentist immediately.
Daily oral hygiene is crucial: Brush your teeth twice a day with suitable toothpaste and use dental floss around the filling to prevent decay or bacteria buildup.
Follow up with the dentist after a week: Some cases may need slight adjustments to the height of the filling if the bite doesn’t feel quite right.
Have a regular check-up every 6 months: This helps ensure the filling remains intact, and there are no gaps or leaks that could cause new decay.

Important Tips for Maintaining Your Ceramic Filling for the Longest Time

After placing your ceramic filling, the most important step is to know how to take care of it to keep it strong and beautiful for many years without needing replacement.

1. Maintain daily oral hygiene
Oral hygiene is key! Brush your teeth twice a day with fluoride toothpaste, and use dental floss daily around the filling to prevent food residue and bacteria buildup.
2. Avoid very hard foods
Like ice, hard nuts, or hard candy, as they can put pressure on the filling and cause it to crack over time, especially if it’s in the back teeth.
☕ 3. Reduce consumption of colored beverages
Like coffee, tea, and sodas, because while ceramic itself doesn’t stain, the surrounding teeth may change color, making your smile less uniform.
4. Use a night guard if you grind your teeth
If you have a habit of grinding your teeth at night (bruxism), consult your dentist about getting a night guard to protect your filling from wear or cracking.
5. Follow up with your dentist regularly
Make sure to get a routine check-up every 6 months to ensure the filling is still intact and there are no gaps or new decay around the tooth.
6. Use soft cleaning tools
Use a soft toothbrush and non-whitening toothpaste to prevent scratching the ceramic surface and maintain its natural shine.
7. Reduce sticky sweets
Like caramel or chewing gum, as they can stick around the filling and cause decay in the adjacent teeth.