A dental filling restores a tooth that has been damaged by decay, cracks, or fractures, bringing it back to its normal shape, function, and comfort. At Porche Dental Care in Houma, Louisiana, Dr. Corey Porche has placed fillings for patients across Terrebonne Parish for 20 years, using tooth-colored composite resin materials that blend seamlessly with your natural teeth. Whether you have a cavity that needs to be addressed or old silver amalgam fillings you would like replaced, we will help you understand your options and choose the approach that makes the most sense for your situation as part of our preventive care and restorative services.

Decay is more common than most people realize. According to the CDC Division of Oral Health, cavities are one of the most common chronic conditions in the United States, affecting adults and children alike. The good news is that a cavity caught early, before it reaches the inner pulp of the tooth, is one of the simplest and most affordable dental problems to treat.

Types of Dental Fillings

Several filling materials are available, and the right choice depends on the location of the tooth, the extent of the decay, your aesthetic preferences, and how much chewing force the tooth needs to withstand. Dr. Porche will walk you through which option makes the most sense before any treatment begins.

Composite Resin (Tooth-Colored)
Made of a durable plastic and glass mixture that can be custom-shaded to match your natural tooth color. The preferred option at Porche Dental Care for most cavities. Bonds directly to the tooth and requires less removal of healthy tooth structure than amalgam.
Silver Amalgam
A time-tested blend of silver, tin, copper, and mercury that is highly durable and cost-effective. Suitable for back teeth that bear heavy chewing forces. Not tooth-colored, so less commonly requested for visible areas of the smile.
Ceramic (Porcelain)
Crafted from porcelain, ceramic fillings offer excellent durability and a very natural appearance. More resistant to staining than composite resin, but typically more expensive and may require two visits for placement.
Glass Ionomer
A tooth-colored material that releases fluoride to help protect the tooth from further decay. Often used for fillings near the gum line or for cavities in children’s teeth. Less durable than composite resin for high-pressure areas.

What Is Right for Me?

Several factors influence the performance, durability, longevity, and cost of dental restorations. When deciding on a filling material, Dr. Porche considers:

  • The location and size of the cavity and how much healthy tooth structure remains
  • The chewing forces the tooth must withstand
  • Your cosmetic preferences, particularly whether the tooth is visible when you smile
  • Whether the restoration can be completed in one visit or requires two
  • Your overall dental health history and any existing restorations nearby

Before treatment begins, Dr. Porche will review your X-rays, explain what he finds, and discuss all your options clearly. You will never be moved into a procedure without understanding exactly what is being done and why.

Direct vs. Indirect Fillings

It is also helpful to understand the difference between the two broad categories of restorations before your appointment:

Direct Fillings
Placed directly into the prepared cavity in a single visit. Includes composite resin, glass ionomer, and resin ionomer materials. Dr. Porche prepares the tooth, places the material in layers, hardens it with a curing light, and shapes and polishes it to match your bite — all in one appointment.
Indirect Fillings
Custom-fabricated restorations that require two visits. Includes inlays, onlays, and some ceramic restorations. Used when a tooth has too much damage to support a direct filling but does not yet require a full crown. An impression is taken at the first visit and sent to a lab; the finished restoration is cemented at the second visit.

What Happens During a Filling Appointment

If you have never had a filling before, here is what to expect at Porche Dental Care:

1
Examination and X-Rays
Dr. Porche examines the tooth and takes digital X-rays to determine the extent of the decay and the most appropriate filling material.
2
Numbing the Area
Local anesthesia is applied to the area so you remain completely comfortable throughout the procedure. Most patients feel pressure but no pain.
3
Removing Decay
All decayed tooth material is gently removed and the affected area is cleaned to eliminate any remaining bacteria before the filling is placed.
4
Placing and Finishing
The filling material is placed in layers, shaped to restore the tooth’s natural form and function, hardened with a curing light, and polished so it blends seamlessly with the surrounding tooth structure.
Think You May Have a Cavity?
Do not wait for a small problem to become a bigger one. Schedule an exam at Porche Dental Care in Houma and Dr. Porche will assess the tooth and walk you through your options.

Frequently Asked Questions About Dental Fillings

Are dental fillings painful?

The procedure itself is not painful. Dr. Porche numbs the area with local anesthesia before beginning, so you will feel pressure but no pain during treatment. Some mild sensitivity in the filled tooth is normal for a few days afterward, particularly to hot and cold temperatures, and typically resolves on its own.

How long do fillings last?

Lifespan varies by material and how well the tooth is cared for. Composite resin fillings typically last 7 to 10 years; amalgam fillings can last 10 to 15 years or longer; ceramic and gold restorations may last 15 years or more with good maintenance. Dr. Porche checks your existing fillings at every exam and will let you know if one is showing signs of wear or failure.

What is the difference between composite and amalgam fillings?

Composite resin is tooth-colored and bonds directly to the tooth structure, requiring less removal of healthy enamel and producing a result that is nearly invisible. Amalgam is silver-colored, highly durable, and generally less expensive, but more visible and not preferred by most patients for teeth that show when smiling. Dr. Porche uses composite resin as the standard material at Porche Dental Care and will recommend alternatives only when clinically appropriate.

Can I eat normally after getting a filling?

Yes, though with some minor precautions. With composite resin fillings, you can eat as soon as the anesthesia wears off, though you may want to avoid very hot or cold foods for a day or two if sensitivity is present. With amalgam fillings, it is best to wait at least 24 hours before chewing on the filled side to allow the material to fully set.

Does Porche Dental Care offer tooth-colored fillings?

Yes. Dr. Porche uses tooth-colored composite resin as the standard filling material at our Houma office. Composite fillings are matched to the shade of your natural tooth and are indistinguishable from the surrounding enamel once placed. If you have old silver amalgam fillings you would like replaced with tooth-colored material, we can discuss whether that is a good option at your next exam.

What happens if I do not get a cavity filled?

Untreated decay continues to grow and deepen. A cavity that could have been resolved with a simple filling may eventually reach the inner pulp of the tooth, requiring a root canal and crown to save it — or extraction if the tooth cannot be restored. Getting a filling while a cavity is small is almost always faster, less invasive, and less expensive than waiting.