Cavities are one of the most common dental problems, but when caught early, they can be repaired quickly and comfortably with a dental filling. At Madison Lakes Dental, Dr. Ellickson uses tooth-colored composite resin to restore decayed teeth, preserving a natural appearance while bringing the tooth back to full strength and function.
Composite vs. Amalgam Fillings
Madison Lakes Dental is a mercury-free practice. We use composite resin (tooth-colored) fillings exclusively rather than traditional silver amalgam for several important reasons:
- Aesthetics — Composite fillings are shade-matched to blend invisibly with your natural tooth color.
- Conservative — Composite bonds directly to tooth structure, allowing Dr. Ellickson to preserve more healthy tooth material during preparation.
- Mercury-Free — No mercury or other metals are used in composite restorations.
- Versatile — Composite works for both front and back teeth and can also repair chips and minor cosmetic imperfections.
- Temperature Stable — Composite does not expand and contract with temperature changes the way metal fillings can, reducing the risk of cracks over time.
The Filling Procedure
Getting a dental filling at Madison Lakes Dental is straightforward and typically completed in a single visit lasting 30 to 60 minutes:
- Anesthesia — The area around the tooth is numbed with local anesthetic for your comfort.
- Decay Removal — Dr. Ellickson carefully removes the decayed portion of the tooth, preserving as much healthy structure as possible.
- Preparation — The cavity is cleaned and treated with a bonding agent.
- Filling Placement — Composite resin is layered into the cavity and shaped to match your tooth's natural contours.
- Curing — A specialized light hardens each layer of composite.
- Finishing — The filling is trimmed, shaped, and polished for a smooth, comfortable bite.
Replacing Old Silver Fillings
If you have old amalgam fillings that are deteriorating, cracked, or leaking, Dr. Ellickson can replace them with tooth-colored composite restorations. Reasons patients choose to replace old silver fillings include:
- The old filling is failing, cracked, or has decay forming around it
- Cosmetic preference for a natural-looking restoration
- Desire to remove mercury-containing material from the mouth
- The tooth has developed sensitivity around the old filling
Dr. Ellickson evaluates each old filling individually and recommends replacement only when clinically appropriate.
Preventing Cavities
The best filling is the one you never need. Regular dental cleanings and exams help detect decay in its earliest stages, when it may be easier to treat. Combined with consistent brushing, daily flossing, and a balanced diet, preventive dental care can significantly reduce your risk of developing cavities and needing fillings.
Frequently Asked Questions
Filling costs depend on the size of the cavity and the number of tooth surfaces involved. Composite fillings cost slightly more than amalgam but offer superior aesthetics and preservation of tooth structure. Our team provides exact pricing before treatment. For uninsured patients, our membership plan offers discounts on restorative procedures.
Composite fillings typically last 5 to 10 years, though many last longer with good oral care. Small fillings in low-stress areas may last even longer. Dr. Ellickson checks your fillings at every routine exam and recommends replacement only when necessary.
With modern local anesthesia, the filling procedure should be comfortable. You will feel pressure but no pain during the appointment. After the anesthetic wears off, some patients experience mild sensitivity for a few days, which resolves on its own.
Fillings should be replaced when they show signs of wear, cracking, leaking, or when new decay develops around the margins. Dr. Ellickson monitors your fillings at every checkup using visual examination and digital X-rays to detect issues before they become problems.
Fillings can occasionally loosen or fall out due to biting forces, decay underneath, or material fatigue. If a filling falls out, call our office promptly. Avoid chewing on that side and keep the area clean until your appointment.
Natural-Looking Cavity Repair
If you have a cavity or need to replace an old filling, Madison Lakes Dental in Madison, WI provides mercury-free, tooth-colored restorations that are comfortable, durable, and virtually invisible.

