Why Do I Need a Filling? Dental Fillings in Surbiton Explained
Post by : Dr Jack Connan BDS GDC No. 277529 | 2 October 2025
It often starts with something small. A bit of sensitivity when you bite into a biscuit, a sharp twinge with a cold drink, or a tiny chip you can feel with your tongue. You book a check-up “just in case” and then your dentist says you need a filling. Suddenly you’re wondering: why do I need a filling and what happens if I leave it?
At Surbiton Dental, we see this scenario every week. The good news is that modern dental fillings that Surbtion patients receive are designed to be comfortable, conservative and long-lasting and they play a key role in protecting your tooth from further damage.
What Are Dental Fillings and How Do They Work?
A filling is a small dental restoration treatment used to repair a tooth that has been damaged by decay or minor fractures. The aim is to remove the weakened area and restore the tooth’s shape and strength so you can chew comfortably again.
There are a few main types of dental fillings:
| Type of Filling |
What It’s Made Of |
Key Benefits |
Things to Consider |
| Amalgam filling |
A mix of silver, tin, copper and mercury |
Very strong and long-lasting |
Dark silver colour, usually used on back teeth |
| Composite fillings |
Tooth-coloured resin with fine glass/ceramic particles |
Blends with natural teeth; can be bonded and shaped neatly |
Slightly more technique-sensitive; may take longer to place |
| Glass ionomer filling |
Tooth-coloured glass-based material |
Releases fluoride; bonds chemically to the tooth |
Often used for smaller cavities or temporary restorations |
In a typical tooth filling treatment, your dentist will:
- Numb the tooth and the surrounding area.
- Gently remove the decayed or damaged part of the tooth.
- Clean and prepare the cavity.
- Place the filling material in layers
- Shape and polish it so it feels smooth and comfortable when you bite.
This is how fillings work to seal the cavity, protect the nerve inside the tooth and restore your bite.
What Causes Cavities and When Do I Need a Filling?

Cavities form when bacteria in plaque feed on sugars and produce acids that gradually dissolve the enamel. Over time, this can create a hole in the tooth, which needs tooth cavity treatment.
Common factors that cause cavities include:
- Frequent sugary snacks and drinks.
- Acidic drinks such as fizzy drinks and fruit juices.
- Not brushing or flossing thoroughly.
- Missing regular dental check-ups.
- A dry mouth, which reduces natural protection from saliva.
Once a cavity has formed, brushing alone can’t reverse it. That’s when tooth decay treatment with a filling is usually needed to stop the decay from getting closer to the nerve.
Teeth Cavity Treatment: How We Treat Cavities at Surbiton Dental
If you need teeth cavity treatment, your dentist will talk you through your options in plain language. At Surbiton Dental, this usually involves:
- Assessing the tooth visually and with X-rays.
- Explaining the size and position of the decay.
- Discussing which filling material is most suitable.
- Planning a comfortable, conservative dental restoration treatment.
Modern dental fillings are designed to remove as little healthy tooth as possible. By treating cavities early, we can usually keep treatment simple and help you avoid more complex procedures later on.
Signs You Need a Filling: Do I Need a Filling?
Sometimes cavities are completely silent at first, which is why routine check-ups matter. But there are also common cavity symptoms to watch for. Typical signs you need a filling include:
- Sensitivity to hot, cold or sweet foods in one tooth.
- A dull ache that comes and goes in a particular area.
- Food gets stuck in the same place between teeth.
- Rough edges or a visible hole you can feel with your tongue.
- A filling that has chipped, cracked or fallen out.
If you’re asking yourself, “Do I need a filling?” it’s worth getting it checked. The sooner we see you, the more likely it is that we can treat the problem with a straightforward tooth filling treatment rather than something more involved.
Where Can I Get Tooth Filling Treatment in Surbiton?
If you need dental fillings, our team at Surbiton Dental can help. We provide:
- Careful assessment of any suspicious areas.
- Clear explanation of your options, including composite fillings where appropriate.
- Gentle, local anaesthetic for a comfortable experience.
- Tailored advice on how to prevent future cavities.
Our goal isn’t just to fix today’s problem, but to reduce the chance of needing more tooth decay treatment in the future.
Conclusion: Why a Filling Is Often the Best Option

It’s completely normal to feel unsure when you’re told you need a filling. But in most cases, a filling is a simple, effective way to stop decay spreading, protect the nerve of the tooth and avoid pain, infection or more complex treatment later on.
Understanding why you need a filling, recognising early cavity symptoms and attending regular check-ups means you can catch problems early, when dental restoration treatment is still quick, conservative and comfortable. If you’re worried about a possible cavity or wondering “do I need a filling?”, the team at Surbiton Dental is here to give you honest advice and gentle, modern care.
FAQ
Only a dentist can say for sure, but typical signs you need a filling include sensitivity, a persistent ache in one tooth, or food trapping in the same place. Sometimes we spot decay on an X-ray before you feel anything. If you’re unsure, it’s better to have a quick check than wait until you’re in pain.
Most tooth filling treatment is carried out under local anaesthetic, so you should feel pressure and vibration but not pain. At Surbiton Dental, we take time to ensure you are fully numb and as relaxed as possible. If you’re nervous, let us know so we can support you throughout your dental filling appointment.
The type of filling depends on the size and position of the cavity and your preferences. Many patients choose composite fillings because they are tooth-coloured and blend in well. Your dentist will explain the different types of dental fillings and recommend what’s best for your tooth.
Fillings can last many years, but this varies from person to person. Factors include your brushing, diet, bite and whether you grind your teeth. Good oral hygiene and regular check-ups help your dental restoration treatment last longer.
If a cavity is left untreated, the decay can spread deeper into the tooth, eventually reaching the nerve. This can lead to infection, severe pain and the need for more extensive tooth decay treatment such as root canal therapy or even extraction. Early tooth cavity treatment with a simple filling is almost always easier, quicker and more comfortable.
Yes. As well as treating decay, composite fillings are often used to rebuild chipped edges, close small gaps and repair worn teeth. Your dentist will let you know if a filling is suitable or if another dental restoration treatment, such as a crown, would be more appropriate.
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