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Dr Jurgita Smiles

Broken or Heavily Filled Back Teeth

Two back teeth in this patient's mouth were held together by large, failing amalgam fillings, with cracks running through the remaining tooth and decay tracking underneath the metal. Working under rubber dam, the old restorations were removed, the decay cleaned back to sound tooth structure, and the weakened walls rebuilt with bonded, layered composite — restoring the cusps, grooves and contact points rather than cutting the teeth down for crowns. This adhesive approach keeps far more natural tooth, supports the remaining structure and makes the teeth comfortable to bite and clean again. Treatment was carried out in Marylebone, London, and results shown are individual to this patient.

Shared with patient consent. Results are individual to this patient.

Clinical before and after comparison of heavily filled lower back teeth, showing large failing fillings on the left and rebuilt, tooth-coloured restorations on the right.

Clinical photos

  • Clinical photograph under blue rubber dam showing dark, breaking-down fillings with decay on the left and the finished layered composite restorations on the right.
    Under rubber dam — failing fillings and decay, then the rebuilt teeth
  • Clinical photograph under rubber dam comparing the old silver amalgam fillings on the left with the same teeth after removal, showing decay beneath, on the right.
    Old amalgam removed — the extent of the decay underneath revealed
  • Clinical photograph under rubber dam of the completed composite restorations alongside an occlusal marking view checking the bite contacts.
    Bite check — contacts and occlusion verified after restoration
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