Cosmetic (Composite) Fillings – NYC

Dr. Elena Johnston only places composite fillings also known as composite fillings. Any patient receiving a filling will only receive composites as they are now the modality of treatment for filling sin the US. These fillings are the same color as your teeth and are not obvious that they are fillings when they are seen. The process of receiving cosmetic fillings, also known as tooth-colored or composite fillings, typically involves several steps. Dr. Johnston employs many safeguards if she is removing a patients amalgalm fillings. (See below for a detailed explanation) However for a patient getting fillings, here she gives a general outline of the process for receiving composite fillings.

The process is as follows:

  1. Initial Examination: The process usually begins with an examination by Dr. Johnston she will assess the tooth that needs filling and determine whether a cosmetic filling is the appropriate treatment option.
  2. Consultation and Discussion: If a cosmetic filling is deemed suitable, Dr. Johnston will discuss the procedure with you. This includes explaining the benefits of cosmetic fillings, the materials used, and any associated costs.
  3. Preparation: Before placing the filling, we will numb the area around the tooth to ensure you’re comfortable during the procedure. She will then remove any decay or damaged tooth material using a dental drill.
  4. Tooth Color Matching: Once the tooth is prepared, Dr. Johnston will select a shade of composite resin that closely matches the natural color of your tooth. This is important for achieving a natural appearance.
  5. Placement of the Filling: Dr. Johnston will apply the composite resin in layers, carefully shaping and molding it to restore the natural contours of the tooth. Each layer is hardened using a special curing light.
  6. Shaping and Polishing: After the filling is in place, it will be shaped and polished to ensure it blends seamlessly with the surrounding teeth and feels comfortable in your mouth.
  7. Final Inspection: Once the filling is polished, Dr. Johnston will inspect the restoration to ensure it fits properly and looks natural. They may make any necessary adjustments at this stage.
  8. Aftercare Instructions: Finally, we will provide you with aftercare instructions to help you maintain your new filling. This may include recommendations for oral hygiene practices and dietary restrictions.

It’s essential to follow Dr. Johnston’s instructions for proper care of your cosmetic fillings. This will ensure that they last as long as possible and maintain their appearance. Dr. Johnston also advises patients to have regular dental check-ups as they are important to monitor the condition of the fillings and address any issues promptly.

Removing amalgalm fillings – Dr. Johnston explains the process

Before the procedure, Dr. Johnston will assess the patient’s overall health and any potential risks associated with amalgam removal. She will also discuss the procedure for removal of the amalgalm fillings.

Use of Protective Equipment: Dental staff involved in the removal process will wear appropriate personal protective equipment (PPE), including gloves, masks, protective eyewear, and disposable gowns. This helps prevent direct contact with mercury and other harmful substances.

Isolation Techniques: Dr. Johnston may use isolation techniques such as a rubber dam or high-volume suction to minimize the inhalation or ingestion of mercury vapor and amalgam particles. A rubber dam is a thin sheet of latex or non-latex material placed over the teeth to isolate the treatment area and prevent debris from being swallowed or inhaled.

Air Filtration and Ventilation: Proper ventilation systems and air filtration devices are essential to remove and capture mercury vapor and airborne particles generated during the removal process. This helps maintain a safe working environment for both the patient and dental staff.

Water Irrigation and Cooling: During the removal process, Dr. Johnston will use a continuous stream of water to cool the dental drill and minimize the release of heat and mercury vapor. This also helps to flush away debris and reduce the risk of exposure.

Safe Handling and Disposal: Amalgam waste, including removed fillings and debris, must be handled and disposed of according to environmental regulations. Dental offices typically use amalgam separators to capture mercury-containing waste before it enters the sewage system.

Patient Education: Patients should be informed about the potential risks associated with amalgam removal and the safety measures in place to mitigate those risks. They may also be advised to follow specific post-procedure instructions to minimize any potential exposure to mercury vapor.

By following these safety processes, Dr. Johnston can minimize the risks associated with the removal of amalgam fillings and ensure a safe environment for both patients and staff. It’s important for patients to discuss any concerns they may have before undergoing amalgam removal.



Call or Text 212-242-5344

Practice Entrance:
255 W. 23rd Street New York, NY 10011

Mailing Address:
250 W. 24th Street, Unit 1FW New York, NY 10011

Hours: Mondays: Closed
Tuesdays: 8AM-4PM
Wednesdays: 8AM-4PM
Thursdays: 10AM-5PM
Fridays: 8AM-2PM