Dental Fillings in Harlan, Iowa
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Dental Fillings at Markham Family Dental Associates

What Is a Dental Filling?
Our team uses composite resin for many fillings. Composite is a tooth-colored material that bonds to the tooth and is selected to blend with the surrounding enamel. It is placed and hardened during the appointment, so most filling visits can be completed the same day.

When You Need a Filling
A New Cavity
An Old Filling That Has Failed
A Chipped or Worn Tooth
Decay Between Teeth
Sensitivity From an Exposed Root Surface
What a Filling Protects You From
Pain That Gets Worse
Infection
Losing the Tooth
Further Damage to Neighboring Teeth
Signs You May Need a Filling

What Happens at Your Dental Fillings Visit
Numbing
Removing the Decay
Placing the Composite
Shaping and Polishing
Words From Our Patients
Markham Family Dental Associates in Harlan provides same-day and scheduled dental fillings for patients of all ages. We serve patients from across Shelby County including Avoca, Atlantic, Minden, and Shelby. No referral is needed. If you are in pain, call (712) 755-5342 and we will work to get you in the same week.
The cost of a dental filling depends on the size of the cavity, the location of the tooth, the material used, and whether any additional treatment is needed. Dental insurance often helps cover fillings when they are medically necessary, but coverage varies by plan. Our team can review your benefits and provide an estimate before treatment begins. For patients without insurance, we can explain payment options before the appointment.
The area is numbed with local anesthetic before any work begins. Most patients feel pressure during the procedure but not pain. Our team applies a topical gel to the gum tissue before the injection so even the numbing process is more comfortable. If you have dental anxiety, we offer sedation dentistry options ranging from nitrous oxide to IV sedation depending on your level of concern.
A single filling typically takes 30 to 45 minutes from start to finish including numbing time. If multiple fillings are needed, our team often places them in the same appointment to reduce the number of visits and the number of times you need to be numbed. Larger or more complex restorations may take closer to an hour.
Composite fillings can last for many years, but their lifespan depends on the size of the filling, where it is located, bite forces, grinding or clenching habits, and oral hygiene. Fillings on back teeth often take more chewing pressure than fillings on front teeth. Regular dental exams allow our team to monitor your fillings and catch early signs of wear, leakage, or breakdown before they become bigger problems.
Old amalgam fillings do not need to be replaced simply because they are silver. They should be replaced when they show signs of failure: cracking, loosening, decay forming around the margins, or fracture of the surrounding tooth. When replacement is needed, our team removes the old material and places a tooth-colored composite filling. If you have concerns about the mercury content of amalgam fillings, we are happy to discuss the evidence and your options at your next exam.
You can usually eat after getting a composite filling once the numbness has worn off. The filling is hardened before you leave the office, but eating while numb can make it easier to bite your cheek, lip, or tongue by accident. For the first day, it is smart to avoid very hard, sticky, or crunchy foods on that side if the tooth feels tender. Mild sensitivity for a few days can be normal, but call us if your bite feels high or the discomfort does not improve.

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Harlan, IA 51537, US
