Fillings are used to replace where tooth decay has been removed to allow your teeth to return to their functional state. Fillings can also be placed if there is a hole or chip in a tooth. After receiving numbing agents, your dentist will remove the decay down to the healthy part of your tooth and then replace it with the filling. There are different types of fillings that are chosen based on expense, extent of damage to the tooth, and visibility. Fillings may need to be replaced over time due to use and general breakdown.