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The first and most common reason for a filling is decay
Still by far the most common reason for a filling is decay. Sugar and bacteria combine to create acid. This acid attacks the enamel, and as the enamel dissolves the bacteria progress deeper into the tooth or around the old filling. It is the result of a simple chemical reaction. The less the quantity of sugar and, just as importantly, the less frequently you take the sugar, the slower the decay will progress.