A filling repairs and restores the surface of a tooth that has been damaged by decay, fracture, or wear. If tooth decay is not repaired at its early stages, it will worsen and additional or alternative dental treatments may be necessary. With proper care and routine oral hygiene, a filling has a lifespan of 5-12 years, depending upon the type of filling material used. Extractions are reserved for cases where a more conservative approach is not possible.