Pros and Cons of Different Types of Dental Fillings
When you have a cavity or damage to a tooth, a dental filling is one of the most common treatments. Fillings restore the tooth’s shape and function while preventing further decay. But not all fillings are the same. Different materials have different strengths, costs and appearances. Knowing the pros and cons can help you make the right decision for your oral health.
Amalgam Fillings
Amalgam, often called “silver fillings,” has been used for more than a century. They’re made from a mixture of metals, including silver, tin, copper and mercury.
Pros
Amalgam fillings are strong and durable, making them a good option for back teeth where chewing pressure is highest. They also tend to be less expensive than other options.
Cons
Their metallic (silver) color stands out, so they’re less appealing for visible teeth. Some people also have concerns about mercury, but both the American Dental Association and the U.S. Food and Drug Administration state that amalgam fillings are safe for most people.
Composite Resin Fillings
Composite fillings are tooth-colored and blend in with your natural teeth. They’re made from a mixture of plastic and fine glass particles.
Pros
Composite fillings look natural and are a good choice for front teeth or visible areas. They bond directly to the tooth, which can provide extra support. Dentists can also match the color to your existing teeth.
Cons
They’re less durable than amalgam fillings and may wear out faster, especially on molars. They can also be more expensive and may take longer to place.
Ceramic Fillings
Ceramic fillings, usually made from porcelain, are another natural-looking option. They’re often used when aesthetics are a top priority.
Pros
Ceramic fillings are stain-resistant and blend well with your natural teeth. They’re also durable, lasting longer than composite fillings in many cases.
Cons
They can be more costly than both amalgam and composite fillings. And, because they’re harder than other materials, there’s also a slightly higher chance of chipping.
Gold Fillings
Gold fillings are less common today, but are still used in some cases. They’re made from a mix of gold and other metals.
Pros
Gold is extremely durable and can last for decades without wearing down. Some people also like the appearance of gold fillings, especially for back teeth.
Cons
They’re expensive and require more than one dental visit to place. Their color also makes them stand out, which may not be ideal for visible teeth.
Glass Ionomer Fillings
Glass ionomer fillings are often used for small cavities or in children. They’re made from a mixture of acrylic and glass.
Pros
These fillings release fluoride, which can help protect the tooth from further decay. They bond well to the tooth and are often quick to place.
Cons
They’re not as durable as other materials and are usually used for smaller restorations rather than areas that bear heavy chewing pressure.
Choosing the Right Filling
The best filling for you depends on several factors: the location of the cavity, your budget, how visible the tooth is and your long-term goals. For example, if you want a natural look for front teeth, composite or ceramic fillings are often the best choice. For back teeth under heavy chewing force, amalgam or gold might be better.
Your dentist will examine the size and position of the cavity, discuss your preferences and recommend the most suitable option. The goal is always the same: restore your tooth’s function, protect it from further damage and keep your smile healthy.
Making the Best Choice for Your Smile
Choosing the right filling isn’t just about fixing a cavity, but about balancing durability, cost and appearance in a way that works for your daily life. Talking openly with your dentist about your habits, like teeth grinding, diet or sensitivity, can help determine which option will hold up best over time.
Dental fillings are a common and effective way to repair cavities and damaged teeth. Each material has trade-offs, but understanding your options helps you make an informed choice. At Hebert Family Dentistry, we work with you to find the best solution for your needs and help you maintain long-term oral health