I frequently have conversations with patients regarding what kind of material we will use to fill a cavity. If the cavity is fairly small, we generally choose either amalgam (silver) filling or composite (tooth colored) filling material.
After presenting information on both options you are allowed to make the ultimate decision as to what filling material we will use. The following are factors you will want to keep in mind if you are trying to decide what is best in your particular situation.
- Location of the cavity. Most people prefer not to see “silver” fillings when they smile. Therefore, any cavity in the front teeth is usually restored with the tooth colored composite material. Contrary to this, if a cavity is in an area that is very difficult to reach and visualize, there may be advantages to using an amalgam (silver) filling. The reason for this is that the tooth colored composite is very technique sensitive and requires excellent isolation to do them well.
- Cost. Oftentimes the fee for amalgam vs. composite fillings is different. Composites generally involve more materials and take longer to place, and therefore usually have a higher fee. This may be a factor in the decision making process.
- Allergies. On very rare occasion, people may have an allergic reaction to metals used in amalgam fillings.
Some offices have eliminated amalgam altogether. This decision is up to individual practitioners. At Douglas Dental we feel that there are circumstances where amalgam is still a very good option for fillings. The American Dental Association has supported this stance in a statement on the use of dental amalgam.
Do you have concerns about old fillings or what materials may be best for you?