Amalgam Fillings vs Composite

Understanding Your Choices

You probably know you need a filling after decay is removed but not so much about the different materials available. Both amalgam and composite fillings can be used to restore your tooth, protecting it from further damage and decay by closing spaces that are left behind after the tooth has been treated. Composite fillings have become an effective and more aesthetic solution for restoring teeth. However, in some case, amalgam may be recommended to provide the necessary strength to withstand greater force.
So are they really that different?

The Greatest Difference Between These Materials

IS THEIR APPEARANCE

So what else do I need to know to make my decision?

The Defining Differences

BETWEEN AMALGAM & COMPOSITE FILLINGS

Aesthetics

Amalgam fillings have a darker, silver color once applied to teeth, making them instantly noticeable. On the other hand, composite fillings are tooth-colored, allowing them to blend with the rest of the tooth.

Durability

While composite fillings can withstand the normal stresses of chewing, they are less resistant to excessive force. This is why amalgam fillings are typically recommended for patients who suffer from bruxism or temporomandibular (TMJ) disorder.

Alteration to the Natural Tooth Structure

To properly secure an amalgam filling, special alterations must be made to the tooth, removing more of the natural structure. Composite fillings can be bonded directly to the tooth.

Cost

Typically, composite fillings are slightly more expensive than amalgam fillings. Additionally, they may not be covered by insurance due to a difference in the cost of materials.

Durability & Replacement

OF COMPOSITE FILLINGS

According to the American Dental Association, studies have shown that composite fillings can be less durable in certain circumstances and may require more frequent replacement compared to amalgam fillings.

These treatments can offer many of the same benefits when it comes to your oral health…

Both Amalgam & Composite Fillings

ARE SAFE & RELIABLE SOLUTIONS

Restore the Shape of Your Tooth

Once the doctor removes the decayed portion of the tooth, an opening will be left behind. Placing a filling of any kind can restore proper shape and complete your tooth.

Provide Strength & Protection

Without a filling, your tooth would be weaker structurally and substantially exposed to bacteria. A filling provides strength and protection to help prevent further breakage or infection.

Safe to Use

You may be under the impression that because amalgam fillings contain mercury that they are dangerous. However, that is not the case. You are exposed to more harmful amounts of mercury in the air and in your food.

Amalgam Is Safe

Many scientific organizations, including the American Academy of Pediatrics and the American Dental Association, agree that amalgam is a safe dental filling material.

Just how common are dental fillings?

Millions of Patients Successfully

REPAIR THEIR TEETH WITH FILLINGS EACH YEAR

Over 100 million amalgam fillings are placed each year and composite fillings continue to grow in popularity. While there has been debate as to which has a higher survival rate, it has been found that both have a 10-year success rate of nearly 80 percent.

Like any procedure, there are pros and cons for each type of filling…

Considering the Pros & Cons

Pros

Composite Fillings Amalgam Fillings
Safe dental material that can replace the decayed portion of tooth
X
X
Protect both anterior and posterior teeth
X
X
Natural-looking results
X
Withstand exceptional force caused by teeth grinding or TMJ disorder
X

Cons

Composite Fillings Amalgam Fillings
Safe dental material that can replace the decayed portion of tooth
X
Protect both anterior and posterior teeth
X
X
Natural-looking results
X
Withstand exceptional force caused by teeth grinding or TMJ disorder
X

Is A Filling My Only Choice?

Typically, the type of restoration recommended to fix your tooth will depend on the extent of decay. If you have more extensive damage, you may need an inlay or onlay or a dental crown.

Choosing the Best Solution for Your Smile

While composite fillings have grown in popularity due to their more complimentary appearance, amalgam fillings have been trusted for decades. When making your decision, consider these factors:

Your doctor can provide their recommendation based on your goals and needs during your consultation.

Cary Prosthodontics

Cary Prosthodontics was founded in 1991 to provide the finest care to residents of Cary, Raleigh, Apex, Holly Springs, Fuquay-Varina, Morrisville, and surrounding areas. Our compassionate and caring prosthodontists are members of a number of professional associations, including:
  • American College of Prosthodontics (ACP)
  • Academy of Osseointegration (AO)
  • International Team for Implantology (ITI)
For more information about our services, contact our practice online or call (919) 858-8193 to speak to a member of our team today.

Visit Our Top-Rated Office

Are you looking for a dental practice you can trust to provide high-quality care? Our office is regularly rated five stars for the professional and friendly care we provide to our patients. To meet with one of our dentists and start your dental crown process, fill out our online form to request your consultation. You can also contact us by calling our office, serving Cary and Raleigh, NC, at: 

The Proof is in Our patients

Linda D.
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Staff is professional but caring, more so than other medical offices I’ve been to. When you walk in they actually greet you by name. They remember details of your previous visits, which speaks to a great office staff. And Dr. Lim does his best to see that you have a good outcome. Thanks to all!
Joyce Th.
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Was treated with so much respect from the Dr. and staff. I’m a very nervous person when it comes to having dental work done I can’t help it, but they made feel so comfortable so easy to explain to let them know why I was there. I couldn’t wait to tell my family and friends. Thanks
Jennifer Y.
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Yet again, an EXCELLENT visit with Dr Koffard. The staff are so thoughtful and welcoming, professional and knowledgeable and I really appreciate the lightness of the spirit in the entire office; not to mention Dr Koffards’ effervescent nature. Thank you again for taking such good care of me. Oh! And congratulations on the new, roomy office space! It’s beautiful!
Megan F.
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My doctor and the nurse were absolutely amazing . i have bad anxiety when it comes to mouth operations and they walked me through every step, everything was super quick and easy. I wish there was another way to thank the ladies who worked on me bc i have never been so comfortable.
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