Tooth-Colored Fillings vs Metal Fillings
Understanding Dental Fillings: Tooth-Colored vs Metal
Dental fillings restore teeth damaged by cavities. This guide compares composite (tooth-colored) and amalgam (metal) fillings to help you make an informed, confident decision for your oral health.
Key Facts About Tooth-Colored and Metal Fillings
- Composite: Resin + glass/ceramic; natural-looking, mercury-free, bonds to tooth
- Amalgam: Mercury + metals; strong, cost-effective, lasts longer, visible
- Durability: Composite lasts 5–10 years; metal 10–15+ years
- Cost: Composite ($150–$250); Metal ($50–$150)
- Suitability: Composite ideal for visible teeth; metal preferred for molars
1. Tooth-Colored Fillings
- Material: Composite resin blended with glass particles
- Aesthetics: Shade-matched to your natural teeth
- Bonding: Adheres directly to tooth, conserving healthy enamel
- Durability: 5–10 years with proper care
- Health & Safety: Mercury-free, low allergy risk, thermally stable
- Uses: Best for small–medium cavities, front teeth, cosmetic bonding
2. Metal Fillings
- Material: 50% mercury + silver, tin, copper
- Strength: Excellent for heavy chewing forces and large cavities
- Longevity: 10–15 years, some last 20+ with care
- Cost: More affordable, faster placement
- Safety: Considered safe by FDA/ADA, though mercury concerns exist
- Common Use: Ideal for molars and out-of-sight restorations
Key Considerations and Comparisons
- Appearance: Composite wins for aesthetics
- Durability: Metal offers longer lifespan in high-stress areas
- Cost: Metal is less expensive upfront
- Safety: Composite preferred for those concerned about mercury
Filling Types Summary Table
| Type | Pros | Cons | Durability |
|---|---|---|---|
| Amalgam (Metal) | Strong, cost-effective, easy to place | Dark appearance, mercury concerns | 10–15+ years |
| Composite (Tooth-Colored) | Aesthetic, bonds to tooth, conserves enamel | More costly, shorter lifespan in large fillings | 5–10 years |
| Glass Ionomer | Releases fluoride, easy for kids | Less durable | ~5 years |
| Porcelain | Stain-resistant, natural appearance | Costly, fragile if thin | 10–15 years |