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Tooth-Colored Fillings vs Metal Fillings | Comparison Guide

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Tooth-Colored Fillings vs Metal Fillings | Comparison Guide

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

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TypeProsConsDurability
Amalgam (Metal)Strong, cost-effective, easy to placeDark appearance, mercury concerns10–15+ years
Composite (Tooth-Colored)Aesthetic, bonds to tooth, conserves enamelMore costly, shorter lifespan in large fillings5–10 years
Glass IonomerReleases fluoride, easy for kidsLess durable~5 years
PorcelainStain-resistant, natural appearanceCostly, fragile if thin10–15 years