When you need a filling to repair a cavity, you will likely have two options: composite fillings and silver fillings. Both can effectively restore a tooth damaged by decay, but they differ. Let’s compare composite fillings and silver fillings so that you can make informed decisions about your oral health.
What are Composite Fillings?
Composite fillings are made from tooth-colored resin material that can be closely matched to the natural shade of your teeth. This alone makes them a popular choice for patients who want their restorations to blend seamlessly with surrounding teeth. Appearance is one of their biggest advantages, especially for teeth visible when smiling.
On a deeper level, composite material is beneficial because it can bond directly to the tooth’s surface. This lets us preserve more healthy tooth structure during treatment.
Many dentists favor this type of filling.
What are Silver Fillings?
Silver fillings have been around for more than a century. Known as dental amalgam, they are made from a combination of metals, including silver, copper, tin, and mercury. They are known for their durability, including under significant chewing forces over time.
Because amalgam is silver-colored, it is definitely more noticeable in the mouth. However, its strength can make it an ideal restorative option in certain situations, such as molars that experience heavy chewing pressure.
In recent years, questions have arisen about the safety of using amalgam in dentistry. The American Dental Association considers it safe, effective, and durable when used properly.
Which Type of Filling is Better?
No single filling material is best for every patient. Both have their advantages and place in dentistry. We consider several factors when making a recommendation. For instance, the size and location of the cavity, how much healthy tooth structure remains, the patient’s cosmetic preferences, dental history, and the like.
For some patients, composite's natural appearance makes it the preferred choice. For others, amalgam's durability may make it a good fit. At JM Dental of Westbury, we do not regularly use silver fillings. Composite fillings are our preferred choice and, in situations where the size of the cavity is extensive, we recommend other, highly effective dental procedures, such as onlay restoration that utilizes ceramics for strength.
Patients have options and preferences. Taking the time to discuss them is always valuable. Decisions should be made together.
Frequently Asked Questions
How long do composite fillings last?
The lifespan of a filling depends on factors such as its size and location, your bite, oral hygiene, diet, and whether or not you maintain routine dental visits. With proper care, composite fillings can last a long time.
Are composite fillings better than silver fillings?
Neither material is better than the other for every situation. The decision depends on what is best for the patient. The location and size of the filling, as well as cosmetic concerns, are just a few factors considered.
Are silver fillings safe?
Dental amalgam is considered a safe and effective restorative material by the ADA. If you have questions, we are here to help.
Do silver fillings need to be replaced?
Not necessarily. If an amalgam filling is functioning properly, there is no reason to replace it. We can examine existing fillings during regular dental visits. If it needs attention, we will discuss recommendations.
Can I choose a composite filling instead of a silver filling?
In most situations, composite is an option. We will discuss what’s available to determine what makes the most sense for your smile.
At JM Dental of Westbury, we are committed to providing personalized restorative dental care and helping you feel confident about your treatment. If you have a cavity or an older filling you’d like us to check, contact us today to schedule an appointment.

