Dr. ObeidMost of us have had at least one filling in our life.  The majority of people probably have some silver fillings.  Most of them are out of sight and out of mind. But, if we look carefully, we’ll notice that the term, “silver fillings” is not actually descriptive of reality.  Those fillings may have appeared silver or gray the day they were placed, but they certainly aren’t silver anymore.  They are black!

Silver fillings, also known as “amalgam,” have been a staple of restorative dentistry for over 150 years and have served dentistry well in the past.  Certainly, many teeth would have been lost if we had not had an easy-to-place, long-lasting restorative material like amalgam.  But, times have changed and so has dentistry.  While there are many groups that believe amalgam, which typically consists of 50 percent mercury, is a health hazard, there have been no scientific studies supporting those assertions.

Over the years, a number of alternative materials to restore teeth have been developed.  Among them are: gold, porcelain, and composite (a high-tech plastic).  The most modern material is composite, which is bonded to the tooth.  Composite material has revolutionized dentistry.  Materials like amalgam simply fill a hole in a tooth.  After removing decay, dentists have to remove even more healthy tooth structure in order to create mechanical interlocks so the amalgam will stay in the tooth once it has hardened.  Composite has a big advantage over amalgam.  It bonds, or sticks, to the tooth very firmly.  Therefore, dentists can be very conservative and limit the “drilling” to only the decay.  No additional removal of tooth structure is needed to lock the filling in the cavity.  At Oakridge Dental Center, our goal is always to preserve as much natural tooth structure as possible so that the tooth will be stronger and last for the life of the patient.

Because amalgams are typically larger and don’t bond to the tooth, they can act as a wedge, frequently cracking teeth.  Composite, being more conservative and bonded to the tooth, may be kinder, in the long run, to your teeth.  A unique advantage of composite is that it seals the cavity better than amalgam.  A good seal is important in preventing decay from recurring and leading to larger problems.

While amalgam is a simple material to place, composite requires careful attention to detail by the dentist.  The technique is quite different.  While an amalgam basically fills a hole, a properly done composite essentially recreates the damaged or missing tooth structure.

The most obvious advantage of composite over amalgam to most patients is the color.  Put simply, amalgam is black, and composite is white.  Composite comes in a variety of shades so that we can match your unique tooth color.  Done well, a composite filling disappears an is indistinguishable from natural teeth.

Which filling would you prefer?  Black or white?  If you have old black fillings that show when you smile or talk, you may consider replacing them with newer, more cosmetically pleasing composites.

As could be expected, composite is not the end-all in dentistry.  There are times when damage to a tooth is more extensive and requires more than a filling.  Generally, if a cavity occupies more than 1/3 of the width of a tooth, a porcelain crown or inlay may be necessary.  Dr. Obeid can help you choose the best way to restore and keep your teeth healthy and attractive.

For more information and to see before and after photos of actual cases, visit our website at: www.oakridgedentalcenter.com.