Tooth-Colored Fillings

Black mercury fillings are simply substandard care for any patient. Most patients prefer the advances in tooth-colored fillings. While aesthetically, tooth colored fillings are undisputedly superior, the health benefits of this type of restoration far exceed the alternative of amalgam fillings. Amalgam or mercury fillings expand and contract with heat and cold. This causes cracks and fractures in teeth over time. As the metal filling shrinks, it pulls away from tooth causing micro-leakage of bacteria to get in between the tooth and filling where a patient cannot normally clean. This is where decay can be hard to detect and can fester under the existing filling that is failing to do it's job. Tooth colored fillings expand and contract much less than amalgam, reducing the possibility of fractures within the tooth that cannot be seen visually. When there is any kind of leakage it is easier to see on radiographs and visually around the tooth-colored restoration.

You are a candidate for tooth-colored fillings if:

  • After decay is removed the remaining tooth structure is sufficient
  • You prefer a more aesthetic option
  • You want to prevent cracked tooth syndrome and destruction caused by amalgam
  • You believe you have a sensitivity to mercury
Before Fillings After Fillings

Porcelain onlays and inlays are a stronger and longer lasting option when a tooth-colored filling isn't strong enough to restore the tooth. Fabricated with slow release fluoride, these restorations will protect you by continually strengthening the tooth from the inside out. They are specially fabricated porcelain onlays that conserve the surrounding healthy tooth and bone. This technique-sensitive restoration is simply the best in many circumstances. Because a porcelain onlay is made of stronger, bio-esthetic material, it will last longer than any filling without irritation to your gum tissue. The bonding process of an onlay restores a tooth to 80% of its natural chewing strength!

You are a candidate for porcelain onlays/inlays if:

  • One third or more of your tooth is filling material
  • If a cusp of your tooth needs to be supported
  • If you desire a more conservative restoration than a traditional crown
  • You want a longer lasting restoration than a tooth-colored filling
Before Onlays After Onlays


Cavity.If you have never had a cavity, congratulations! If you have had one, you are not alone. About 78% of us have had at least one cavity by the time we reach age 17, according to a 2000 report by the U.S. Surgeon General. Fortunately there's a time-tested treatment for cavities: the dental filling.

Fillings do just what the name implies — seal a small hole in your tooth, i.e., a cavity, caused by decay. This prevents the decay (a bacteria-induced infection) from spreading further into your tooth and, if untreated, continue on to the sensitive inner pulp (nerve) tissue located in the root canal. Should that happen, you would need root canal treatment.

There are a variety of materials used to fill teeth these days, but the process of filling a tooth is similar regardless. The first step is a clinical exam of the tooth with x-rays, to determine the extent of the decay. Then the decayed area of the tooth is removed, usually with a handheld instrument such as a dental drill. Of course, your tooth will be anesthetized first, so you won't feel any discomfort. If you normally feel nervous about receiving numbing injections, it's possible that taking an anti-anxiety medication or using nitrous oxide can help you feel more relaxed. After removing the decay, the remaining tooth structure is roughened or “etched” with a mildly acidic solution; then translucent cement is applied to bond the tooth and the filling material together.

Types of Fillings

There are two broad categories of dental fillings: metal fillings and tooth-colored fillings. Each may offer particular advantages and disadvantages in certain situations.

Metal Fillings

Metal Filling.

Metal Fillings.Amalgam — The classic “silver” filling in use for more than a century, dental amalgam is actually an alloy made up of mercury, silver, tin, and copper. The mercury combines with the other metals in the amalgam to make it stable and safe. These fillings are strong and inexpensive, but also quite noticeable. They also require relatively more tooth preparation (drilling) than other types.

Cast Gold — Among the most expensive restorative dental materials, cast gold combines gold with other metals for a very strong, long-lasting filling. It is also highly noticeable, which can be considered a plus or minus.

Tooth-Colored Fillings

Tooth-Colored Filling.

Tooth-Colored Fillings.Composite — A popular choice for those who don't want their fillings to show, composite is a mixture of plastic and glass, which actually bonds to the rest of the tooth. Composites are more expensive than amalgam fillings, and the newer materials can hold up almost as long. Less drilling of the tooth is necessary when placing composite as compared to amalgam.

Porcelain — These high-tech dental ceramics are strong, lifelike, and don't stain as composites can. They are sometimes more expensive than composites because they may require the use of a dental laboratory or specialized computer-generated technology. While considered the most aesthetic filling, they can also, because of their relatively high glass content, be brittle.

Glass Ionomer — Made of acrylic and glass powders, these inexpensive, translucent fillings have the advantages of blending in pretty well with natural tooth color and releasing small amounts of fluoride to help prevent decay. They generally don't last as long as other restorative materials.

Watch Tooth-Colored Fillings Video

What to Expect After Getting a Filling

The numbness caused by your local anesthesia should wear off within a couple of hours. Until then, it's best to avoid drinking hot or cold liquids, and eating on the side of your mouth with the new filling. Some sensitivity to hot and cold is normal in the first couple of weeks after getting a tooth filled. If it persists beyond that, or you have any actual pain when biting, it could signal that an adjustment to your filling needs to be made. Continue to brush and floss as normal every day, and visit the dental office at least twice per year for your regular checkups and cleanings. And remember, tooth decay is a very preventable disease; with good oral hygiene and professional care, you can make your most recent cavity your last!