There are two common types of dental fillings. Amalgam or silver fillings are one. Composite or tooth colored fillings are the other. Both materials have their advantages and disadvantages. During your appointment Drs. Porteous will discuss which they feel will be the better treatment option based on the clinical findings.
Dental Amalgam is a commonly used dental filling that has been used for over 150 years. It is a mixture of mercury with at least one other metal. Amalgam has many advantages over other restorative material, such as low cost, strength, durability, and bacteriostatic effects. Amalgam often possesses greater longevity than other direct restorative materials, such as composite. On average, most amalgam restorations serve for 10 to 12 years, whereas resin-based composites serve for about half that time. However, with recent improvements in composite material science and a better understanding of the technique-sensitivity of placement, it should be noted that this difference is decreasing.
There are circumstances in which composite (white fillings) serves better than amalgam; when amalgam is not indicated, or when a more conservative preparation would be beneficial, composite is the recommended restorative material. These situations would include small occlusal restorations, in which amalgam would require the removal of a more sound tooth structure, as well as in “enamel sites beyond the height of contour.”
The American Dental Association Council on Scientific Affairs has concluded that both amalgam and composite materials are considered safe and effective for tooth restoration.
Porcelain inlays and Tooth Colored Restorations (onlays)These restorations are esthetically pleasing and very strong thanks to new bonding technologies.
Disadvantages of Silver fillings:
Silver fillings have many drawbacks. The edges of the silver filling can wear down, become weak or break. This results in the tooth not being protected and lets cavities get started once again. With age, the metal of a silver filling expands, contracts, and can split.
Silver fillings contain 50 percent mercury. They can corrode, leak and cause stains on your teeth and gums.
Fortunately, silver fillings can safely be replaced with Tooth-Colored Restorations.
Advantages of Tooth-Colored Restorations
There are many advantages to tooth-colored restorations. Resin onlays are bonded to the teeth creating a tight, superior fit to the natural tooth. Such restorations can be used in instances where much of the tooth structure has been lost. The tooth remains intact and stronger.
Since the resin used in tooth-colored restorations contain fluoride this can help prevent decay. The resin wears like natural teeth and does not require placement at the gum line, which is healthier for your gums!
The result is a beautiful smile!
Replacing Silver Fillings with a Tooth Colored Restoration
You can have your silver fillings replaced with tooth-colored restorations (onlays). This process requires two appointments.
Your First Appointment:
- The old filling is removed along with any additional decay.
- An impression is made of your teeth. A model of your teeth is made and sent to the lab.
- A temporary onlay is placed on the tooth.
At the Lab: A resin is carefully placed into the model of your teeth. It is then designed to look natural.
Your Second Appointment:
- The temporary onlay is removed.
- A conditioning gel is placed on your tooth to prepare it for the new onlay.
- Bonding cement is placed on the tooth and a high intensity light bonds the resin to the tooth.
- The tooth is then polished.
Your teeth are restored to a natural look and feel, they are stronger and the tooth is protected!