Tooth Fillings and Tooth-Colored Restorations

If you have a cavity or an old metal filling that needs to be replaced, modern tooth-colored fillings offer a safe, durable, and natural-looking solution. Our dentists use advanced materials to restore teeth with results that blend seamlessly with your smile. Whether you’re treating a new cavity or upgrading older restorations, we’ll help protect your teeth and keep them looking their best.

What Is the Difference Between Silver and Tooth-Colored Fillings?

For many years, silver (amalgam) fillings were the standard for treating cavities. Today, most patients prefer tooth-colored fillings because they look more natural and support tooth strength more effectively.

Silver fillings are made from a metal alloy, while tooth-colored fillings are made from composite or porcelain materials designed to match the shade of your natural teeth.

Why Are Silver Fillings Not Always the Best Option?

Silver fillings can still function, but they have several drawbacks compared to modern materials:

  • They are easy to see when you talk or smile.
  • They do not bond to the tooth, which may weaken the remaining structure.
  • They can break down over time, allowing decay to form underneath.
  • They expand and contract with hot and cold, which can lead to cracks or fractures.
  • They contain mercury and may corrode or stain teeth and gums.

Due to these limitations, many individuals opt to replace their older silver fillings with tooth-colored restorations.

What Are Tooth-Colored Fillings and Restorations?

Tooth-colored restorations include composite fillings and porcelain inlays or onlays that are designed to match the natural shade of your teeth. These materials are bonded directly to the tooth, restoring both strength and appearance simultaneously.

Benefits of Tooth-Colored Restorations

Tooth-colored fillings and restorations offer several advantages:

  • They blend with your natural teeth for a seamless look.
  • They bond tightly to the tooth for added durability and support.
  • They allow more of your healthy tooth structure to be preserved.
  • Some materials contain fluoride to help protect against future decay.
  • They do not need to be placed at the gum line, which is healthier for your gums.
  • They wear similarly to natural tooth enamel, providing comfortable, long-lasting results.

How Does the Tooth Filling and Restoration Process Work?

Replacing an old filling or restoring a tooth with an inlay or onlay usually involves two visits:

First Appointment

  • Old filling material and any decay are carefully removed.
  • An impression or digital scan is taken to create a precise model of your tooth.
  • A temporary restoration is placed to protect the tooth until your final restoration is ready.

Second Appointment

  • The temporary restoration is removed.
  • The tooth surface is conditioned to prepare it for bonding.
  • The custom restoration is secured with bonding cement and hardened with a special curing light.
  • The restoration is shaped and polished so it looks and feels like a natural tooth.

Once treatment is complete, your tooth is protected, functional, and more naturally looking.

Why Should I Consider Replacing Old Metal Fillings?

Many patients decide to replace silver fillings to improve both appearance and function. Updating older restorations with tooth-colored materials can:

  • Enhance the overall look of your smile.
  • Strengthen teeth that were weakened by older fillings.
  • Provide a better seal against future decay.
  • Remove concerns related to older metal materials.

If your metal fillings are worn, cracked, or bothersome, replacing them may be a smart long-term choice.

Frequently Asked Questions

Here are answers to some common questions about tooth-colored fillings and restorations. If you are considering treatment or replacing old metal fillings, this quick FAQ can help you know what to expect.

With good brushing, flossing, and regular dental checkups, tooth-colored fillings can last many years. Their lifespan depends on the size of the filling, your bite, and daily habits such as grinding or clenching.

It is common to have mild sensitivity to hot, cold, or pressure for a short time after treatment. This usually improves within a few days to a couple of weeks as the tooth adjusts, but you should contact our office if discomfort worsens or does not improve.

Yes. Modern composite and porcelain materials are strong enough for the chewing surfaces of back teeth when placed correctly. Your dentist will recommend the type of restoration that best fits the size and location of your cavity.

In many cases, multiple silver fillings can be replaced in stages or during the same visit, depending on your comfort and treatment plan. Your dentist will discuss the best approach based on your schedule and oral health.

Care for restored teeth just like natural teeth: brush twice daily, floss once a day, and visit the dentist regularly. Avoid chewing on ice or hard objects, which can damage both natural teeth and restorations.