You go to the dentist for a routine checkup, and the news comes back. A cavity. It happens. No big deal. But then you are faced with a choice you might not have expected. What kind of filling do you want?
Most patients do not realize they have options when it comes to treating a cavity. The type of dental filling you choose can affect everything from how your smile looks to how long your tooth holds up over time.
At Southern Pines Family & Cosmetic Dentistry, Dr. Conor Gessell and Dr. Paul Gauthier believe patients need the information to make confident decisions. If you are considering composite vs. silver dental fillings, we’re here to help you understand the differences. If you are searching for a dentist Southern Pines patients trust, we are here to help.
Silver Fillings: The Old Standby
You have probably seen silver dental fillings before. They have been around for over a hundred years. They are made from a mixture of metals: silver, tin, copper, and mercury.
Mercury is a hot topic, and we get questions about it all the time. The American Dental Association and the FDA both say silver fillings are safe for adults and children over six. The mercury in them is bound up with the other metals, so it does not release into your body in a harmful way.
That said, silver fillings have some real downsides. They expand and contract with temperature changes. Over time, that can cause the filling to pull away from your tooth. This creates tiny gaps where bacteria can sneak in. Those gaps mean more decay and more fillings down the road.
Silver fillings also stand out every time you smile, laugh, or open your mouth. They require removing more of your natural tooth structure to hold them in place.
Composite Dental Fillings: The Modern Choice
Composite fillings are made from a tooth-colored resin material. They look just like your natural teeth. Unless you point them out, nobody will ever know you have one.
But looks are not the only advantage. Composite fillings bond directly to your tooth structure. That bond is strong enough to actually hold the tooth together. Instead of just filling a hole, composite material can reinforce what is left of your natural tooth.
Composite fillings do not expand and contract the way silver does. That means they are less likely to create gaps over time. Fewer gaps mean less decay. Less decay means fewer trips to the dentist for replacements.
Composite vs Silver Fillings: Key Differences
When comparing composite vs silver fillings, here are the key factors to consider:
- Appearance. Composite fillings match your natural tooth color. Silver fillings are dark and noticeable.
- Tooth preservation. Composite fillings require less removal of natural tooth structure. Silver fillings require more preparation.
- Bonding. Composite fillings bond directly to the tooth. Silver fillings are held in place mechanically.
- Durability. Silver fillings are very durable and can last longer in some cases. Composite fillings are strong but may wear down faster in high-pressure areas.
- Sensitivity. Composite fillings may cause temporary sensitivity to hot and cold. Silver fillings can expand and contract, which may cause discomfort.
- Cost. Silver fillings are generally less expensive upfront. Composite fillings cost more but offer aesthetic and structural benefits.
Which One Should You Choose?
The type of dental fillings you choose depends on your needs.
Silver fillings still have their place. They are incredibly durable and can hold up to heavy chewing forces. For back molars where you do most of your grinding, a silver filling might be the stronger choice. They also tend to cost less upfront.
Composite fillings are better for front teeth and any area where appearance matters. They are also our go-to for smaller cavities when the goal is to preserve as much natural tooth as possible. Some patients choose composite even for back teeth because they prefer the look and the lower risk of future gaps. Others stick with silver because of cost or because their insurance covers more of it.
There is no wrong answer. It’s about what works for you. Either way, getting a filling can prevent the need for a tooth extraction.
What About Sensitivity?
With composite fillings, you might have some sensitivity to hot and cold for a few days after the procedure. That is normal. The bonding process can make the tooth feel a little more aware for a short period.
Silver fillings also have their own quirks. Some patients find they feel temperature changes more dramatically because of that metal expanding and contracting.
Both types settle down after a little time. If sensitivity sticks around more than a week or two, give us a call. We will take a look and make sure everything is healing as it should.
How to Make Your Filling Last
No matter which type you choose, the long-term success of your filling comes down to one thing. Your home care. Brush twice a day. Floss once a day. Keep up with your regular checkups.
A good filling can last 10 to 15 years or more with proper care. A poorly cared-for tooth will not last no matter what you put in it.
We’ll Help You Find the Best Fillings
At Southern Pines Family & Cosmetic Dentistry, we do not push one option over the other. We lay out the facts, listen to your concerns, and help you make the choice that feels right for you.
If you are still unsure about composite vs silver fillings , we can help. Dr. Gessell or Dr. Gauthier will examine your tooth and discuss your options. They will explain the pros and cons of each and help you make an informed decision.
Call Southern Pines Family & Cosmetic Dentistry today at (910) 390-1259. Schedule a consultation and let us help you keep your smile healthy.