The Center for Implants and Aesthetics at Englewood NJ
Dental Amalgam
That sharp pain when you bite down on something cold, or the lingering ache that throbs with every sip of hot coffee – these could be signs of a cavity. Cavities are areas of damage to your teeth brought on by tooth decay, and they require immediate attention to prevent further issues.
Fortunately, there are effective solutions to restore your tooth and eliminate discomfort. One common and reliable option is amalgam fillings. These fillings are a time-tested method for repairing cavities and returning your smile to its full functionality.
Amalgam fillings are a versatile choice suitable for both adults and children experiencing cavities.
Whether you’re looking for a durable and cost-effective solution for your child’s first cavity or need a strong restoration for your own tooth, amalgam fillings (also known as silver fillings) offer a dependable option for cavity treatment and overall dental care.

Dental Amalgam
What are Amalgam Fillings?
Amalgam fillings, also commonly referred to as silver fillings due to their appearance, are a type of dental restoration used to repair cavities. They are composed of a strong and durable metal alloy, typically a combination of mercury, silver, tin, and copper. The mercury binds the other metals together, creating a hard and long-lasting filling material. [1]


Amalgam Fillings
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.
Placement Process
The placement of an amalgam filling typically involves a few key steps:
Anesthesia: Local anesthesia is administered to numb the area around the tooth and minimize discomfort during the procedure.
Cleaning and Preparation: The dentist will thoroughly clean the decayed area of the tooth to remove any bacteria or debris. They may also use a drill to shape the cavity for the filling.
Placement: The amalgam material is carefully mixed and packed into the prepared cavity.
Shaping and Hardening: The dentist will shape the filling to match the natural contour of the tooth. The amalgam material then hardens quickly, restoring functionality to the tooth. [2]
Benefits of Amalgam Fillings
Amalgam fillings offer several advantages that make them a popular choice for cavity treatment:
Long-lasting Restoration
As mentioned earlier, amalgam fillings are renowned for their exceptional durability. They are incredibly strong and can withstand the wear and tear of chewing for many years. Studies have shown that with proper care, amalgam fillings can last for well over a decade, sometimes even exceeding 15 years. [3] This longevity translates to fewer dental procedures and potentially less overall cost in the long run.
Cost-effective Option
Compared to some other tooth-filling materials, amalgam fillings are generally a more affordable choice. The lower material cost and relatively simple placement procedure contribute to their cost-effectiveness. This makes them an attractive option for patients who are budget-conscious or have limited dental insurance coverage.
Proven Track Record
Amalgam fillings have a long and successful history in dentistry. They have been used for over 150 years, with a proven track record of effectively restoring teeth and preventing further decay. [4] This extensive experience demonstrates the reliability and efficacy of this filling material. [1]
These are just some of the key benefits that make amalgam fillings a valuable option for restoring teeth and maintaining good oral health.
Who Can Benefit from Amalgam Fillings?
Amalgam fillings offer a versatile solution for cavity treatment, making them a suitable choice for a wide range of patients.
Suitable for Most Cavities
One of the advantages of amalgam fillings is their adaptability. They can be effectively used to restore cavities of various sizes and locations within the tooth. Whether you have a small cavity on the chewing surface of a molar or a more extensive cavity on the side of a premolar, amalgam fillings can be shaped and molded to precisely fit the specific cavity, providing a strong and durable repair.
Adults and Children
Amalgam fillings are a suitable option for both adults and children experiencing cavities. For children, the durability of amalgam fillings can be particularly beneficial, as it ensures the restored tooth can withstand the wear and tear of chewing during their growing years.
Additionally, the affordability of amalgam fillings can be an advantage for parents seeking a cost-effective solution for their child’s dental care.
While some people may prefer tooth-colored composite fillings for aesthetic reasons, amalgam fillings remain a reliable and effective choice for restoring cavities in both adults and children.
Amalgam Fillings vs. Composite Fillings
When considering cavity treatment options, you might encounter another common filling material: composite resin. Here’s a breakdown of how amalgam fillings compare to composite fillings:
Material and Appearance
Amalgam Fillings: These fillings, as discussed earlier, are composed of a metal alloy, typically containing mercury, silver, tin, and copper. Due to the metal content, they have a distinct silver color that stands out from the natural tooth enamel. [5]
Composite Fillings: These fillings are made of a tooth-colored resin material. The dentist can carefully match the shade of the resin to blend seamlessly with the surrounding tooth structure, creating a more natural-looking restoration.
Cost Comparison
Amalgam Fillings: Generally, amalgam fillings are a more affordable option compared to composite fillings. The lower material cost and simpler placement procedure contribute to their budget-friendly nature.
Composite Fillings: Due to the tooth-colored material and potentially more intricate application process, composite fillings typically come at a slightly higher cost than amalgam fillings.
While aesthetics might favor composite fillings, the affordability and durability of amalgam fillings make them a great choice for many patients. Ultimately, the best option for you will depend on your individual needs, preferences, and budget. Discussing the different filling materials with your dentist can help you make an informed decision.
The Procedure: Placing an Amalgam Filling
Having an amalgam filling placed is a relatively straightforward procedure. Here’s a breakdown of the typical steps involved:
Consultation and Examination
The dentist will first discuss your concerns and examine your teeth to determine the extent of the cavity. X-rays might also be taken for a more comprehensive evaluation.
Anesthesia
Local anesthesia will be administered to numb the area around the tooth and ensure minimal discomfort during the procedure. You might feel a slight pinch from the injection, but the actual filling placement should be painless.
Cleaning and Preparation
The dentist will use various dental tools to thoroughly clean the decayed area of the tooth. This removes any bacteria or debris that might contribute to further decay. They might also use a drill to shape the cavity and prepare it for the filling material.
Placement of the Amalgam
The amalgam material is a combination of metals in a liquid form. The dentist will carefully mix the components and then pack the amalgam filling material into the prepared cavity.
Shaping and Hardening
Once the filling is placed, the dentist will shape it to match the natural contour of your tooth for proper chewing function. The amalgam material hardens quickly, typically within a few minutes.
Polishing and Bite Check
After the filling hardens, the dentist will smooth and polish the surface to ensure a comfortable fit and prevent irritation. They will also check your bite to ensure the filling doesn’t interfere with your chewing mechanics.
Pain Management
As mentioned earlier, local anesthesia is used to numb the area around the tooth, minimizing any discomfort during the filling placement. You might feel some pressure or vibration as the dentist works on your tooth, but there shouldn’t be any pain. If you experience any discomfort at any point, let your dentist know, and they will adjust their approach to ensure your comfort throughout the procedure.
Caring for Amalgam Fillings
Even though amalgam fillings are known for their durability, proper care is essential to ensure their longevity and maintain good oral health:
Brushing and Flossing
Brushing: Maintaining a consistent brushing routine with fluoride toothpaste twice a day is important. This removes plaque and bacteria from the surface of your teeth, including around the fillings. Brushing helps prevent new cavities from forming and keeps your entire mouth healthy.
Flossing: Flossing daily is equally important to remove food particles and bacteria that can accumulate between teeth, even near the fillings. This helps prevent gum disease and ensures optimal oral hygiene.
Regular Dental Checkups
Scheduling regular dental checkups, typically every 6 months, is vital for monitoring the condition of your amalgam fillings. During your checkup, your dentist will:
- Examine your teeth to check for any chipping, cracking, or wear on the fillings. Over time, amalgam fillings can experience wear and tear. Early detection allows for prompt repair or replacement if necessary.
- Clean your teeth and remove any plaque or tartar buildup that could contribute to future cavities.
- Monitor your overall oral health and identify any potential issues early on.
You can make sure your amalgam fillings last for many years and help keep your smile healthy by taking care of your teeth and going to the dentist for regular checkups.
Frequently Asked Questions (FAQ)
How long do amalgam fillings last?
Amalgam fillings can last for many years, typically exceeding 10 to 15 years with proper care. Regular dental checkups are recommended to monitor their condition.
Are amalgam fillings safe?
Yes, amalgam fillings are considered safe and effective for cavity treatment by major dental organizations like the American Dental Association.
Do amalgam fillings look noticeable?
Amalgam fillings have a distinct silver color that differs from natural tooth enamel. If aesthetics are a major concern, you can discuss alternative filling materials with your dentist.
We hope this information has been helpful! If you have any further questions about amalgam fillings or other dental treatments, please don’t hesitate to contact our clinic.
Amalgam Fillings, Englewood Dental NJ
Amalgam fillings offer a dependable and long-lasting solution for restoring cavities. They are renowned for their exceptional strength, often lasting for over a decade with proper care and typically a more affordable choice compared to some other filling materials.
If you’re experiencing a toothache or suspect a cavity, don’t wait! Schedule an appointment with our friendly dental team at Englewood Dental NJ. We can discuss your treatment options, including amalgam fillings, and help you restore your healthy smile.
Strengthen your teeth with amalgam fillings at Englewood Dental NJ. Make an appointment now!
References
- https://newsnetwork.mayoclinic.org/discussion/amalgam-is-a-safe-and-durable-choice-for-fillings
- https://www.ada.org/resources/ada-library/oral-health-topics/amalgam
- https://www.healthline.com/health/how-long-do-fillings-last#how-long-fillings-last
- https://jada.ada.org/article/S0002-8177(19)30601-4/fulltext
- https://www.mouthhealthy.org/all-topics-a-z/dental-amalgam
Lorem ipsum dolor ist amte, consectetuer adipiscing eilt. Aenean commodo ligula egget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Donec quak felis, ultricies nec, pellentesque eu, pretium quid, sem.