COMPOSITE FILLINGS vs amalgam

Whats the Difference?

Pro’s/Cons                        White Filling                                    Silver  Filling

Tooth colored                                     X

Silver color                                                                                      X

Contains mercury                                                                               X

Possible metal allergies                                                                        X

Bonds to tooth                                    X

Increases tooth strength                        X

More Esthetic                                      X

Cures in 24 hours                                                                         X

Cures in seconds                                  X

Technique Sensitive                              X

Better for you mouth

            and body                               X

Costs slightly more  out of

            pocket                                   X

Banned by most European

               Countries and

            California                                                                        X                                   

More Green for the

            Environment                           X

            (no mercury waste)

Above are the pros and cons of each type of filling so that you can make an informed decision regarding your dental care.   It is also important that you have checked with your insurance and understand their reimbursement rates for restorations.  If you have any questions we are here to help answer them. 

I UNDERSTAND that the treatment of my dentition involving the placement of composite resin fillings which may be  more aesthetic in appearance than other materials which  have been traditionally used, such as silver amalgam or gold, and  may entail certain risks. There is also the possibility of failure to achieve the results which may be desired or expected. I agree to assume those risks which may occur even though care and diligence will be exercised by my treating dentist in rendering this treatment. These risks include possible unsuccessful results and/or failure which are associated with, but not limited to the following:

1.            Sensitivity of Teeth: Often after preparation of teeth for the placement of any restoration, the prepared teeth may exhibit sensitivity. The sensitivity may be mild to severe. The sensitivity may last only for a short period of time or may last for much longer period s of time. If such sensitivity is persistent or lasts for much extended periods of time, I agree to notify the dentist inasmuch as this may be a sign of more serious problems.

2.            Risks of Fracture: Inherent in the placement or replacement of any restoration is the possibility of the creation of small fracture lines in tooth structure. Sometimes these fractures may not be apparent at the time of removal of tooth structure and/or the previous filling and placement or replacement, but may manifest at a later time.

3.            Necessity for Root Canal Therapy: When fillings are places or replaced, the preparation of the teeth for fillings often necessitates the removal of tooth structure adequate to insure that the diseased or otherwise compromised tooth structure provides sound tooth structure for placement of the restoration. At times, this may lead to exposure or trauma to underlying pulp tissue. Should the pulp not heal, which often times is exhibited by extreme sensitivity, biting discomfort or possible abscess, root canal treatment or extraction may be required. Temporary, partial or permanent numbness may also occurr