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RESTORATIVE DENTISTRY
Tooth-Colored
Fillings
When decay is caught early and the tooth is otherwise intact, a tooth-colored composite filling restores the affected area without removing healthy structure unnecessarily. Dr. Martin uses composite resin exclusively — it bonds directly to the tooth, which means preparation removes only the decayed portion rather than the additional material that older amalgam restorations required for mechanical retention.
The result blends with the surrounding tooth and avoids the expansion and contraction cycles that metal fillings create over time, which can stress the tooth and contribute to cracking. For small to medium restorations, composite is durable and reliable. For larger areas of damage — particularly those under significant bite load — Dr. Martin will discuss whether an indirect ceramic restoration offers better long-term protection. Existing fillings are monitored at every visit so marginal breakdown or early secondary decay gets caught before it requires more extensive treatment.
Why choose composite over amalgam (silver) fillings?
There are several meaningful reasons. Composite resin bonds directly to the tooth, which allows us to preserve more natural tooth structure — we only need to remove the decayed portion, not create additional mechanical retention the way amalgam requires. The restoration matches your tooth color and is essentially invisible. And composite doesn't expand and contract with temperature changes the way amalgam does, which can stress the tooth over time and contribute to cracking. At our practice, we don't place amalgam restorations. Composite is our standard for direct restorations, and for situations that exceed what composite can reliably handle, we move to ceramic indirect restorations.
What are tooth-colored fillings made of, and are they as durable as silver fillings?
Tooth-colored fillings are made from composite resin — a mixture of fine glass and plastic particles that bonds directly to the tooth structure. Modern composite materials have improved substantially over the past decade and are highly durable for the vast majority of filling applications. They're a strong, reliable option for small to medium-sized restorations. For very large restorations under heavy bite forces, a crown or onlay may be the more appropriate long-term solution — and at our practice, we'll give you an honest assessment of which option is right for your specific situation rather than placing a large composite where a more protective restoration is warranted.
How long do composite fillings last?
Well-placed composite restorations typically last seven to twelve years with proper care, though many last considerably longer. Longevity depends on the size and location of the filling, how well the tooth is maintained, and whether the patient has habits — like clenching or grinding — that accelerate wear. At our practice, we monitor existing restorations at every visit and watch for marginal breakdown, wear, or secondary decay. Catching a deteriorating filling early — before it becomes a larger problem — is one of the practical benefits of consistent preventive care.
Does getting a filling hurt?
The procedure is done under local anesthesia, so you shouldn't feel pain during the appointment. Some mild sensitivity to cold or pressure in the days following a filling is normal and typically resolves on its own as the tooth settles. Very deep fillings — where decay was close to the nerve — may involve more prolonged sensitivity. At our practice, we discuss what to expect based on the depth and location of the filling before we begin, and we always want to hear from you if sensitivity is persisting or worsening beyond the expected adjustment period.
Begin with a
comprehensive evaluation.
Every patient relationship begins with a thorough assessment and an open conversation. We take the time to understand your history, concerns, and long-term goals before recommending treatment. Complete the form below and one of our team members will reach out to you soon.
Before
and after.
Explore real patient transformations made possible through Dr. Gregory Martin’s comprehensive, all-in-one approach to care. Results vary by individual. These images are provided for educational purposes and do not guarantee specific outcomes.