Composite vs Amalgam Fillings: The 2026 Comparison

Modern preference: composite

• Tooth-coloured
• No mercury
• Bonded to tooth
• Similar longevity (5–10 years now)

Amalgam still

• Rarely first choice
• Gradually phased out
• EU banned for kids

Strength

• Composite 2026: comparable to amalgam
• Advanced bonding and material improvements

Price

Composite slightly more (AED 100–300 more per filling).

Replacement timeline

• Both: 5–10 years typically
• Individual variation significant

Practical decision guide

General dental decisions should preserve healthy tooth structure whenever possible. A good plan moves from diagnosis to the least-invasive durable treatment, then to prevention so the same problem does not repeat.

Check this first

• X-rays, pulp vitality, crack lines, gum pocketing, bite contacts, and how much natural tooth remains.
• Whether the problem is active disease, old restoration failure, trauma, wear, or a cosmetic concern.
• Whether a filling, onlay, crown, root canal, extraction, or monitoring is the right next step.

When to book sooner

• Pain wakes you at night, lingers after hot or cold, hurts on biting, or comes with swelling.
• A crown or filling falls out, a tooth cracks, or a sharp edge is cutting the tongue or cheek.
• You notice pus, fever, spreading swelling, or difficulty opening, swallowing, or breathing.

Topic-specific notes

• For material choices, ask why that material fits the tooth location, bite force, aesthetics, allergy history, repairability, and expected lifespan.

Questions to ask at the appointment

• What is the diagnosis, and what evidence supports it on the x-ray or clinical exam?
• What is the smallest treatment that solves the problem predictably?
• What failure signs should I watch for after treatment?

Dubai patient note

If insurance is involved, ask whether pre-approval is required, what codes will be submitted, and what alternatives are clinically acceptable if coverage is limited.

References

• American Dental Association