General & Restorative20 July 20253 min read

Tooth Filling Types: Composite, Amalgam, Ceramic, Gold

Each has pros and cons. Here's how to choose the right filling material for your tooth.

Dr. Fatima Hassan

General Dentist & Endodontist

Composite (tooth-coloured)

  • Bonded directly
  • Matches tooth shade
  • AED 400–900
  • Lifespan: 5–10 years

Amalgam (silver)

  • Very durable
  • Visible silver colour
  • AED 300–600
  • Lifespan: 10–20 years
  • Being phased out in Dubai (mercury concerns)

Ceramic (porcelain, E.max)

  • Lab-made, bonded
  • Best aesthetics
  • AED 1,800–3,500
  • Lifespan: 15+ years

Gold

  • Strongest, rarely chosen today
  • AED 3,000–5,500
  • Lifespan: 30+ years
  • Small anterior: composite
  • Medium posterior: composite or ceramic
  • Large: ceramic onlay or crown
  • Budget: composite

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

Medical disclaimer. This article is informational and does not replace professional clinical advice. For a plan specific to your situation, book a consultation with a Paradise Dental specialist.

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