Dental Amalgam Replacement – Composite Fillings vs Porcelain Fillings

Interviewer: What are some of the options that we have if we decide to replace them? What are the options that we have as far as alternative materials?

Paige Woods, DDS: That’s a great question. We basically have two different options at this point in time. We have composites and we have porcelain. Your composites, its plastic and glass basically. It’s a great material but some patients have a problem with it having the plastics in it. When I say plastics, most of the composites used on the market today have BPA’s in them.

The composites I have in my office does not have BPA’s but unfortunately does have a small amount of fluoride in it. At this point in time there just isn’t a perfect material. On the other hand if you want to take that off the table we have porcelain. Its baked glass. So it doesn’t expand or contract. The longevity of the restoration is amazing. Unfortunately it is a little bit more expensive but it’s a great restorative material.

Interviewer: So do these material interact with the saliva equally or does one have more stability than the other one?

Paige Woods, DDS: That’s a great question as well. No the baked porcelain does not interact what so ever. The composite however does. The one’s with the BPA, with your grinding it’s again put into the saliva. It’s ingested which we don’t like but you know it’s up for the patient to decide what they want. What I tell my patients when they asked me that question is, would you rather eat your food off a china plate, a big china plate or a plastic plate?

It’s up to me to just tell them what their options are and help them to decide what’s best for them based on the current situations.