Tooth-Colored Fillings vs. Silver Fillings: What’s Best for Kids?
When a child needs a dental filling, one of the first questions parents ask is whether to choose tooth-colored fillings or traditional silver fillings. Both options are commonly used in pediatric dentistry, and each has its own benefits. The right choice depends on your child’s age, the location of the cavity, oral habits, and long-term dental needs.
At Smiley Kids Dental, we help families in Vancouver and Burnaby make informed, confident decisions about their child’s dental care. Let’s break down the differences so you can understand what’s best for your child’s smile.
What Are Dental Fillings and Why Do Kids Need Them?
Dental fillings are used to repair teeth affected by cavities (tooth decay). In children, cavities are common due to developing brushing habits, sugary snacks, and thinner enamel on baby teeth.
If left untreated, cavities can:
Cause pain or infection
Affect eating and speech
Spread to nearby teeth
Impact the development of adult teeth
Fillings restore the tooth’s shape and function while preventing further decay.
Tooth-Colored Fillings (Composite Resin)
What They Are
Tooth-colored fillings are made from a composite resin material that closely matches the natural colour of your child’s teeth. They are one of the most popular options in modern pediatric dentistry.
Benefits of Tooth-Colored Fillings
Natural appearance – blends seamlessly with teeth
Preserves more tooth structure – less drilling required
Bonded to the tooth – adds strength
Mercury-free – preferred by many parents
Great for visible teeth – front teeth or smiling zones
For many families, aesthetics matter—especially for older kids and teens who may feel self-conscious about visible metal fillings.
Considerations
Slightly less durable than silver in very high-pressure areas
Can be more technique-sensitive, requiring good moisture control
May cost slightly more, depending on insurance coverage
Silver Fillings (Amalgam)
What They Are
Silver fillings, also known as amalgam fillings, are made from a blend of metals including silver, tin, copper, and mercury. They’ve been used safely in dentistry for over a century.
Benefits of Silver Fillings
Extremely durable – ideal for back molars
Long-lasting – withstands heavy chewing
Often more cost-effective
Quicker placement in some cases
For very young children or situations where moisture control is difficult, silver fillings can be a practical option.
Considerations
Visible metal appearance
Requires more removal of healthy tooth structure
Contains mercury (considered safe by major dental associations, but still a concern for some parents)
Tooth-Colored vs. Silver Fillings: A Quick Comparison
| Feature | Tooth-Colored Fillings | Silver Fillings |
|---|---|---|
| Appearance | Matches natural teeth | Metallic and visible |
| Durability | Strong, but less than silver | Extremely durable |
| Tooth Preservation | More conservative | Requires more drilling |
| Best For | Front teeth, visible areas | Back molars, heavy chewing |
| Parent Preference | Very high | Moderate |
What’s Best for Kids?
There’s no one-size-fits-all answer. The best filling depends on several factors:
1. Age of the Child
Younger children with baby teeth may benefit from silver fillings if the tooth will eventually fall out and the cavity is in a high-stress area.
2. Location of the Tooth
Front or visible teeth → Tooth-colored fillings
Back molars → Either option, depending on bite pressure
3. Size of the Cavity
Larger cavities may require a stronger material or even a crown in some cases.
4. Cooperation During Treatment
Tooth-colored fillings require a drier field. If a child has difficulty sitting still, silver fillings may be recommended for efficiency and comfort.
5. Aesthetic Concerns
Older children and teens often prefer tooth-colored fillings to avoid visible metal when smiling or talking.
Safety: Are Both Options Safe for Children?
Yes. Both tooth-colored and silver fillings are considered safe and effective by major dental organizations, including the Canadian Dental Association.
At Smiley Kids Dental, we always:
Follow strict safety guidelines
Use age-appropriate materials
Discuss all options transparently with parents
Your child’s health, comfort, and long-term dental development always come first.
Our Approach at Smiley Kids Dental
We believe dental care should feel calm, informed, and positive—for both kids and parents. Our experienced pediatric-focused team takes the time to explain treatment options, answer questions, and ensure your child feels comfortable every step of the way.
With two convenient locations in Vancouver and Burnaby, modern technology, and a family-focused environment, we tailor every treatment plan to your child’s unique needs.
Ready to book? Schedule an appointment with Smiley Kids Dental and let our friendly team help you choose the right solution for your child’s smile.