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NHS website - What are NHS fillings and crowns made of?

What are NHS fillings and crowns made of?

Fillings and crowns available on the NHS can be made of several different materials.

Fillings

Fillings are used to repair a cavity in your tooth caused by decay. Your dentist will offer you the type of filling they consider clinically necessary.

The most common type of filling is dental amalgam, made from a mixture of different metals. Dental amalgam fillings are hard-wearing so are often used on your back teeth. If you need a filling for one of your front teeth, your dentist may suggest a tooth-coloured (white) filling.

Your dentist will offer you the type of filling most appropriate for your clinical (medical) needs. For example, if you need a filling for one of your front teeth, your dentist may suggest a tooth-coloured (white) filling, but the use of tooth-coloured fillings on back teeth is considered purely cosmetic.

Fillings available on the NHS can be made of:

  • amalgam (silver-coloured) – a mixture of metals, including mercury, silver, tin and copper
  • composite (tooth-coloured) – made of resin and glass mixture
  • glass ionomer (tooth-coloured) – powdered glass, which forms a chemical bond with your tooth and may release fluoride that helps to prevent further decay

There are a number of articles on the internet about the alleged toxic properties of amalgam. Although amalgam fillings can release low levels of mercury vapour, particularly when they are put in or removed, there is no evidence that exposure to mercury from amalgam fillings has any harmful effects on health.

Talk to your dentist if you have any concerns.

Crowns

A crown is a type of cap that completely covers a real tooth.

Crowns available on the NHS can be:

  • all metal (such as gold or another alloy)
  • porcelain fused to metal
  • all resin
  • all ceramic
  • stainless steel – used to preserve badly decayed baby teeth in children, or as a temporary measure on permanent teeth

Your dentist will offer you the type of crown they consider clinically necessary.

Further information