Silver amalgam restorations are extremely durable and hold up very well on back teeth. Our experience has shown that amalgam restorations may last decades. If anyone suggests removal of a silver amalgam restoration ask, “Is the filling broken, is there decay or is there some other good reason to replace it?”. It is fine to replace silver amalgam restorations because of your cosmetic desires. If you are interested in “white” options, your options are either composite (plastic) or porcelain (ceramic). In patients with high decay rates, we would suggest silver amalgam versus composite (plastic) restorations. Often, we place silver amalgam restorations in teenage patients if they seem to be struggling with decay. Later in their mid-twenties, they can replace those restorations with composite, porcelain or gold. Silver amalgam restorations are completed in one appointment.