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White fillings, amalgam and inlays: which one your tooth needs

Dental Oasis Tirana · Medically reviewed by Dental Oasis clinical team · 5 min read

Last updated 9 September 2026

Dentist placing a tooth-coloured composite filling at a dental clinic in Tirana, Albania

The short answer

Composite is the default for small and medium cavities: it bonds to the tooth, matches the colour and is repairable. Once more than about half the biting surface is gone, a ceramic inlay or a crown lasts longer. Old amalgams that are sealed and symptom free do not need replacing just because they are grey.

Key takeaways

  • Composite suits small and medium cavities and saves tooth structure.
  • Large cavities last longer with a ceramic inlay or a crown.
  • Sound amalgams do not need replacing for appearance alone.
  • Most fillings are done in a single appointment.
On this page

Introduction

Most people only meet three words at the chair: filling, inlay, crown. Which one a tooth gets is not a matter of taste, it is a matter of how much sound tooth is left.

TLDR;

  • Composite bonds to the tooth and suits small and medium cavities.
  • Ceramic inlays and onlays suit larger cavities where a filling would flex.
  • If a cusp is missing or cracked, a crown is the honest answer.
  • Sound, sealed amalgams do not need replacing just for appearance.
  • Fillings are usually completed in a single appointment in Tirana.

Composite fillings

Tooth-coloured composite is placed in layers and cured with light. It bonds, so less healthy tooth has to be removed than with amalgam, and it can be polished to an invisible finish. Lifespan depends far more on how big the cavity is and how heavy your bite is than on the brand of material.

Composite restoration materials on a sterile tray in a dental clinic
Composite restoration materials on a sterile tray in a dental clinic

Inlays and onlays

When the cavity is wide, a laboratory-made ceramic inlay is bonded into the prepared space. It resists wear better than a very large composite and keeps more tooth than a crown. Made in our laboratory, it needs a second appointment a few days later, which fits neatly into a treatment trip.

Replacing old amalgams

We replace amalgam when there is decay underneath, a crack, a fractured margin or the patient asks for aesthetic reasons after being told the trade-offs. Removing sound amalgams wholesale means cutting more tooth for no clinical gain.

What we do at Dental Oasis

We photograph and X-ray each tooth, show you what we see and explain when a filling is enough and when it would only buy a year. Because Albanian dental guidelines do not allow published prices, the costed plan comes to you privately.

Ask for a written plan, or read about crowns and caps.

Frequently asked questions

How long do white fillings last?
Small ones commonly last seven to ten years or more. Very large ones under a heavy bite wear faster, which is when an inlay or crown is the better investment.
Is amalgam dangerous?
Health authorities consider existing amalgam fillings safe to leave in place. Newer restorations are placed in composite or ceramic, and amalgam use is being phased out for environmental reasons.
Can fillings be done on a short trip?
Yes. Composite fillings are same-day. Ceramic inlays need a second visit a few days later, so allow four to five days.
What will it cost?
Albanian dental guidelines do not allow clinics to publish prices online. Send photos or an X-ray and we send a written costed plan privately.

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About the author

Dental Oasis Tirana

Dental Oasis Tirana is a dental clinic in Tirana treating local and international patients for implants, zirconia prosthetics, cosmetic dentistry and oral surgery. Our articles are written by the clinical team and reviewed for accuracy before publication, with pricing and timelines that reflect how we actually treat cases.

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Medically reviewed by Dental Oasis clinical team

Last updated 09/09/2026

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