115 Christopher Columbus Drive, Suite 200, Jersey City, NJ 07302 Closed · opens tomorrow 9am 201-425-8600

Patient guides

Why Is My Filling Stained or Turning Yellow?

Tooth-colored (composite) fillings can pick up stain or turn a little yellow over the years, and a brand-new filling can look yellow for the first day or two. Usually the filling does not need to be drilled out and replaced. This article explains what causes each kind of discoloration, and what fixes it.

The short answer

  • Stain on the surface of an older filling: usually polished off in a few minutes, with no drilling and no numbing.
  • A new filling that looks yellow: often the tooth around it is still dried out from the appointment and looks paler than usual. Give it a day or two.
  • A dark line around the edge: needs a proper look, because it can mean the seal has failed. See dark line around a filling.
  • A filling that has darkened all the way through, or no longer matches after whitening: it can be replaced in a shade that matches.

Why composite fillings stain or turn yellow

Composite is made of fine glass-like particles held in a plastic resin. The resin is what bonds the filling to your tooth, and it is also the part that ages. Over the years its surface wears slightly rough, so it picks up color from coffee, tea, red wine and tobacco, and the material itself can slowly turn a little more yellow.

A few things make it happen faster:

  • Smoking, which stains composite quickly.
  • Sipping coffee, tea or red wine slowly through the day rather than with meals.
  • Abrasive toothpaste, baking soda or charcoal powders, which scratch the surface so it stains more easily.
  • Age. A composite filling that is ten or more years old is more likely to have yellowed.

In most cases the discoloration sits in the outer layer. Once that layer is polished away, the filling looks close to how it did when it was placed.

Why a new filling can look yellow

People often notice this the day after a filling, and there are three usual reasons.

  1. The tooth has dried out. During treatment the tooth is kept dry, and a dry tooth looks paler than normal. Next to it, a correctly matched filling can look yellow or darker. Teeth take up moisture again within a day or so, and the difference usually disappears.
  2. One shade cannot match everything. Natural teeth are not one color: they are more yellow near the gum and more translucent at the biting edge. On a large filling, especially on a front tooth, a single shade cannot match every part perfectly, and the match can look different in bathroom lighting than in daylight.
  3. A different material was used. Near the gum line, and in children, a glass ionomer filling is sometimes the better choice, because it releases fluoride and copes with a damp area. It is tooth-colored but more opaque than composite. A temporary filling is not color-matched at all.

What fixes a stained filling

Polishing. If the filling is intact and still well sealed, only its surface needs attention. We polish away the stained layer with fine finishing instruments, which removes a few microns of material. It takes a few minutes and needs no numbing, and it can often be done at a regular cleaning.

Repairing. Where one part of a filling has stained or chipped, a fresh layer of composite can sometimes be bonded over it instead of removing the whole filling.

Replacing. A filling that has discolored all the way through, one that no longer matches after whitening, or one with decay underneath is replaced, in a shade chosen to match your teeth as they are now.

We will tell you which of these you need, and why, before anything is done.

When a stained filling needs more than a polish

A stain spread evenly across the face of a filling is usually cosmetic. These signs are different, and worth having checked:

  • a brown, gray or black line running around the edge of the filling
  • a filling that feels rough, catches floss or has a small step at its edge
  • new sensitivity to cold or sweet things in that tooth
  • a chip, a crack or a visible gap

Any of these can mean the seal between filling and tooth has started to break down, which lets bacteria in underneath. We look closely and take an x-ray if needed, and if there is decay under the filling it has to be replaced. There is more on this in Dark line around a filling: stain or decay?

Why whitening will not change a filling

Whitening gel lightens natural enamel. It does not change the color of fillings, bonding, crowns or veneers, so after whitening an old front-tooth filling can look darker than the teeth around it. If you are planning to whiten, whiten first, then have any fillings that no longer match polished or replaced. The full explanation is in Can you whiten fillings?

Why it is worth keeping a filling going

Every time a filling is replaced, a little more tooth is removed along with it. So if a filling is sound, polishing it is better for the tooth than replacing it for the sake of color. Replacing fillings more often than necessary makes it more likely that the tooth will eventually need a crown or a root canal.

To keep tooth-colored fillings looking their best: brush twice a day with an ordinary, low-abrasion toothpaste, clean between your teeth every day, rinse with water after coffee, tea or red wine, and keep up your regular cleanings, where surface stain is polished off before it builds up.

Common questions

Why is my filling turning yellow?

Most often the resin surface has absorbed stain from food, drinks or tobacco, or has simply aged. Sometimes the tooth around it has become lighter, for example after whitening, which makes the filling look yellow by comparison. A polish fixes surface stain; a real mismatch in shade may need a new filling.

Why does my new filling look yellow?

Usually because the tooth dried out during the appointment and looks paler than normal, which makes the filling look darker next to it. Teeth rehydrate within a day or so, and the difference usually disappears.

Can a composite filling be whitened?

No. Whitening only lightens natural enamel. Surface stain on a composite filling can be polished off in the office, and a filling that has darkened all the way through can be replaced in a shade that matches your teeth.

Can I remove stains from a filling at home?

Not reliably. Whitening strips and gels will not lighten a filling, and abrasive toothpastes, baking soda and charcoal dull its surface so that it stains faster. Good brushing and flossing slow new staining; stain that is already there is best polished off at your next cleaning.

Does a stained filling mean I have decay?

Usually not, if the stain is on the surface. A dark line along the edge of a filling, a filling that feels rough or catches floss, or new sensitivity in that tooth is worth having checked, because it can mean the seal has failed.

Does composite bonding stain the same way?

Yes. Bonding is the same material as a composite filling, so it can pick up stain and yellow with age in the same way. The same fixes apply: polishing for surface stain, and repair or replacement when it has discolored all the way through.

Will insurance pay to replace a stained filling?

Most plans pay to replace a filling that has failed, cracked or has decay under it. Replacing a sound filling only because of its color is usually treated as cosmetic. We check your plan before recommending anything.

Worried about a filling, or want old fillings matched to your teeth? Call 201-425-8600 or request an appointment. We are at 115 Christopher Columbus Drive, Suite 200, two minutes from the Grove Street PATH. More articles and treatment guides are on our patient guides page.

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