Composites have been used for over thirty years. They are standard for front teeth and well-proven also for molars. Over this period the materials used have been considerably improved, especially the cementing techniques. For over 20 years composites were cemented to the tooth using the enamel-etch technique with excellent results, in recent years the dentine-bonding technique has become common (e.g. Syntac) which is considerably more work intensive but also has higher precision.
The durability of a composite-ceramic filling depends greatly on the effort involved: Therefore, composite-fillings done "on-the-quick" are certainly not advisable.
For middle teeth we use Tetric Ceram, 81% of which is a solid filler therefore ensuring durability. This material displays none of the disadvantages of amalgam.