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Children 6 years old and older can get silver dental fillings. Silver fillings, also called amalgam fillings or metal fillings, have been used in children and adults for well over 100 years and have an excellent record of both safety and effectiveness. They are often recommended for filling large cavities in back teeth because they can better withstand biting and chewing. They also work well when the decay is between two back teeth, or involves several areas of teeth.