Oral bacteria cause cavities or decay when combined with several contributing factors. Before the decay reaches the pulp or commonly knows as the “nerve” of the tooth, it is crucial to remove the cavity and fill with a biocompatible material. Composite or the “tooth color” material is usually of choice. Uncommonly, silver amalgam can also be used to restore cavities. We allow our patients to choose between composite and amalgam after providing education regarding both materials, their advantages as well as disadvantages.