Should I Replace My Old Silver Fillings?

Dental technology has changed dramatically over the last few decades and no doubt will continue to improve in the future.  At Lifetime Dental Care we do not use Amalgam “Silver” Fillings because of the harm done to the environment by the material, and the recent improvement in Composite “White” Fillings.  Many of our patients are concerned about their silver fillings that they have had for years.  

The current position of the ADA and FDA is that amalgam is a safe restorative material and should not be removed due to health concerns regarding mercury content.  In fact the highest exposure of mercury to patients is due to amalgam placement and removal. High-speed suction should be used when removing mercury-containing fillings to reduce excess mercury inhalation by the patient.  

Patients should consult with our office before replacing a long-term silver filling for sole cosmetic reasons or health concerns.  Although these fillings have been deemed safe there are several reasons to replace a silver filling.

When should you Replace a Silver Filling?

• Decay is present under filling: If decay is left untreated long term it could lead to further complications such as fracture or potentially infection.
• Filling is fractured or leaking: A chipped or fractured filling can lead to further breakage of the filling or of surrounding natural tooth structure.
• It was placed in a high cosmetic zone:  Let’s face it in 2014 no one wants to see silver in their front teeth.  If you have a silver filling that is seen in anterior region replacement may be an option.