Why Our Office Decided On Dental Care Without Amalgam

Many patients see us asking to update their silver fillings. They want their old metal fillings removed and swapped out with tooth-colored fillings. Patients typically cite esthetic and overall health concerns with their old metal fillings. It is true that the esthetics of your smile may be dramatically improved using a more natural, tooth-colored restoration. In addition to this, there are several reasons that explain why it’s a good idea to update to a tooth-colored porcelain “filling” or maybe a resin composite filling.

Almost everything wears away, and your silver fillings will not be any different. They hold up against stressful and significant biting forces every day, and as they get older, they will split, leak and may result in damaging fractures in teeth. Over time, metal amalgam fillings can, in fact, soak up water, causing them to swell and break free from the tooth. When this happens, your tooth is more prone to tooth decay and tenderness.

Mercury/Silver fillings share some other important detractions that should be thought of when it’s time for you to swap your restorations:

• Silver fillings are less attractive than tooth-colored fillings. The bare truth is, they don’t look anything like real teeth.

• Amalgam grows and shrinks whenever subjected to hot and cold extremes inside your mouth. The constant expansion and contraction through temperature might set off cracks as well as fractures in your teeth. There may not be any kind of symptoms for a while, but these teeth can become very sensitive as the fracture expands or opens when you bite down or chew. It isn’t uncommon for patients to come in wondering the way they broke their own tooth while they had been eating something soft similar to a banana or slice of bread. What they don’t realize is that the tooth almost certainly had a fracture in it well before it ultimately came apart.

• Silver fillings that are under frequent chewing stress are prone to metal weakness or bending and flexing failure, a concept that may be grasped and confirmed by repeatedly bending a metal paperclip until it breaks.

• Metal fillings are harder and less flexible than the teeth they’re molded into. The longer they are in the teeth, the more pressure they will put on the remaining weakened outer surfaces of the tooth bringing about cracks and fractures.

• Metal fillings aren’t glued in the tooth cavity. They merely sit in the surrounding tooth and act under pressure to split the tooth apart, like a metal wedge can be used to split logs for firewood.

• A tiny space around the filling edge exists as soon as your silver filling is plugged into the tooth; and within this space, normal corrosion and leakage takes place. This unnoticeable space is big enough to permit bacteria and food particles to enter in over time and bring about tooth decay at the margin between the filling and the tooth. Composite fillings, however, are essentially bonded to the tooth preparation area and seal the margins closed from bacterial invasion.

• To be able to prepare a tooth for a composite filling, the tooth can be treated a great deal more gently and with less healthy tooth structure needing to be removed. And for that reason, the dentist can retain the maximum level of original tooth structure as is feasible.

• Silver fillings necessitate drilling undercuts (think carving out a pumpkin) as well as removing more substantial healthy portions from the tooth in order to keep the mercury amalgam repair from falling out because it is not attached straight to the tooth. These undercuts also can compromise the tooth as fillings get larger and doom that particular tooth to subsequent cracking at some point. These fractures may be significant leading to crowning the tooth to fix it and even major fractures bringing about extraction of the tooth.

• Composites, with their opportunity to be conservative and implementing their adhesive characteristics, could strengthen and guard against fracture. By simply intercepting the chance of cracking prior to experiencing the signs and symptoms of hot and cold sensitivity as well as biting discomfort, innovative conservative treatments like tooth-colored restorations or porcelain-bonded restorations are stopping the complications of toothaches and broken teeth.

• Finally, many dentists say that, bonded tooth-colored restoratives are considered safer than standard fillings, since they don’t include any mercury. Even though the American Dental Association (ADA) states the utilization of mercury in metal fillings is safe, there is certainly an ongoing discussion within the dental sector in regards to the side effects of these mercury amalgam fillings. Several of the European countries actually banned the utilization of mercury amalgam fillings in order to avoid any kind of hazards linked to mercury.

When reviewing the menu of negatives associated, and potentially associated, with mercury amalgam fillings, it becomes clear why patients are directing us to be PROACTIVE about replacement of mercury fillings rather than being REACTIVE and waiting until something goes wrong with the tooth.



Contact Us

  • Sophisticated Smiles
  • Mark Szierer, DMD
  • 85 Reaville Ave
  • Flemington, NJ 08822
  • Phone: (908) 806-4333
  • Fax: (908) 806-2024

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