Why Our Office Decided On Dental Care Without Amalgam

Through advanced technologies of dental adhesion, state-of-the-art ceramics and resins, the latest bonded restorations will be close to rivaling nature in strength, wear, functionality and look. With these new materials, it is possible to bond your teeth together again, practically restoring them to their original toughness minus the invasiveness of full-coverage crowns. Normally, metal fillings may be replaced with methods that are a better solution to mercury/silver amalgam fillings. It is, therefore, possible to maintain the healthy, leftover tooth structure, instead of grinding it away to prep for a crown.

Almost everything wears out, and your silver fillings will not be any exception. They withstand stressful and heavy biting forces every day, and as they get older, they crack, leak and may also result in damaging fractures in the teeth. With time, metal amalgam fillings have the ability to soak up water, causing them to swell and even break free from the tooth. When this happens, your tooth is more prone to tooth decay and sensitivity.


Mercury/Silver fillings have some other noted drawbacks that ought to be considered if it’s time to replace your restorations:

• Silver fillings are much less attractive than tooth-colored fillings. The bare truth is, they’re about as beautiful as large hunks of broccoli lodged in your smile.

• Amalgam grows and shrinks when subjected to cold and hot extremes inside your mouth. The frequent growth and shrinkage with temperature might initiate cracks as well as fractures in your teeth. There might not be any kind of symptoms for a while, but these teeth may become hypersensitive as the crack expands or opens whenever you bite down or chew. It is not unusual for patients to come in curious about the way they broke their own tooth when they were eating something soft such as a banana or slice of bread. What they don’t know is that the tooth probably had a crack in it well before it ultimately came apart.

• Silver fillings under frequent chewing stress are at risk of metal fatigue or bending and flexing failure, a concept which can be grasped and demonstrated by repeatedly bending a paperclip until it breaks.

• Metal fillings are much harder and less flexible compared to the teeth they’re plugged into. The more time they may be in the teeth, the more force they place on the remaining weak surfaces of the tooth bringing about cracks and fractures.

• Metal fillings are not glued into the tooth cavity. They merely sit in the surrounding tooth and react under pressure to wedge the tooth apart, just like a metal wedge is used to split logs into firewood.

• A tiny space around the filling edge exists as soon as the silver filling is plugged into the tooth; and within this space, continuous corrosion and leakage takes place. This space is big enough to allow for bacteria and food particles to seep in over time and bring about tooth decay at the joint between the filling and the tooth. Composite fillings, however, are essentially glued to the tooth preparation area and seal the margins closed from invading bacteria.

• To be able to prepare a tooth for a composite filling, the actual tooth can be treated a lot more gently and with less healthy tooth structure needing to be removed. And thus, the dentist can maintain the highest amount of virgin tooth structure as is feasible.

• Silver fillings require drilling undercuts (think carving out a pumpkin) as well as taking away more substantial good parts out from the tooth so as to keep the mercury amalgam repair from falling out given it is not bonded directly to the tooth. Those undercuts also can weaken the tooth as fillings get more substantial and doom that particular tooth to subsequent cracking later on. These fractures can be significant leading to crowning the tooth to repair it or even major fractures bringing about removal of the tooth.

• Composites, utilizing their chance to be conservative and applying their gluelike attributes, may reinforce and protect against fracture. By blocking the potential for fracture prior to going through the symptoms of hot and cold sensitivity and also biting pain, new conservative treatment options like tooth-colored restorations or porcelain-bonded restorations are actually reducing the side effects of toothaches and broken teeth.

• Finally, many dentists say that, bonded tooth-colored restoratives are likely to be safer compared to traditional fillings, since they don’t contain any mercury. While the American Dental Association (ADA) claims the use of mercury in metal fillings is safe, there is an ongoing discussion inside the dental industry in regards to the unwanted effects of these mercury amalgam fillings. In Europe, several countries actually banned the use of mercury amalgam fillings in order to avoid any kind of risks linked to mercury.

Considering the laundry list of negative effects associated, and potentially associated, with mercury amalgam fillings, it’s no wonder that patients are telling our practice to be PROACTIVE about extraction 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

Follow Us

Request A Consult

Members of

aacd aaid cc ua