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Amalgam Fillings: Should You Have Yours Removed?

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Should You Have Your Amalgam Fillings Removed?

Dental amalgam fillings have been used for over a century due to their durability and affordability. However, concerns about mercury exposure and cosmetic preferences have led many people to consider having their amalgams removed. This blog post explores the pros and cons of amalgam removal and whether it is the right choice for you.

What Are Amalgam Fillings?

Amalgam fillings are a combination of metals, including silver, tin, copper, and mercury. While these fillings are strong and long-lasting, the presence of mercury has sparked debate about their safety.

Reasons to Consider Amalgam Removal

  1. Cracked or Worn Fillings – Over time, amalgam fillings can deteriorate, crack, or leak, potentially leading to decay or further tooth damage.
  2. Allergic Reactions or Sensitivities – Some individuals may have sensitivities to the metals in amalgam fillings, causing irritation or discomfort.
  3. Cosmetic Concerns – Amalgam fillings have a noticeable dark color that some people prefer to replace with tooth-colored composite fillings.
  4. Concerns About Mercury Exposure – While regulatory bodies like the ADA and WHO consider amalgam fillings safe, some individuals prefer to eliminate any potential exposure to mercury.

Reasons to Keep Your Amalgam Fillings

  1. Durability and Longevity – Amalgam fillings last longer than many composite or ceramic fillings, especially in molars that endure heavy chewing forces.
  2. Risk of Tooth Damage During Removal – The process of removing an amalgam filling can sometimes result in unnecessary loss of healthy tooth structure.
  3. No Proven Health Risks – Leading health organizations state that dental amalgam is generally safe for most individuals, and mercury exposure is minimal.

Who Should Consider Removal?

  • Individuals with damaged or failing amalgam fillings.
  • Those who experience allergic reactions or sensitivities to metals in amalgam.
  • Pregnant individuals or those planning pregnancy who wish to minimize mercury exposure.
  • People with pre-existing medical conditions, such as kidney disease or neurological disorders, who are concerned about potential mercury exposure.

Safe Amalgam Removal Practices

If you decide to remove your amalgam fillings, it is essential to choose a dentist who follows the Safe Mercury Amalgam Removal Technique (SMART). This process includes:

  • Using a rubber dam to prevent ingestion of mercury particles.
  • High-speed suction and air filtration to minimize mercury vapor exposure.
  • Protective gear for both the patient and dentist.

Alternatives to Amalgam Fillings

If you remove your amalgam fillings, you have several replacement options:

  • Composite Resin – Tooth-colored and blends naturally with your teeth.
  • Ceramic (Porcelain) Fillings – Highly durable and aesthetically pleasing.
  • Gold Fillings – Long-lasting but expensive.

Schedule an Appointment at Hart Family Dentistry

The decision to remove amalgam fillings is personal and should be based on the condition of your fillings, your health concerns, and your dentist’s advice. If your fillings are intact and not causing problems, removal may not be necessary. However, if you have concerns or symptoms, our team at Hart Family Dentistry in Marietta, GA can help you make an informed choice.

Would you like to explore composite or ceramic alternatives for your fillings with Dr. Hart? Call us at 770.230.1167 or Book an Appointment Online!