Silver fillings have been used in dentistry since 1826. They consist of mercury, silver, copper, tin, and other trace metals. Together these metals mix to form an alloy which is commonly known as a silver filling. The use of mercury in the fillings has resulted in widespread safety concerns and a history full of controversy. Despite the bad reputation, silver fillings continue to be placed because of the high survival rate, low cost, and the relative ease with which the filling can be provided compared to more expensive alternatives.
In addition to health and safety concerns from mercury, silver fillings fail to adequately restore the natural properties and strength of teeth. As a result, teeth with silver fillings face damaging long-term complications such as fractures, cracks, and root canals. Many of these old fillings are treated with crowns which could be avoided with a more natural, biomimetic treatment approach.
Biomimetic dentistry includes conservative white fillings or ceramic restorations that mimic the properties of natural teeth and protect teeth from long-term complications.
This article will cover the following:
- The problems with silver fillings
- Replacement options and treatment recommendations for silver fillings
- The benefits of Biomimetic Dentistry for silver tooth replacement
THE PROBLEM WITH SILVER FILLINGS
Silver fillings have serious health and safety concerns, contain toxic mercury, and fail to adequately mimic the properties and structure of natural teeth. Teeth restored with silver fillings do not regain normal strength and function, leading to problems and complications which could have been prevented. Metal and silver fillings are NOT ideal replacements for natural tooth structure.
Silver Fillings Release Mercury
The fact is that mercury vapor is released from silver fillings, and scientists agree that mercury absorbed in high enough doses will cause health problems.
The published science indicates the amount of mercury released from silver fillings is below the FDA accepted daily intake of .4 micrograms per kilogram of body weight. The World Health Organization states that: “No controlled studies have been published demonstrating systemic adverse effects from amalgam restorations [silver fillings].” In turn, the American Dental Association supports the use of dental amalgam as a safe, affordable, and durable material. The FDA concludes “that there is insufficient evidence to support an association between exposure to mercury from dental amalgams and adverse health effects in humans.”
In my opinion, it is nearly impossible to predict how much mercury exposure from silver fillings is “safe”, but it is common sense that minimizing or eliminating this exposure is ideal. Mercury is extremely toxic and should be avoided as much as possible. There is strong evidence supporting the use of alternative mercury-free treatment options that can perform better and restore teeth more naturally. These alternative options include white fillings and ceramic restorations which are similar to natural tooth structure and eliminate unnecessary exposure to mercury.
Silver Fillings Are Economical Far From Ideal
Silver fillings have been used since 1826, but they do not meet any of the ideal properties for filling materials. They have been popular because they can be placed relatively quickly and they are usually cheaper to provide. However, the treatment cost can be misleading because complications from silver fillings often end up costing significantly more long-term than restoring teeth with a biomimetic approach. Fortunately, advancements in dental materials and techniques have completely eliminated the need for silver fillings.
Ideal Properties for Filling Materials:
- Non-toxic
- Biocompatible
- Possible to form a strong seal to prevent leakage, cavities, and decay
- Mimics natural tooth structure (Enamel, Dentin, DEJ)
- Restores the strength and function of the tooth back to normal
Structural Integrity of Teeth Restored with Silver Fillings
Silver fillings are extremely stiff and they do not reconnect the tooth back together because there is no adhesion between the silver filling and your tooth. As a result, teeth restored with silver fillings are much weaker than intact teeth and experience more complications including fractues and cracks. Also, the placement of silver fillings requires shaving and removal of healthy portions of teeth as part of the technique requirements, leading to further weakening of the remaining tooth. Teeth with silver fillings experience complications including cracks, sensitivity, pain, gaps around the margins/edges, cavities, root canals, fractures and a higher chance of extraction.
Silver Teeth Needing Replacement
Silver fillings cause teeth to develop cracks
REPLACING SILVER FILLINGS – TREATMENT OPTIONS
The ideal silver tooth replacement option depends on the size of the existing silver filling and the amount of healthy remaining tooth structure. Healthy tooth structure includes portions of teeth that are free from cavity, cracks, and fractures.
The goal when replacing silver fillings is to restore the structure and strength of the tooth with more natural materials and provide a long-term seal to resist complications (leakage, cavities, cracks, root canals, etc). Dentistry is technique sensitive and operator dependent. This means the success rate of any procedure will be primarily dependent on the dentist providing the treatment. It’s very important to understand that dental restorations are not “products” which are similar in performance and quality, but rather “services” which are completely dependent on the dentist providing the treatment. Some of the common silver tooth replacement options are summarized below.
Silver tooth replacement options include:
- White filling (also known as composite filling)
- Ceramic inlay or Ceramic onlay
- Crown (usually the last resort)
Changing Silver Fillings to White Fillings
When an existing silver filling is small, and there is a large amount of healthy remaining tooth structure (no cavity, crack, fracture), then a white filling will be the best treatment option. White fillings, also known as composite fillings, come in many varieties with different properties. Ideally, the filling material used will have properties that are similar to tooth structure. Unfortunately, many white fillings are no better than silver fillings because they are completed quickly with poor technique, such as placing the entire filling in one large increment. With the best approach, placement takes significantly longer and the filling is placed in numerous increments to gradually restore the tooth and provide maximum adhesion.
Do NOT Replace Your Old Silver Fillings With Crowns
Some silver teeth need more than a white filling to adequately restore the structural integrity of the tooth. This is usually the case when the silver filling is large and the tooth is structurally compromised. In these cases, treatment options include ceramic inlays, onlays, or crowns. Usually, a crown is avoidable when replacing silver fillings with a biomimetic approach unless all surfaces of the tooth have been affected/damaged. This is very important because a crown involves removing (shaving or drilling) substantial amounts of healthy tooth structure which increases the chance of complications and increases the risk of root canals. In contrast, biomimetic ceramic inlays and onlays restore the strength and function of these teeth while conserving significantly more tooth structure. This minimizes damaging complications and maximizes long term success compared to crowns.
SILVER TOOTH REPLACEMENT WITH A BIOMIMETIC DENTIST
Biomimetic means to “mimic” or imitate “nature”. Biomimetic dentistry is the practice of dentistry dedicated to restoring the structure, strength, and function of teeth back to that of natural intact teeth (i.e. normal). Biomimetic dentistry uses materials, protocols, and techniques which are scientifically proven to restore the properties of natural teeth. Biomimetic dentistry can be provided for any type of restoration, from fillings to implants and crowns but the goal is to select the least invasive and optimal technique to restore the tooth. The goal is to restore the strength, function, and longevity of healthy natural teeth. All biomimetic restorations are significantly different from standard fillings, inlays, onlays, and crowns. This is a very important distinction because white fillings, ceramic inlays, and ceramic onlays are usually NOT provided with the biomimetic approach by most providers.
Biomimetic restorations provide the best long-term performance and protection of teeth and minimize the risk of complications. It is the specific materials, provider, and technique that makes the restoration biomimetic.
Normal White Filling VS Biomimetic Composite Filling
Some white fillings are no better than silver fillings because they fail to restore the integrity of the treated tooth. White fillings rely on adhesion to seal the interface between the tooth and filling. Many white fillings have little to no adhesion due to the materials and application technique used. This makes them extremely susceptible to leakage and cavities. When a white filling is placed, a curing light is used to make the filling turn solid and during this transition, the filling material shrinks in volume (size). If this shrinkage is not controlled, there will be sensitivity, large gaps, and leakage which makes these white fillings likely to fail due to cavities or other complications. The lowest quality and simplest type of filling is when the entire cavity is filled in one large increment (known as a bulk-fill filling). Bulk-fill white fillings are popular with insurance provider dentists because the contracted fees make it cost-prohibitive to provide better biomimetic fillings.
Biomimetic fillings take more time because they are placed in small increments or layers to build the tooth back up gradually and compensate for the shrinkage. With this approach, the adhesion to tooth structure can approach the same strength that teeth layers are naturally joined together at the dentin-enamel junction (DEJ). The ability to mimic the adhesive strength of the DEJ allows for incredible treatment possibilities that minimize tooth shaving and drilling. As a result, Biomimetic composite fillings have significantly fewer major complications and have the best long-term performance.
Examples of Normal White Fillings VS Biomimetic Fillings
Advantages of Biomimetic Composite Fillings:
- Natural appearance – can blend seamlessly with the natural tooth.
- Strongly sealed margins- less plaque accumulation and opportunity for leakage and cavities.
- Conservative- only the damaged portions of the tooth are removed while healthy portions can be entirely preserved.
- Easily repaired- any chips can easily be repaired without replacing the entire restorations.
- Restores the strength and function of the tooth to normal levels, preventing cracks and fractures
Biomimetic Composite Filling (center tooth)- By Dr. Matt Nejad
Expertise in Biomimetic Dentistry
I have been practicing and teaching biomimetic dentistry since 2010. Since then, I have helped thousands of patients with biomimetic dentistry and educated thousands of dentists on the techniques and science of the biomimetic approach. My practice welcomes patients from around the world who are seeking the highest quality biomimetic dentistry available.
Silver Filling Frequently Asked Questions
Can I change my silver fillings to white?
Yes, silver fillings can be replaced with white fillings but other options such as inlays and onlays may be more suitable when the filling is large. The ideal restoration depends on the clinical condition of your tooth, with the goal being to conservatively restore the strength of your tooth and provide a more natural material that does not contain mercury.
How much does it cost to replace silver fillings for white?
The cost for white fillings varies greatly because there is no “standard” for the quality of the white filling. A filling is not a product, but rather a service, and the cost is largely dependent on the quality of the restoration and the expertise of the dentist. A small white filling can be performed very quickly with low quality and cost as low as $50. This type of white filling is most common in HMO or PPO insurance offices where the fee is set by insurance companies. In this setting, the time spent on the filling and quality of the restoration is compromised to make the treatment possible. On the other hand, a large white filling can cost as high as $1500 when it is provided with optimal quality and this type of filling takes significantly longer (1-2 hours) to make.
For more information regarding silver fillings please visit: http://www.ada.org/1741.aspx
Elena says
I talked to my dentist about replacing my silver fillings with composite and she urged that it’s not worth bothering the (somewhat deep) fillings. Is there any way to just cover the silver with composite? I just hate the way they look. Thank you!
Dr. Matt Nejad says
Hi Elena- Covering them would not be a good solution at all. I don’t agree that it is not worth bothering, its your choice and there are some major benefits and very little risk IF its done properly. There is always some risk but when its done well, the risk is easily outweighed by long-term benefits. Unfortunately, if the procedure is not done well, then it can lead to many complications but this is a result of the provider, and the technique. Best- MN
Rosa says
Dear Dr. Nejad,
My question is when a tooth ( molar ones ) with an amalgam filling has a cavity, would it be common to fix just part of the impaired tooth with white material and left the other part intact? In another word, having both amalgam and white material filling in one tooth is a common practice?
Thank you
Dr. Matt Nejad says
Hi Rosa- you are referring to a repair. It’s not uncommon but it’s definitely not optimal most of the time unless the rest of the restoration is in prime condition. I personally would prefer to replace the restorations and provide a more comprehensive solution. All the Best- Matt Nejad DDS.
Jay says
I just replaced amalgam fillings with composit but the tooth still looks grayish/silver, why is that?
Dr. Matt Nejad says
A couple common reasons: 1) the silver filling stained the tooth 2) Some silver was left behind. Whitening can help but it depends on the specific condition of the tooth and where the darkness is coming from.
Gerty Gift says
I thought it was interesting that you mentioned that the composite restorations have less of a chance to decay because it’s more bonded with the tooth. I have a lot of metal fillings, but I have been thinking about getting them switched to this. I think that, for now, I will take extra care of my teeth so nothing drastic has to be done and get the composite fillings if I need anything new done.
Dr. Matt Nejad says
Hi Gerty. I just wanted to clarify that this is only true when the composite restoration is well done. Unfortunately, this is not often the case. Composite restorations need to be done with good isolation, good technique, and with the right adhesives and materials. Lots of shortcuts can be taken to speed up the restoration, but they all result in poor bonding and complications.
Kenia says
I got 3 amalgam fillings 3-4 days ago and I was chewing gum today and tiny pieces of the amalgam came out and now i am having a little bit of sensitivity. What should I do?
Dr. Matt Nejad says
Hi Kenia. You should either go back to that dentist or see another dentist to see what is going on. Hope everything works out!
Naima says
Hi,
Came Across this article and comments and thought I’d share my experience as well – I hope you can help. I got 3 Silver Fillings today (Insurance decided they’d only cover those) and I am having this strange burning sensation on my tongue. Its been roughly 4hours now and my tongue feels like its burning and itching a bit. Could I be allergic to the fillings because of the mercury? I have another 3-4 filling to do in the back next week and I am freaking out a bit. HELP!
Jessica says
My dentist will not replace my old silver fillings with white fillings because there is
No cavity. I am ready to get the silver out of my mouth, what should I do?
Dr. Matt Nejad says
Find another dentist.
Flemming says
About 8-10 years ago my dentist replaced some of my then 20+ year old fillings with new amalgam fillings. I don’t remember the reason for the replacement – I trust my dentist did a good job and for a good reason, but certainly it resulted in larger amalgam fillings. I am considering replacing my amalgam fillings but I am a little concerned that replacing my fillings will enlarge the fillings further. You say that composite fillings only replace the damaged portion of the teeth – is that also the situation when you replace old amalgam fillings or should the teeth be prepared further or differently for the composite?
Dr. Matt Nejad says
If absolutely nothing was wrong with the teeth, and it was done conservatively. There would be negligible additional tooth removal (say 1-2%). However, if there are problems such as cavities, or cracks, then additional removal would be necessary. Also, for larger amalgams, an inlay or onlay may be a better option depending on the clinical presentation.
Ravynne says
I just had 2 amalgams replaced with composites yesterday, in the upper right back molars (#2 & #3). Upon inspection at home after the procedure, it looks like there is still some silver filling in #3 on the bite surface. It doesn’t look like a stain as it is shiny and silver. Is it possible that my dentist left behind some of the amalgam when he did the replacement?
Dr. Matt Nejad says
Hi Ravynne- It is possible, I have seen it before. It might also be staining of the remaining tooth structure, and its pretty impossible to narrow it down without seeing it. Hope that helps. Best- Matt Nejad DDS
Kay says
I just got an amalgam filling today. My doctor made a mistake. It was supposed to be a composite filling. What should I do? I am very displeased at the appearance of the amalgam filling.
Dr. Matt Nejad says
Hi Kay. I would do whatever makes you comfortable. If you don’t want the silver filling, let your dentist know or go somewhere else. If it doesn’t bother you, leave it alone. A good composite is better than a good amalgam in my opinion, but some people might disagree on that. There is a risk everytime a filling is removed, so some people would recommend not touching it. I myself, in my own mouth, would change it with very good dentistry.
Andy says
I had a dental hygienist state that the “blackish line are” between my old large silver fillings and teeth is decay. Does that make sense? I though silver can stain things near it? The hygienist thinks the fillings need to be taken out and the teeth crowned. I have no pain, or sensitivity in these old silver fillings. Thank you in advance.
Dr. Matt Nejad says
It can really be either one. I can’t tell without seeing it. I would say to get a second opinion anytime you don’t trust the recommendations you are receiving.
Andy says
Hello Doctor. I am some large silver feelings that are maybe 20 to 40 years old, depending on the filling. They do not bother me at all and are not food, or temperature sensitive. If some of these fillings have a blackish line” area between the silver filling and the tooth, is this “black line area” a sign of tooth decay? A dental hygienist told me the black area is a sign of decay, but the fillings look fine otherwise, no cracks or decay noticeable. is the black really a sign of decay with silver fillings? They claimed the fillings should be removed and the tooth crowned? Thank you for your thoughts.
Cain says
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Heather Foley says
I had one of my baby teeth updated with the new white composite and the silver filling removed since I chose to and later found out it was leaking. Now my tooth is a grayish color on the tooth itself and in the back. Is this common? My dentist said the last time I was in that we will have to pay close attention to that particular tooth. I don’t have pain but I feel like the tooth is weak like it gets tired from eating. Does that make sense?
Dr. Matt Nejad says
Dear Heather,
It is impossible to evaluate this without seeing it. It is not uncommon for a silver filling to impart a grayish hue on the tooth which does not necessarily mean anything besides stain. If it is a baby tooth, there is a lot of possible things that could cause it to be weak: the roots could be resorbed, it could have a crack, it could be slightly loose, etc. I would just talk to your dentist and tell him about your symptoms and go from there. I hope everything works out.
Best,
Matt Nejad
jessica says
hey, doctor! I’m currently thinking about replacing my silver fillings to color fillings. Recently one of my tooth that has a silver filling is getting discolored. could this be a possibility of recurrent decay? i feel no pain.
Dr. Kyle Stanley says
Hello Jessica,
Yes, staining around silver fillings could be anything from simple staining or recurrent decay. Because these metal fillings don’t actually bond to the tooth like a biomimetic restoration does, there is always a gap for bacteria and stain to enter. On smaller metal fillings that have no staining or cracks around the restoration, we usually ignore these and only monitor them over time to make sure everything is ok. However, if the metal filling shows staining, cracks, chips, or the patient has pain, we always chose to remove the metal filling under a very specific protocol utilizing rubber dam and high volume suction. We can then replace these with biomimetic stress-reduced fillings or inlays and onlays that look and function like natural teeth. Thank you for your question and I hope this helps!
Dr. Kyle Stanley
Dr. Matt Nejad says
Dear Jessica,
It could be corrosion, cavity, or just marginal breakdown as Dr. Stanley mentioned. Please keep in mind that replacing the fillings does not guarantee improvement in this regard. It is not the filling itself, but how well it is done and how it is done that helps address issues like this. I would have it evaluated and maybe even get a second opinion if you are unsure because sometimes the best thing is to leave a restoration alone if there is no major problem.
Dr. Matt Nejad
Karen de la Mar says
Is there any way to bleach the stain before putting in the new composite filling?? I have two teeth next to front teeth that need the composite redone and I would like the stain from the old mercury filling to not show!
Dr. Matt Nejad says
Its possible, though it depends on the location of the filling and the stain. I have done similar to that before though.
anne says
I am getting my mercury fillings removed soon due to some health issues and my dentist has given me the option of replacing with composite or ceramic. The ceramics are much more expensive but he says composite leaks a BPA derivative and the ceramics are guaranteed for life and made of safer ingredients. I am trying to find a second opinion on this! Thanks so much
mike says
Just switched to a new dentist because of insurance reasons. I have 7 silver fillings from when i got them put in between the ages of 15-30. I’m 36 right now and the new dentist recommended to switch to composite as it will bond better to the tooth and it won’t decay like the silver fillings and less likely to needing a crown in the future. He didn’t say anything was wrong with my current silver fillings. I’m trying to find some answers online to figure out what to do, what should i do?
Dr. Kyle Stanley says
Hey Mike, if the silver fillings are ok and intact and none of the tooth structure around it is in jeopardy, we would probably recommend just keeping an eye on it. Larger silver fillings, however, should usually be changed as the teeth around them can fracture since the tooth structure isn’t supported well. In these cases, a porcelain inlay or onlay is the treatment of choice to keep it minimally invasive and get a great bond. If any of the fillings have recurrent decay around them or are fractured then we would definitely change them out for well done composite fillings or bonded porcelain restorations.
Trahul says
I got amalgam filling 15 days ago now on three molar .. Now I wanted to change it because of excess of Mercury in it. I wanted to change it … So should I go for change it with composite ..will it save..????
Dr. Kyle Stanley says
Hello Trahul, it is hard to say if you should change it or not without seeing the restoration. Often times, on old amalgam fillings there are cracks in the surrounding tooth or recurrent decay in which case these should be changed. However, if the filling is pretty small with no problems, we would probably leave it. If it is a large filling, doing a large composite filling isn’t a great idea and it should be evaluated for an inlay or onlay made of porcelain. Good luck and thanks for the question.
Hanan says
After removing my silver fillings and getting the tooth colored ones, my tooth is very sensitive. will it go away? i bit into a cracker and it hurt so badly. i had the fillings replaced about 6 hours ago.
Dr. Matt Nejad says
Hi Hanan,
Usually, that is not a good sign. A number of different things could be going on, but it is not normal for the tooth to be sensitive, especially when biting into something. I would have this evaluated as soon as possible. I hope it works out well! Best- Matt Nejad
Carla Kennedy says
Hi
I have loads of mercury fillings. I’ve just starting getting a bit of a sensation in a huge mercury filling, NOT pain just my tongue touching the side of the tooth it feels strange.
My new Dr says the mercury is leaking and wants to replace it, but can only do so with a crown as the the filling is so big.
He says there’s two teeth leaking, which is hard to accept with having no pain. I don’t want dental work done for no reason, it can cause problems.
Also I’m worried I’ve read there is toxic fumes when removing the old filling.
Hope you can advice
Gabe says
Hi, I don’t see it mentioned, but do you have any comments about the risks of mercury exposure during the process of removing amalgam fillings? I have read that removal has a high risk of significant mercury exposure, and that strict precautions must be taken to minimize exposure to patient and staff.
Dr. Matt Nejad says
Hi Gabe- great question. There is definitely a process that can be used to minimize exposure and we are actually about ready to publish another blog article on this exact subject! Please stay tuned!
Jay says
Hi
I have had a silver filling placed into my tooth about 2 years ago the filling isn’t particularly large but I get a funny sensation from it from time to time. I have had an X Ray and been to many dentists snd all of them have said there’s nothing wrong with it but I am confused as I get a metal Taste in my mouth . Please advise one dentist the NHS one said he could replace it and Treat it but they have all said they couldn’t find any evidence of decay ? Please help me!!! I feel like I’m going mad!!
Dr. Matt Nejad says
Hey Jay- I am really sorry to hear about your predicament. The thing is, you might not have a cavity but there are other things that can cause a tooth to have symptoms including cracks, bad bite, clenching, periodontal disease, or even a leaky restoration/bad seal. From what you are describing, I would wonder if there is an un-diagnosed crack that isn’t visible under the restoration or perhaps the sensation arises from saliva being under the restoration and applying pressure to the dentinal tubules. The point is, its not always easy to diagnose but sometimes the restoration just needs to be removed and the situation re-evaluated. I hope you can find someone to take care of this well for you. We are always here, just on the other side of the pond if you want to come out here =). Wish you all the best my friend.
liz says
I got my composite filling about 5 years ago and there is a huge swoop dent thing in the center of my molar. Do i need to get it replace?
Dr. Matt Nejad says
Hi Liz! I would recommend getting that checked out by your dentist. Without seeing the restoration you’re referring to, it is impossible to say whether or not it needs to be replaced, but it does sound like it needs to be checked out for sure. It might be chipped or have a void in it. I hope this helps!
Sue Dot says
I have some amalgam fillings from the early 1980s. Though they don’t look at all nice when I smile, they are still functional and there is no pain or discomfort with them. Did consider having a couple of crowns fitted to replace some of the larger fillings which are more noticeable nearer the front of my mouth. These show through the teeth and look awful. Implants would be ideal, but costly; or I could go the whole hog and have a good set of injection moulded dentures fitted for £1,000. I would really love to have beautiful teeth for just once in my life.
Dr. Matt Nejad says
Hi Sue, I can definitely relate to what you are saying, but please please please don’t resort to dentures if you can avoid it. The quality of life is not comparable! If you have no symptoms such as pain or sensitivity, just monitor these fillings and replace them as needed. The mercury in these fillings is a cause for concern for some and not for others. Currently, there is no research that indicates that this mercury exposure can cause systemic adverse systemic effects but it somewhat a controversy among providers. My opinion is that any silver filling with defects such as chips, cracks, cavities, symptoms, etc should be replaced. I think if you can find a good provider near you, you can start replacing them as needed one by one and maintain these teeth for years and years. Try to find a really good Biomimetic dentist you can work with. There is no reason you would absolutely have to have them all replaced at once. If it helps you to do it little by little, then this would be a great solution. Give us a call if you would consider coming to our office.
John says
“Currently, there is no research that indicates that this mercury exposure can cause systemic adverse systemic effects but it somewhat a controversy among providers”
What an absolute load of lies. I am shocked this guy said that! There are thousands of sources of information which clearly show toxicity from mercury exposure due to amalgam fillings.
Dr. Matt Nejad says
Hi John,- I have nothing to lie about and I was sharing a quote from the World Health Organization. I have also researched this myself and I still don’t see anything that shows CAUSE. I don’t use Amalgam and I have never placed one. I do think that it’s common sense that we should not do anything to increase the levels of mercury we are exposed to, however there is no research to show that the level of mercury from silver amalgam fillings actually CAUSES systemic adverse effects. It is very difficult to prove causation and all the research you are referring to shows association or correlation. There is numerous studies that show that mercury fillings cause increases in the level of mercury in blood, tissues, urine, etc but none of it proves causation of systemic adverse effects. If you find one article on pubmed that proves causation please let me know and I will update the blog article, but in the meanwhile the emphasis of this blog is on facts. Fact is Amalgam does raise your levels of mercury and if you are concerned about that, you have the right and the ability to have it removed and I would agree that it is better to have no extra mercury exposure. Best- Matt Nejad
Laura Coolack says
I had no problems with my silver fillings. My dentist in NJ never said anything about ever needing to replace them for any reason. Some of them have been in my teeth for forty years.
I moved to Washington and had to get a new dentist. I made an appointment for an annual cleaning and check with a dentist in my insurance plan. I left the appointment with them telling me I needed nine fillings replaced. They said it was to prevent cracking and decaying which.
After having six fillings replaced two visits later, I am so sorry I was talked into doing it. Where I once had no problems with my teeth, they are now sensitive and sore. They actually replaced one filling twice and are now telling me I probably need a root canal in that tooth! I feel like my whole mouth is messed up from doing this.
I feel coating from the fillings on the sides of my teeth. I’m wondering if this is going to cause decay?
While I will not be going back to this dental practice, I feel damage is done and am skeptical of trusting any dentist at this point.
I take care of my teeth and am very upset over this.
If it’s not broke, do not fix it!!!!!!
Laura Coolack
Dr. Matt Nejad says
Difficult to comment on the work without seeing it but I am sorry you are having problems. That is never the goal and really shouldn’t be happening. I definitely agree that less is more. We never replace restorations that look intact and functional.
Sometimes there are problems with silver fillings causing cracks, recurrent decay, etc that may not currently be causing pain. So it is important to distinguish between a silver filling that has problems vs a silver filling that has no pain symptoms. Cracks and recurrent decay are problems and should be taken care of before the problem becomes larger such as fracture, larger decay or even root canal. This would not be called preventative treatment.
It sounds like you had silver fillings replaced to prevent cracks and decay, but that is not to say you already had cracks and decay. In my opinion, that would be excessive treatment if there was no problems with the silver fillings.
Again really sorry to hear about your experience with your dentist. Let us know if we can do anything.
Nadia Vicente says
I have SEVERAL amalgam fillings that were plac d in my mouth 14-15 years ago (most of which replacing composite fillings that I’d had since childhood), a year later, I was diagnosed with MS. Since then, I have had significant health issues that have all been blamed on MS. The symptoms and timing all coincidence with Mercury Toxicity. I’d like to remove all of the Mercury from my body; it is poison! Can you help me?
Mary Farmer says
I feel exactly the same as Laura Coolack, your experience you posted above. My teeth are in so much pain and its only been two weeks and I hurt more than I did the day after. At first I thought it was just my nerves in my teeth from the shock of being drilled and the removal of the silver fillings. But its more difficult to even sleep not to mention I can’t even chew food on the left side of my mouth. I feel like my teeth are so messed up that there is no hope of them ever feeling normal again, and even worse I’m afraid to even go back to my dentist as I’m afraid he will do something awful to me if i say anything negative about his work on the white composite fillings he did. I think I’m just going to have to live this way forever 🙁
Dr. Matt Nejad says
Hi Mary! My heart goes out to you. I am very sorry you had this experience and it’s definitely not how it should be. This is not something that happens in my practice. There are so many reasons why this could be happening but please please please go to a dentist that you can trust. You need someone to help you get this under control. Please look for someone. I highly recommend a biomimetic dentist. I am in the process of adding all the dentists I have trained so the list is growing but take a look at: http://www.biomimeticdentistryce.com/trained-dentists/ . There should be another 10-20 dentists going up over the next few months. I am wishing you relief and peace and hope that you will not endure pain any longer.