Tag Archives: silver fillings

Should I replace silver fillings even if they are fine?

We just moved to a new town and I had my first checkup with a new dentist. I have some older silver fillings in my mouth and this new dentist was talking to me about replacing all of them with white fillings. They have never bothered me, but now I’ve been researching and wondering if I should do it. What do you think?

Allie, Charlottesville

Dear Allie,

There are situations when dentists recommend replacing silver or mercury fillings.

When should you replace silver or mercury fillings?

If the fillings start to leak, bacteria can get under them and lead to tooth decay. Sometimes those fillings will corrode. Sometimes they deteriorate or crack and have to be replaced. If your fillings are falling into one of these categories and there is something wrong with them, it may be worth considering.  Especially if your filling is leaking, that needs to be replaced.

It’s not cheap to replace your silver fillings with white fillings, though. If you are interested in replacing your old fillings because you like the look of it, that’s your choice to spend the money on them. If there is nothing wrong with your current fillings, though, it just comes down to what you prefer.

Most dentists, especially seeing a patient for the first time, will mention silver fillings, and the option to fill them with white amalgam. It let’s the patient know that option is available. That doesn’t necessarily mean it is necessary.

If your dentist spoke to you about your fillings because there is a problem, you could speak to the dentist about having just that one tooth fixed, or if you want to pay for all of them to be white, that’s your choice. There’s no rush to fix all of them.

This post is sponsored by Vista Dorada Dental in Gilbert, AZ.

 

Rash from filling

I had a silver filling put on one of my back teeth. I’ve since developed a rash on the outside of my face right about the same place as the filling. I just learned that silver fillings are loaded with mercury. Could that be why I’ve got the rash?

I’m worried now.

Karen A. from Rockport

Karen,

Generally people who have allergic reactions to fillings will have them inside their mouth, not on the outside of their face. It is possible that you had an allergic reaction to the latex in  your dentist’s gloves. I’ve never heard of a filling affecting the outside of your mouth though.

If the mercury in the silver/amalgam fillings worries you, you can always have your dentist replace them with composite fillings. If he doesn’t place those, you can just do an internet search for a mercury free dentist. Composite fillings do take some extra training, so not all dentists are ready to place them.

I hope this eases your mind.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

How to tell if you need crowns

My dentist wants to replace my silver fillings in #3,4,5 with crowns. How can I tell if that is necessary?

Madeline J. from Wisconsin.

Madeline,

In dental school we are taught a few guidelines that can make a dental crown desirable.  Two of the main ones are: 1. The width of the filling: Once a filling gets to to a certain width it weakens the tooth and makes it prone to fracture. 2. There may be fracture lines showing.  Amalgam (silver) fillings tend to weaken a tooth.

Other than this it is really a judgment call on the part of your dentist. That is why it is so important to have a dentist you feel you can trust. Most dentists are trustworthy, but there are a few out there that use pressure sales tactics or try to rush you into a treatment option. If you’re feeling uncomfortable with the decision you can get a second opinion. Just make sure the second dentist doesn’t know who the first dentist is or what treatment recommendation you were giving. It is always best to get a blind second opinion.

You may also be interested in a Mercury-free dentist.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.