Dental Amalgam
Dental amalgam is a filling material that has been used by dentists for over 150 years. A mixture of metals that typically includes silver and copper, dental amalgam fillings (commonly referred to as “silver fillings”) also contain mercury, which has raised safety concerns among patients from time to time.
In response to those concerns, the U.S. Food and Drug Administration (FDA), American Dental Association (ADA) and other organizations have conducted numerous studies over several decades and have repeatedly found that the small amount of mercury released during placement and removal of amalgam fillings does not cause adverse health effects.
Amalgam fillings remain a safe, cost-effective and durable choice when it comes to the restoration of decayed teeth.
Frequently Asked Questions about Amalgam Fillings
Why is amalgam still used to fill teeth when composite materials are available?
While composite (or “tooth colored”) fillings are more durable than ever thanks to advancements in technology, there are still a few cases where amalgam fillings may perform better. Mercury is an important part of the amalgam mixture as it contains unique elements that allow it to be manipulated with ease during placement and then harden quickly after.
Although, in general, we prefer composite restorations, we also have amalgam and other restorative materials like Glass Ionomers.
We don’t recommend replacing amalgam restorations unless they are defective. If we suspect or see decay or cracks on the restoration or the tooth, we will let you know, and replacement will probably be recommended. If you would like to replace your silver fillings because you prefer not to have amalgam in your mouth, please let us know and we will replace those.
What concerns are there with mercury and its effects on the body?
Mercury is a naturally occurring metal and one that we are exposed to in small amounts through water, air and food throughout our lives. Excessive exposure to mercury can negatively affect the brain and kidneys – however, it is important to understand that amalgam fillings do not cause dangerous levels of mercury exposure. Numerous scientific studies and thoughtful research have led the FDA to stand behind its position: amalgam fillings are a safe for patients over 6 years of age.
What is the ADA’s position regarding the use of silver amalgam fillings?
A thorough summary of evidence ranging from 2004-2010 led the ADA to reaffirm its position that amalgam is safe for patients.
When is it appropriate to use composite fillings?
Composite fillings are typically made of a resin and glass mixture, tinted to the color of your tooth, and commonly referred to as “white” or “tooth-colored” fillings. Composite materials continue to benefit from technological advancements, contributing to enhanced durability. The ADA supports composite materials and acknowledges that they are a good choice for a more natural-looking filling.
The bottom line?
The ADA Council on Scientific Affairs has concluded that both amalgam and composite materials are considered safe and effective for tooth restoration.
If you still have concerns about amalgam fillings, please don’t hesitate to call our office! It is important to us that you fully understand all available options when it comes to your oral health.