When should you replace amalgam fillings?

Fallbrook dentist
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Today, many adults have spent time in the dentist’s chair getting fillings to address cavities, which often result in a breakdown of the enamel on your teeth’s surface. There are different types of fillings that have been offered by your Fallbrook dentist throughout the years, including amalgam fillings. These fillings are made of a mixture of metals, including liquid mercury and a powdered alloy.

For years, these fillings were deemed safe for use, although groups have called for a filling material without mercury since the 1970s. Last fall, the U.S. Food and Drug Administration (FDA) warned they could be problematic for some individuals in high risk groups, causing potential health issues. Their updated recommendations mean that pregnant women, women who plan to become pregnant, nursing mothers, children under the age of six, people with kidney problems, and people with pre-existing neurological conditions should avoid amalgam fillings.

In light of this change of recommendation, what is the best way to handle your amalgam fillings? Should you be running to your Fallbrook dentist to have them removed?

Why Was Amalgam Used for Fillings?

In the past, amalgam was widely used because of its strong, durable, and less expensive than other materials. They are also less likely to be damaged. Dentists have found them useful for those at high risk of tooth decay, large tooth preparations, or a location where moisture can make it difficult for other materials to bond to the tooth.

Yet, overtime, these fillings can release small amounts of mercury vapor. If you tend to grind teeth or had your amalgam fillings put in many years ago, then these things could impact how much mercury vapor gets released.

The majority of evidence suggests that the exposure of mercury from amalgam fillings does not lead to negative health effects within the general population. Yet, when it comes to specific groups, the research is not as clear about the health impacts of this mercury vapor.

Talk with your Fallbrook dentist about whether you fall into one of the vulnerable categories to determine the filling alternatives available.

Should My Fillings Be Replaced?

While some individuals who had amalgam fillings in the past and now fall into a vulnerable group might want to get rid of the fillings, the FDA suggested that people be cautious. If your amalgam fillings are still in good shape, then having them removed could actually increase your exposure to mercury or damage the healthy tooth structure that you do have.

If you do fall into the risk groups, the FDA encourages the use of non-amalgam restorations for any fillings. Talk with your Fallbrook dentist to determine the best method for dealing with your amalgam fillings, especially if they are decaying in any way. Keep in mind, the durability of any tooth restoration depends on multiple factors, including how you care for your teeth, regular dental checkups with your Fallbrook dentist, and maintaining a healthy diet.

Contact our team today to schedule an appointment if you have any questions about your fillings and whether replacement might be necessary.

Gernot Winkler, DDS, is dedicated to serving clients with general and family, cosmetic, and restorative dentistry. Located in Fallbrook, Dr. Winkler sees patients throughout San Diego County including neighboring cities such as Fallbrook, Bonsall, Rainbow, and Temecula.