05May
Is It Good To Replace Old Silver Fillings?
Over the years, many patients have asked me whether they should replace their old silver fillings. This is a very common question, especially among adults who received amalgam fillings decades ago. As a dentist, I want my patients to feel informed and confident about their dental care decisions. Whether or not to replace silver fillings depends on several factors, including the condition of the filling, the surrounding tooth structure, and your long-term dental goals. At Total Dental Arts here in Centreville, I always take the time to evaluate each case individually.
Silver fillings, also known as dental amalgam, have been used for more than a century. They are made from a combination of metals, including mercury, silver, tin, and copper. These materials are strong and long-lasting, which is why amalgam has been used so widely. However, we now have newer materials like tooth-colored composites that offer both durability and a more natural appearance.
Reasons To Consider Replacing Silver Fillings
There are several valid reasons I may recommend replacing a silver filling. The most common reason is damage or wear. Over time, fillings crack, chip, or begin to pull away from the tooth. When that happens, bacteria can enter the space between the filling and the tooth, leading to decay underneath. In those cases, it’s necessary to remove and replace the filling.
Another reason is cosmetic. Some patients simply don’t like the way silver fillings look. Especially in visible teeth, dark fillings can stand out when you smile or talk. Tooth-colored fillings blend in with your natural teeth and are nearly invisible.
There are also patients concerned about mercury content. While the FDA and ADA both consider dental amalgam safe, some individuals prefer to limit their exposure to mercury. If a patient expresses concern, I’m always happy to discuss the pros and cons and offer alternative materials if replacement makes sense.
When I Recommend Leaving A Silver Filling Alone
If a silver filling is intact, shows no signs of decay or cracking, and isn’t causing any discomfort, I often advise leaving it alone. Removing a filling that’s still functional can weaken the surrounding tooth. My goal is always to preserve as much of your natural tooth as possible.
However, I keep a close eye on these fillings during regular checkups. I use digital X-rays and visual inspection to monitor their condition. If anything changes, we can act quickly to protect the tooth.
Modern Alternatives To Amalgam
Today, we use composite resin and porcelain materials that offer both strength and aesthetics. Composite fillings bond directly to the tooth and require less removal of healthy structure. Porcelain onlays and crowns may be better options when a larger restoration is needed. At Total Dental Arts, I take into account the size of the filling, the location of the tooth, and your personal preferences before recommending the best material.
If you’re wondering whether it’s time to replace your silver fillings, I’d be happy to take a look and give you an honest assessment. At Total Dental Arts in Centreville, Virginia, we serve patients throughout Fairfax County with care that puts comfort and long-term health first.
Call my office at (703) 890-3200 to schedule a consultation. I’m Dr. Kourosh, and I look forward to helping you protect your smile.
FAQs About Replacing Silver Fillings
How Long Do Silver Fillings Last?
Silver fillings typically last between 10 and 15 years, but some can last even longer. Their longevity depends on your oral hygiene habits, the location of the filling, and the pressure placed on the tooth during chewing. Over time, these fillings can wear down, crack, or leak, which may require replacement.
Is It Safe To Remove Silver Fillings?
Yes, it is safe when done by a qualified dentist using proper techniques. When I remove an amalgam filling, I take precautions to minimize exposure to mercury vapor. This includes using a high-speed suction system, isolating the tooth, and using water spray during removal to reduce heat.
Will Insurance Cover The Cost Of Replacing My Fillings?
In many cases, insurance will cover the cost if the replacement is medically necessary due to damage, decay, or a failing filling. If the replacement is cosmetic, coverage may be limited. I always check your benefits and help you understand your options before beginning treatment.
What Are Composite Fillings Made Of?
Composite fillings are made of a resin-based material that blends with your natural tooth color. These fillings bond directly to the tooth, which helps strengthen the structure and provides a natural appearance. They are ideal for small to medium cavities in both front and back teeth.
Can I Replace All My Silver Fillings At Once?
It’s possible, but I often recommend replacing them gradually—especially if you have several. This approach helps manage costs and reduces the impact on your teeth. I will work with you to create a replacement plan that fits your schedule, budget, and dental needs.
Are Silver Fillings Harmful To My Health?
According to the American Dental Association and the FDA, silver fillings are considered safe. The amount of mercury released is minimal and well below safety limits. However, if you have concerns or health conditions that make you more sensitive to mercury, I can discuss safer alternatives with you.
Do Silver Fillings Affect Tooth Structure?
Yes, silver fillings require the removal of more healthy tooth structure than composite fillings. Over time, the metal can also expand and contract with temperature changes, which may contribute to tooth fractures. That’s one reason why many patients choose to replace older fillings with modern materials.
What If My Silver Filling Is Still Working Fine?
If your filling is intact, not leaking, and shows no signs of wear, I usually recommend leaving it in place. I monitor it during your checkups to ensure it’s still protecting the tooth. Replacing a working filling without a reason can lead to unnecessary tooth loss.
Call Dr. Kourosh At Total Dental Arts For An Evaluation
If you’re considering replacing your silver fillings, it’s important to make the right decision for your dental health. I’m here to answer your questions, examine your fillings, and guide you toward the best long-term solution.
Contact our Centreville dentist Dr. Kourosh at Total Dental Arts by calling (703) 890-3200 to schedule your consultation. We serve Centreville and all of Fairfax County, Virginia, and we look forward to helping you maintain a healthy and confident smile.
