Are Silver Fillings Safe?

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ByDr. Susan R. Pan, DDS

The safety of silver fillings, or dental amalgams, has been a topic of discussion due to the presence of mercury. In this article, we’ll explore the composition of silver fillings, their safety, and alternative filling materials for those considering other options. Understanding Dental…

The safety of silver fillings, or dental amalgams, has been a topic of discussion due to the presence of mercury. In this article, we’ll explore the composition of silver fillings, their safety, and alternative filling materials for those considering other options.

Understanding Dental Amalgam

1. Composition:
Dental amalgam is a mixture of metals, including mercury, silver, tin, and copper. Mercury is used to make the filling material pliable.

2. Durability:
Amalgam is known for its strength and durability, making it a preferred choice for filling cavities in the back teeth where chewing load is high.

Safety Concerns

1. Mercury Content:
Concerns arise due to mercury exposure, which, in high amounts, can be toxic. However, the mercury in amalgam combines with other metals, making it stable and safe.

2. FDA’s Stance:
The FDA considers dental amalgam fillings safe for adults and children ages six and above. The amount of mercury released in the mouth under the pressure of chewing and grinding is extremely low and far below the levels that cause harm.

Considerations for Specific Groups

1. Pregnant Women:
The FDA advises pregnant women to avoid unnecessary dental care and consult with their health care professional for needed treatments.

2. Allergies:
A small number of people may be allergic to the metals in dental amalgam.

Alternative Materials

1. Composite Resins:
These are tooth-colored fillings that blend in with the natural teeth, preferred for visible areas but may not be as durable as amalgam.

2. Porcelain and Ceramics:
These materials are also tooth-colored and offer both aesthetic and durable solutions.

3. Gold Alloys:
These fillings are highly durable but also the most expensive.

Making the Choice

1. Aesthetics vs Durability:
Consider the balance between aesthetics and durability. Silver fillings are more visible but durable; composite resins are more aesthetic but may not last as long.

2. Consult Your Dentist:
Your dentist can provide personalized advice based on your specific health needs, cavity location, and aesthetic preferences.

Conclusion

Silver fillings are considered safe for most people, and their durability makes them a practical choice, especially for molars and premolars. If you have concerns about the mercury content or are considering alternatives for aesthetic reasons, it’s essential to discuss these with your dentist. Each filling material has its own set of pros and cons, and your dentist can help you make an informed decision based on your individual needs, oral health status, and preferences.

Dr. Susan R. Pan, DDS, is a highly respected and accomplished dental professional with over 35 years of experience in the field. She has consistently demonstrated her expertise, authority, and dedication to providing outstanding dental care since beginning her career in 1986. Her impressive achievements and educational background speak to her unwavering commitment to both her patients and the dental community.

Dr. Pan graduated first in her class from the prestigious Schulich School of Medicine & Dentistry at the University of Western Ontario, where she was the deserving recipient of the Dr. Gerald Z. Wright Award. Furthering her education, Dr. Pan also holds a degree from the Dental School of Sun Yat-Sen University of Medical Sciences.

Beyond her own education, Dr. Pan has actively contributed to the growth and development of future dental professionals. She served as a clinical instructor at the University of Western Ontario's School of Dentistry, where she shared her knowledge and expertise with aspiring dentists.

Dr. Pan's excellence in dentistry has been recognized numerous times by both her peers and the community. She was the proud Diamond Winner of the Readers' Choice of their Favourite Dentists in the Hamilton Spectator in 2014 and 2015. Additionally, she has been nominated as the Favourite Dentist multiple times in 2007, 2010, 2014, and 2015. These accolades serve as a testament to Dr. Pan's unwavering commitment to providing exceptional dental care and her ability to establish trust with her patients.

In summary, Dr. Susan R. Pan, DDS, is an esteemed dental professional with a proven track record of education, expertise, authority, and trust. Her dedication to her patients, passion for education, and numerous accolades make her an invaluable asset to the dental community.