Silver amalgam fillings were used for decades due to its ease of use, durability and cost. The biggest objection besides the esthetics is the inclusion of mercury in these filings. Mercury has been linked to a multitude of health issues including chronic illness, autoimmune diseases, neuro-degenerative diseases, birth defects and mental illnesses.

Our office has chosen to stop placement of this material since 2000. Removal of amalgam fillings should be done under rubber dam with high-speed suction. For patients who do not show allergic reactions to these materials, it is considered unethical to remove amalgam fillings unless they are leaking and defective.

These metal fillings have been shown to cause cracking in teeth due to the difference in the rate of expansion and contractions as compared to enamel. These fillings are not bonded to the tooth but are wedged into the tooth preparation. Overtime these fillings leak and open between the tooth and filling causing discoloration and recurrent decay around them.

With improved strength and durability, combined with superior esthetics and biocompatibility, composite resins are a first choice for many smaller to medium size fillings. These fillings closely match the tooth structure, are minimally invasive, and can be bonded to the tooth for the most natural results.