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A 44-year-old member asked:

what to expect when getting mercury amalgam fillings removed and replaced?

4 doctor answers9 doctors weighed in
Dr. Sharon Perelman
Dentistry 29 years experience
Filling: When you have a amalgam ( silver ) filling removed your dentist will give you local anesthetic (novocaine). Once you are numb they will remove the filling, and any decay that is in the tooth. Depending on how much of the tooth structure remains they may place a tooth colored filling or a porcelain crown.
Dr. Behram Dalal
Dentistry 31 years experience
A better quality: Restoration. Sadly, many insurance companies in their infinite wisdom will still only cover amalgams or downgrade composites to amalgams because it is cheaper for them. But a composite restoration is a far more conservative and far more aesthetic restoration than any amalgam could ever hope to be. If you look at any literature, composites are constantly improving -- no advancements in amalgams.
Dr. James Wright
Dentistry 33 years experience
I agree... There is every reason to use composite material... Especially the new high quality materials with no BPA. Patients deserve conservative, healthy dentistry with the most modern and safe materials. Limiting the amount of tooth which is removed to place the filling is important to the long term health of the tooth.
Nov 5, 2012
Dr. James Wright
Dentistry 33 years experience
Different Methods: Different methods available. You can choose an accredited dentist, member of the iabdm or iaomt. Take a look at their web sites- www.Iabdm.Org, www.Iaomt.Org - to find dentists, with additional training in safe removal of mercury, amalgam fillings by iaomt and iabdm . Accredited members of these international academies, follow their protocols. See consumers for dental choice- www.Toxicteeth.Org.
Dr. Cary Goldstein
Prosthodontics 35 years experience
No difference: Removal of mercury fillings is a standard procedure in the dental office. You should have them replaced w a tooth colored resin, and be able to use them right away.

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A 43-year-old member asked:

What's involved in having mercury amalgam fillings removed ?

4 doctor answers6 doctors weighed in
Dr. Charles Kattuah
Dentistry 23 years experience
Drilling them out: Removal of amalgam fillings increases your exposure to mercury vapor because they are drilled out. If you would like to reduce your exposure then ask the dentist to remove them while you are wearing a dental dam.
A 29-year-old member asked:

What are possible complications from having mercury amalgam fillings removed?

3 doctor answers6 doctors weighed in
Dr. Jake Richards
Dentistry 12 years experience
Non-issue: If they are failing they need to be removed, if they are not failing/causing cracks then leave them. There is not enough mercury in the fillings to cause disease and harm. Do not let someone tell you otherwise. There are plenty of tests and reviews done. No prob! if it was a prob the dentist and assistants that used to play with it with bare hands would all be having complications, they're not.

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Last updated May 28, 2016
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