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Amalgam Fillings Removal

Amalgam Fillings Removal in Central London

Here at Sonría, we think that our patients general health depends of many variables. The oral cavity and it’s problems are related to ones general health. This is why we feel passionate about using the best materials and technology to help improve ours patients lives.

At Sonría we do not use Amalgam to restore teeth with cavities. However, Amalgam fillings are one of the materials widely use in other practices.

Amalgam Fillings: Pros and Cons

Amalgam fillings, also known as silver fillings, have been used in dentistry for over 150 years to repair cavities. Comprised of a mixture of metals including silver, mercury, tin, and copper, these fillings have been favoured for their durability and cost-effectiveness. However, their use has also sparked debate due to potential health and environmental concerns.

Pros of Amalgam Fillings

  1. Durability: Amalgam fillings are incredibly durable, often lasting 10 to 15 years or longer. They can withstand the forces of chewing, making them ideal for molars and other high-stress areas in the mouth.
  2. Strength: The metal components of amalgam create a strong and robust filling that resists wear and tear. This is particularly useful for patients who grind their teeth.
  3. Cost-Effective: Compared to composites, amalgam fillings are generally less expensive. This makes them an attractive option.
  4. Ease of Use: Dentists find amalgam fillings relatively easy to place. The material is less technique-sensitive compared to composites, which require a dry working area and can take longer to apply.

Cons of Amalgam Fillings

  1. Aesthetic Concerns: One of the main drawbacks of amalgam fillings is their appearance. The silver colour stands out against the natural white of teeth, which can be particularly concerning for fillings in visible areas.
  2. Mercury Content: Amalgam contains mercury, which has raised potential health concerns. While studies show that the amount of mercury vapour released from amalgam fillings is minimal and generally considered safe, some patients and practitioners prefer to avoid any exposure due to possible health risks.
  3. Potential for Cracks and Fractures: Over time, amalgam can expand and contract with temperature changes, potentially leading to cracks in the filling or even the tooth itself.
  4. Environmental Impact: Mercury is a potent environmental toxin. The disposal of amalgam waste can contribute to environmental mercury pollution, leading to stricter regulations and recommendations to limit its use.

Amalgam fillings remain a viable option for dental restorations, especially in situations where durability and cost are primary concerns. However, the potential aesthetic drawbacks, health concerns related to mercury, and environmental impact have led many to consider alternatives such as composite or ceramic fillings. Patients should consult with their dentists to weigh the benefits and risks and choose the most appropriate material for their specific dental needs.

Safe Removal of Amalgam Fillings

Amalgam fillings, made from a combination of metals including mercury, have been a mainstay in dental care for over a century. Despite their durability, concerns about mercury exposure have led some individuals to seek the removal and replacement of these fillings. Proper removal of amalgam fillings is critical to ensure patient safety and minimize health risks associated with mercury vapor exposure.

Reasons for Removal

  1. Health Concerns: Some patients worry about the potential health effects of mercury exposure, despite the generally accepted safety of amalgam fillings by dental and health organizations.
  2. Aesthetic Preference: Amalgam fillings are silver-coloured and can be quite noticeable, leading some individuals to prefer more natural-looking composite or ceramic fillings.
  3. Allergic Reactions: Although rare, some patients may experience allergic reactions to the metals in amalgam fillings.
  4. Tooth Damage: Over time, the expansion and contraction of amalgam fillings can cause cracks or fractures in the teeth, necessitating their replacement.

Safe Removal Procedures

Safe removal of amalgam fillings requires a structured approach to minimise mercury exposure. Dentists trained in the safe removal process follow protocols to protect both patients and dental staff.

  1. Isolation of the Tooth: Using a rubber dam to isolate the tooth can prevent amalgam particles and mercury vapour from being ingested or inhaled.
  2. High-Volume Suction: A high-volume suction device should be used to capture mercury vapour and amalgam particles during the drilling process.
  3. Adequate Ventilation: Ensuring good ventilation in the dental office helps to dissipate any mercury vapour that may be released.
  4. Chunking Method: Dentists often use a chunking method, where the filling is sectioned into larger pieces before removal, reducing the amount of drilling and, consequently, mercury vapour released.
  5. Protective Gear: Both the patient and dental staff should wear protective gear. Patients might be given oxygen to breathe to avoid inhaling mercury vapour, while staff can wear masks and gloves.
  6. Post-Removal Care: Rinsing the mouth immediately after removal and using a high-volume evacuator helps clear any remaining particles. Patients can also be advised to drink activated charcoal or similar substances that can bind to any mercury particles inadvertently ingested.

Alternatives to Amalgam Fillings

Once amalgam fillings are removed, they are typically replaced with alternative materials:

  1. Composite Resins: Tooth-coloured and aesthetically pleasing, composites are a popular choice for filling replacements.
  2. Ceramic Fillings: Highly durable and natural-looking, ceramic fillings are another option, though they can be more expensive.
  3. Gold Fillings: While less common due to their cost, gold fillings are durable and biocompatible.

The decision to remove amalgam fillings should be made in consultation with a qualified dental professional, taking into account the patient’s health, dental history, and aesthetic preferences. Ensuring the procedure is performed safely is paramount to minimize exposure to mercury and protect both the patient and the dental staff. By following established protocols, the safe removal of amalgam fillings can be effectively managed, providing peace of mind and improved dental health for patients.

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Address

Sonria Dental Clinic, 25 Devonshire Place
London W1G 6JD

Contact

020 7224 1402 - General Enquiries
075 0768 9112 - Emergencies
Email: info@sonriadentalclinic.com

Opening Hours

Monday to Friday 8.00 am – 6.00 pm
Saturday 9.00 am – 2.00 pm
Sunday Closed