My dentist recommended replacing my metal dental fillings with a composite material, which would be quite expensive. Is this necessary?
Answers from Alan Carr, D.M.D.
That depends on the reason for your dentist's recommendation.
If your metal dental fillings are defective or show decay, it's important to replace them. Untreated decay may eventually lead to an infection (abscess). In some cases, replacing a metal dental filling may benefit the long-term health of your tooth.
Generally, replacing metal dental fillings for cosmetic reasons should only be done after careful consideration and if your dentist feels it won't compromise the long-term health of your teeth. Likewise, there's no need to replace metal dental fillings because of concerns about mercury in your fillings.
Most metal dental fillings are dental amalgam — a stable alloy made with mercury, silver, tin, copper and possibly other metals. Although concerns have been raised over the years about the safety of mercury in dental amalgam, there is no conclusive evidence to support that you're better off having amalgam fillings replaced with alternative materials. The American Dental Association supports the use of dental amalgam as a safe, reliable and effective treatment for dental decay.
If you're unsure whether you need to replace your metal dental fillings, ask your dentist to explain the options and help you understand what's best in your case.
Feb. 08, 2014
See more Expert Answers
- Amalgam safety update. American Dental Association. http://www.ada.org/2524.aspx. Accessed Sept. 17, 2013.
- Statement on dental amalgam. American Dental Association. http://www.ada.org/1741.aspx. Accessed Sept. 17, 2013.
- Appendix 1: Summary of changes to the classification of dental amalgam and mercury. U.S. Food and Drug Administration. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DentalProducts/DentalAmalgam/ucm171120.htm. Accessed Sept. 18, 2013.
- About dental amalgam fillings. U.S. Food and Drug Administration. http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DentalProducts/DentalAmalgam/ucm171094.htm. Accessed Sept. 17, 2013.
- Future use of materials for dental restoration. World Health Organization. http://www.who.int/oral_health/publications/en/. Accessed Sept. 23, 2013.
- Salinas TJ (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 19, 2013.
- Carr AB (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 22, 2013.