Amalgam fillings, the traditional silver-colored fillings used in dentistry for decades, have raised concerns about potential health risks due to the presence of mercury.
While research hasn't established a definitive link between amalgam fillings and adverse health effects for most people, some individuals choose to have them removed as a precautionary measure. However, this procedure itself isn't without potential side effects. Here's a breakdown of the Side Effects of Removing Amalgam Fillings:
The Potential Downside: Side Effects of Removing Amalgam Fillings
Short-Term Side Effects:
Sensitivity: Teeth might become sensitive to hot, cold, or sweet foods and beverages after the removal of old fillings and placement of new restorations. This sensitivity typically subsides within a few days or weeks.
Discomfort: The process of removing amalgam fillings can involve drilling and manipulating teeth, which can cause some temporary discomfort. Your dentist will use anesthesia options to minimize this discomfort.
Increased Risk of Toothache: There's a slightly increased risk of toothache after amalgam removal, especially if the filling was close to the tooth's nerve. Proper technique during removal and the use of dental materials compatible with the tooth's structure can help minimize this risk.
Potential for Chipping: During removal, especially for large fillings, there's a slight chance of a tooth chipping or fracturing. Your dentist will take precautions to minimize this risk and can discuss potential repair options if needed.
Mercury Exposure:
Mercury Vapor Release: The removal process can release small amounts of mercury vapor into the air. However, dentists use strict protocols to minimize patient exposure, including proper ventilation systems and water sprays during drilling.
Potential Allergic Reactions: Some people might experience allergic reactions to components of amalgam fillings, which can become more noticeable during removal. Your dentist can discuss allergy testing beforehand if you have concerns.
Long-Term Side Effects:
Need for Additional Procedures: In some cases, amalgam removal can expose underlying decay that wasn't previously visible. This might necessitate additional procedures like root canals or crowns.
Higher Cost: Removing and replacing amalgam fillings is generally more expensive than simply replacing worn-out fillings. Discuss cost considerations with your dentist beforehand.
Potential for Increased Sensitivity: Some people experience long-term sensitivity after amalgam removal, especially if they have sensitive teeth beforehand. Talk to your dentist about options for managing sensitivity.
Important Considerations:
Evaluate the Need for Removal: The American Dental Association (ADA) advises that amalgam fillings are safe and durable for most people. Consider discussing the reasons behind wanting them removed with your dentist. If your fillings are intact and not causing problems, the risks associated with removal might outweigh the potential benefits.
Find a Qualified Dentist: Choose a dentist experienced in safe amalgam removal techniques that minimize mercury vapor exposure.
Alternatives to Amalgam: Several safe and effective alternative filling materials are available, such as composite resin (tooth-colored fillings) and ceramic fillings. Discuss these options with your dentist to find the best choice for your individual needs.
Conclusion:
Amalgam removal can be a safe procedure when performed by a qualified dentist. However, it's not without potential side effects. Weighing the potential benefits and risks, considering alternative filling materials, and discussing your concerns with your dentist are crucial steps before making a decision. Remember, maintaining good oral hygiene and having regular dental checkups are essential for overall oral health, regardless of the type of filling material you choose.