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Why Our Office Provides Dentistry Without Amalgam


Through current technologies of dental adhesion, state-of-the-art ceramics and resins, the newest bonded restorations will be close to matching nature in strength, comfort, performance and look. With these innovative materials, it is easy to bond teeth together again, essentially restoring them to their original toughness minus the invasiveness of complete-coverage crowns. In most cases, metal fillings may be replaced by techniques that are known to be a better solution to mercury/silver amalgam fillings. It is, as a result, a possibility to maintain the healthy, remaining tooth composition, as opposed to grinding it away to prep for a crown.

Everything wears out, and your silver fillings are no different. They withstand stressful and significant biting forces on a daily basis, and as they get older, they break, leak and can cause damaging fractures on teeth. Over time, metal amalgam fillings can actually soak up water, causing them to swell and break free from the tooth. At this point, your tooth is more prone to tooth decay and sensitivity.

Mercury/Silver fillings have some other important detractions that should be thought of if it’s time to swap your restorations:

• Silver fillings are much less appealing than natural-colored fillings. After all, they don’t look anything like real teeth.

• Amalgam expands and contracts whenever subjected to cold and hot extremes within your mouth. The continuous expansion and contraction with temperature may set off cracks as well as fractures in your teeth. There will not be any kind of indicators for a while, but these teeth may become hypersensitive as the fracture expands or opens while you bite down or chew food. It is not uncommon for patients to come in curious about how they broke their tooth when they were eating something soft like bread or a banana. What they don’t realize is that the tooth almost certainly had a fracture in it a long time before it finally came apart.

• Silver fillings under frequent chewing force are vulnerable to metal fatigue or flexing and bending failure, a concept that may be grasped and demonstrated by continuously bending a metal paperclip until it breaks.

• Metal fillings are harder and less flexible than the teeth they are molded into. The more time they may be on the teeth, the more pressure they put on the rest of the weakened outer surfaces of the tooth resulting in cracks and fractures.

• Metal fillings aren’t glued in the cavity. They simply sit in the surrounding tooth and act under pressure to split the tooth apart, like a metal wedge is utilized to split logs into firewood.

• A microscopic gap around the filling edge is present from the moment the silver filling is plugged into the tooth; and within this space, continuous corrosion and leakage takes place. This gap is big enough to permit bacteria and food particles to seep in over time and result in tooth decay at the margin between the tooth and the filling. Composite fillings, however, are essentially bonded to the tooth preparation area and seal the borders closed from invading bacteria.

• To be able to prepare a tooth for a composite filling, the tooth can usually be treated a great deal more gently and with less healthy tooth structure needing to be removed. And therefore, the dentist can maintain the greatest amount of virgin tooth structure as possible

• Silver fillings call for drilling undercuts (think carving out a pumpkin) as well as removing more substantial good portions from the tooth in order to keep the mercury amalgam filling from falling out as it is not attached straight to the tooth. Those undercuts could also weaken the tooth as fillings get more substantial and relegate that tooth to subsequent fracture down the road. These fractures could be significant resulting in crowning the tooth to restore it and even catastrophic fractures resulting in removal of the tooth.

• Composites, utilizing their opportunity to be conservative and implementing their gluelike qualities, could strengthen and protect against fracture. Through blocking the potential for cracking prior to experiencing the signs and symptoms of hot/cold sensitivity and biting discomfort, innovative conservative treatment options such as natural-colored restorations or porcelain-bonded restorations are stopping the negative effects of toothaches and broken teeth.

• Finally, in many dentists’ opinions, bonded natural-colored restoratives are safer than classic fillings, simply because they do not have any mercury. Even though the American Dental Association (ADA) suggests the utilization of mercury in metal fillings is safe, there is an ongoing discussion in the dental sector regarding the negative effects of these mercury amalgam fillings. In Europe, several countries have banned the utilization of mercury amalgam fillings to avoid any kind of hazards associated with mercury.

Utilizing a PROACTIVE as opposed to a REACTIVE method to amalgam replacement is usually a choice a lot of patients hope to have Dr. Stone follow.