{"id":19307,"date":"2021-11-01T10:41:57","date_gmt":"2021-11-01T15:41:57","guid":{"rendered":"https:\/\/thepapergown.zocdoc.com\/?p=19307"},"modified":"2023-03-06T11:51:17","modified_gmt":"2023-03-06T16:51:17","slug":"what-to-know-about-silver-fillings","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/","title":{"rendered":"What To Know About Silver Fillings"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Does your smile include a flash of silver? While the internet abounds with rumors about <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3388771\/\"><span style=\"font-weight: 400;\">the dangers of mercury in metal fillings<\/span><\/a><span style=\"font-weight: 400;\"> (aka dental amalgam, the clinical term), you can close those browser tabs: Your fillings are not going to harm you.<\/span><\/p>\n<hr class=\"squiggle\" \/>\n<p><span style=\"font-weight: 400;\">Dental amalgam fillings are often referred to as silver fillings because of their color, but they\u2019re actually a combination of metals composed of a powdered alloy with zinc, tin, silver and copper mixed with liquid mercury.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mercury <\/span><a href=\"https:\/\/www.epa.gov\/mercury\/health-effects-exposures-mercury\"><span style=\"font-weight: 400;\">can be harmful in high dosages <\/span><\/a><span style=\"font-weight: 400;\">\u2014 mercury poisoning may cause neurological issues such as muscle weakness and loss of peripheral vision. We all absorb very small amounts of mercury through air, water and consumption of mercury-tainted seafood, but dangerous levels of exposure are extremely rare. <\/span><a href=\"https:\/\/www.cdc.gov\/biomonitoring\/Mercury_FactSheet.html\"><span style=\"font-weight: 400;\">Research by the Centers for Disease Control and Prevention (CDC)<\/span><\/a><span style=\"font-weight: 400;\"> has found that most people in the United States have mercury levels far below the threshold for concern.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The mercury used in amalgam fillings is called elemental mercury, which releases a vapor that can be absorbed through the lungs. The biggest risk of mercury exposure from dental amalgam occurs while the filling is being placed or removed, so dentists take extra protective measures during those procedures.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere\u2019s a protocol for how to minimize exposure during placement \u2014 for instance, using a rubber dam,\u201d says Dr. Rosalyn Sulyanto, DMD, an assistant professor at Harvard School of Dental Medicine and a pediatric dentist at Boston Children\u2019s Hospital. \u201cOnce the amalgam has set, there\u2019s less mercury released, and that\u2019s far below the level that\u2019s considered risky.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s also why experts <\/span><a href=\"https:\/\/www.ada.org\/en\/publications\/ada-news\/2020-archive\/september\/ada-reaffirms-that-dental-amalgam-is-durable-safe-effective-restorative-material#:~:text=The%20ADA%20also%20expressed%20support,to%20an%20ADA%20news%20release.\"><span style=\"font-weight: 400;\">don\u2019t recommend removing your existing dental amalgam fillings<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf patients already have the amalgam placed, there\u2019s going to be more exposure from removing the amalgam than there would be from just leaving it alone,\u201d Sulyanto says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Overall, the benefits of dental amalgam outweigh the risks for many patients: It\u2019s durable, long lasting and often more cost effective than alternative fillings like tooth-colored composite resins and glass ionomers. It also provides good moisture control, which helps to protect the remaining tooth against bacterial growth, especially in high-saliva areas like the back of the mouth or close to the gum line.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt\u2019s been around for over 150 years, and it does have some advantages,\u201d Sulyanto says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Studies by the <\/span><a href=\"https:\/\/www.fda.gov\/media\/131151\/download\"><span style=\"font-weight: 400;\">Food &amp; Drug Administration<\/span><\/a><span style=\"font-weight: 400;\">, the <\/span><a href=\"https:\/\/www.epa.gov\/sites\/default\/files\/2015-06\/documents\/dental-amalgam-study-2008.pdf\"><span style=\"font-weight: 400;\">Environmental Protection Agency<\/span><\/a><span style=\"font-weight: 400;\"> and a number of <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3388771\/\"><span style=\"font-weight: 400;\">scholars<\/span><\/a><span style=\"font-weight: 400;\"> have also confirmed that the level of mercury exposure from amalgam fillings is far below the threshold of concern for healthy populations. However, <\/span><a href=\"https:\/\/www.fda.gov\/medical-devices\/dental-devices\/dental-amalgam-fillings\"><span style=\"font-weight: 400;\">the FDA does warn<\/span><\/a><span style=\"font-weight: 400;\"> that some high-risk groups could be more susceptible to adverse effects from the mercury in dental amalgam, including pregnant or nursing women and people with pre-existing neurological disease, impaired kidney function, or metal allergies, along with children younger than six.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite the benefits of metal fillings, <\/span><a href=\"https:\/\/crimsonpublishers.com\/mrd\/pdf\/MRD.000593.pdf\"><span style=\"font-weight: 400;\">the use of dental amalgam is declining globally<\/span><\/a><span style=\"font-weight: 400;\"> in favor of tooth-colored resins and glass ionomers, both for their cosmetic appeal and because they require removing less of the healthy tooth tissue.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIn dentistry, we are moving away from the \u2018drill-and-fill\u2019 approach and doing more minimally invasive treatment,\u201d Sulyanto says. \u201cWe can do that with composites and glass ionomers more than we can with amalgams.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some dental offices have discontinued use of dental amalgam altogether, but Sulyanto thinks there\u2019s still a place for the time-tested material.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAt the end of the day, it\u2019s just a discussion between the patient and their dentist about risks and benefits,\u201d she says. \u201cBut amalgam is still a usable material, which I\u2019m glad about.\u201d<\/span><\/p>\n<hr \/>\n<h1 style=\"text-align: center;\">Ready to book a dentist&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/dentists?component=HomepageQuicklink\">Zocdoc.<\/a><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>Debunking myths about their safety. <\/p>\n","protected":false},"author":67,"featured_media":18440,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[97,108,81,106],"class_list":["post-19307","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-dental-care","tag-doctors-and-patients","tag-preventive-care","tag-treatment","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What To Know About Silver Fillings - Guides<\/title>\n<meta name=\"description\" content=\"Debunking myths about their safety.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What To Know About Silver Fillings - Guides\" \/>\n<meta property=\"og:description\" content=\"Debunking myths about their safety.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/\" \/>\n<meta property=\"og:site_name\" content=\"The Paper Gown\" \/>\n<meta property=\"article:published_time\" content=\"2021-11-01T15:41:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-06T16:51:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zocdoc.com\/blog\/wp-content\/uploads\/2019\/11\/HeroDentalColor1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"968\" \/>\n\t<meta property=\"og:image:height\" content=\"452\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Rachel Garbus\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Rachel Garbus\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/\"},\"author\":{\"name\":\"Rachel Garbus\",\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#\/schema\/person\/f32195e6373e3819debafbefcf0cfd49\"},\"headline\":\"What To Know About Silver Fillings\",\"datePublished\":\"2021-11-01T15:41:57+00:00\",\"dateModified\":\"2023-03-06T16:51:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/\"},\"wordCount\":610,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-know-about-silver-fillings\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/thepapergown.wpengine.com\/wp-content\/uploads\/2019\/11\/HeroDentalColor1.png\",\"keywords\":[\"Dental Care\",\"Doctors &amp; 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