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 or years, science and the dental profession have grappled with the issue of mercury fillings (amalgams) versus composite (tooth-colored) fillings. While the debate may continue for years, there is still no definitive stance for dentists to universally follow.
While we do not urge patients to replace amalgam fillings unless medically advised, we honor the requests of those who feel this provides heightened peace of mind. We do recommend replacing silver fillings for aesthetic benefits. Dark fillings are visible in smiles and laughter, while tooth-colored fillings give a more appealing, natural look.
Additionally, the material of tooth-colored fillings has the ability to bond to the tooth. It is less brittle, wears like enamel, and expands and contracts less to reduce the risk for cracked, sensitive teeth.
While some reports claim that tooth-colored fillings are more biocompatible than silver fillings, scientific evidence wavers on both sides of this issue. Until more is known, our position remains to avoid any potential problem on behalf of our patients.
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