Safe Removal of Mercury-based Amalgam Fillings

Amalgam filling removal

What Is Amalgam?

The amalgam is a mixture of different metals that consist of liquids like – mercury and powdered alloy composite of copper and silver. More than half of amalgam fillings use mercury by weight. The many chemical properties of elementary mercury cause a reaction that binds copper and silver particles together, forming a complete amalgam for the filling procedure. Then this amalgam is generally used to fill in the cavities that are caused by tooth decay. It is also known as silver fillings because they have a silver-like appearance.

  • In this procedure, the dentist will drill the tooth to remove the decay and reshape the cavity for placement of the amalgam filling.
  • Next, the dentist will mix the liquid mercury with the encapsulated powder form of alloy that forms the base of the amalgam.
  • The soft amalgam is then placed on your prepared cavity, which hardens to form a solid filling.

The use of metals is always a growing cause of concern in the health sector as today’s environment may have a different impact on your body compared to previous generations.

Dentists and patients always request the removal of amalgam-based fillings due to high mercury content. A safe protocol to replace the silver mercury filling will ensure the materials are not absorbed while removing.

Many strong alternatives and white composites are available after the removal process. The lab-processed materials available today can help to create a healthy mouth environment.

Learn more about White Fillings on the Sunshine Coast here.

Looking for a Safer Alternative to Amalgam Fillings?

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Are Amalgam Fillings dangerous?

Amalgam fillings, also known as “silver fillings,” have been a topic of concern regarding their safety due to their mercury content. However, according to the FDA and various research studies, there is no evidence that the mercury released from amalgam fillings results in adverse health effects in the general population. 

While precautions are taken with amalgam due to low-level mercury vapour release, most evidence suggests that exposure to dental amalgam doesn’t cause health issues for the general population.

Should You Remove Your Mercury-based Amalgam Fillings?

Deciding whether to remove mercury-based amalgam fillings is complex, and requires careful consideration of multiple factors. One of which is to check if your filling is in good condition or not. If you are not able to identify it, reach out to your dentist or healthcare professional and get it checked. If there are no signs of decay beneath the filling, it is not recommended to remove your amalgam filling. The removal of intact amalgam fillings may result in the unnecessary loss of healthy tooth structure, which can expose you to a temporary increase in mercury vapour during the removal process.

Always consider professional advice, particularly for those at higher risk, such as pregnant or nursing mothers and children. You should replace it only when there is decay beneath the filling, it’s worn out or broken. And go for removal only when it is medically necessary and asked by a qualified professional. 

Mercury Fillings Leaking Symptoms

Mercury poisoning is a result of leakage from the amalgam. More than 80% of mercury vapour from the dental amalgam is absorbed by the lungs and then passed on to the rest of the body.

The toxic effects of this mercury depend on person-to-person and body reception. An array of different factors can also influence the reaction to personalized mercury including the presence of other health conditions.

Individual response may vary, but if it is not treated or removed on time, then it can also lead to severe health complications. There is a wide range of symptoms associated with amalgam fillings. Some of which is:

  • Tremor
  • Anxiety
  • Fatigue
  • Headache
  • Weakness
  • Skin rashes
  • Weight loss
  • Memory loss
  • Mood swings
  • Widespread joint pain
  • Delayed reaction time
  • Difficulty concentrating
  • Poor fine motor control
  • Decreased coordination
  • Gastrointestinal distress
  • Reduced colour vision and visual acuity

Depending on the form and severity of the dose of mercury, the symptoms can be physical, mental and emotional. So if you suspect something wrong, immediately consult your dentist or healthcare provider. 

Safe Amalgam Filling Removal Procedure

The Whole Removal Process

In this procedure, dentists remove silver fillings while keeping patients and staff safe from mercury exposure. The challenge faced is you may ingest some mercury during the process which can travel through your digestive tract and affect your immune system, increasing the level of heavy metal toxicity in your body. 

To ensure patient safety during amalgam filling removal, several precautions are taken. Patients are provided with safety glasses, and a nasal cannula tube is inserted to facilitate breathing while minimizing exposure to mercury vapour. A dental mask covers the nose, preventing mercury vapour from entering the nostrils. Additionally, a rubber dam or isolate is placed in the patient’s mouth to prevent mercury from going down the throat. A high-volume suction device is employed to efficiently remove particles generated during the drilling process.

The Replacement Process

When you’re planning for the replacement of your dental amalgam filling, it’s important to discuss the procedure with your dentist. The process involves several safety protocols to ensure a smooth replacement. A non-latex dental dam is used to isolate the area, providing a barrier. Your nose is covered for airway protection, and there is pressurized air under the dam to ensure a continuous air supply for breathing. Suction is a critical step both in front and behind the dam to manage any particles. The room environment requires an efficient exhaust system, and the air conditioning system should have an external vent. Moreover, for added safety throughout the process, the dentist and assisting dental staff wear protective masks. 

When the Process is Complete

When dentists take out mercury fillings safely, patients don’t experience any metal taste in their mouths. This helps them concentrate better, and their bodies respond well to other treatments. After removing the fillings, eating the right foods for detoxification makes many patients feel better within two or three days.

Also, after the process of removal, most people look for the replacement of metal fillings. The most common type of replacement is tooth-coloured composite resin filling. Composite is a better cosmetic option as it’s completely free from any kind of metal, including mercury. It also bonds well to the tooth structure allowing conservative dentistry.

Further reading: Best And Worst Foods For Your Teeth

What Are The Considerations For Removal Of Amalgam Fillings?

Multiple factors are taken into consideration when amalgam removal is requested. These factors include the rate of wear, your diet and lifestyle, normal pressure that is exerted, oral hygiene, and other metals in the mouth.

  • Dental restoration often involves addressing issues like crowns and amalgam discolouration near the gums. Amalgams are used to seal root canal teeth, but clenching and grinding may compromise composite restoration longevity.
  • The restoration process’s material choice is influenced by its size; normal tooth cusps may fracture over time, necessitating lab-fabricated indirect restorations under heavy pressure.
  • A growing trend involves computer-generated restoration processes. Bite plates can prevent grinding and clenching, preserving new restorations from excessive pressure and wear.

When the patient visits the dentist for an examination, the dentist will check the entire dental history. Records that include dental X-rays and radiographs are taken before the process. A comprehensive exam follows the results of the reports. Detailed discussion is carried out to make sure patients are well-prepared for the procedure. This helps them understand everything and feel confident before going through it.

  • The dentist evaluates the overall health of the patient and the ability to eliminate toxins.
  • If a woman is pregnant or breastfeeding a child, then the process of removal is not completed until the breastfeeding is completed as the mercury concentration in the blood is thirty times greater than a mother’s milk.
  • The dentist will also provide certain supplements before the removal process. Vitamin C is the most recommended supplement along with others.

Removing silver fillings or replacing them with non-toxic fillings is the most common procedure. Make sure you always visit an experienced dentist who understands how to safely remove the amalgam fillings.

What Do You Need To Do After the Amalgam Removal Procedure?

Once the mercury is removed, the next step is to restore the tooth to its normal function. This involves filling the spaces left by the removed amalgam. The options for this step depend on the size of the filling and the condition of the treated tooth. The choices vary, based on the size of the filling and the condition of the treated tooth.

Similar to a dental crown, it ranges from a simple composite filling to a full restoration. Therefore, dentists conduct a compatibility test to determine which material suits your oral needs best, and it will vary based on the specific situation. Also, when you’ve decided to get the mercury fillings removed, ensure that you have it done by a qualified professional.

Choose a team that is well-trained, has good experience, and checks reviews on Google. Also, check if they follow all safety measures, as you don’t want any metal toxicity in your body.

Removing Amalgam Fillings Side Effects

You can feel sick after amalgam removal. The teeth might feel more sensitive to hot or cold things. You might also feel a bit of discomfort or mild pain, especially if the dentist has to remove a lot. Your gums or jaw might get a bit swollen or tender, but this usually gets better with time. Some people notice a weird metallic taste in their mouth right after the removal. You could also feel some pain after the removal but don’t worry, it usually doesn’t last long. 

This happens because the removal process involves things like drilling, which can temporarily change how your teeth and gums feel. When your tooth has a larger amalgam filling and more extensive, deeper cracks, it’s more prone to becoming sensitive. Dentists take care to make the removal process as easy as possible for you, but it’s important to know that it may take some time and healing on your own. 

What Are The Benefits Of Removing Amalgam Fillings?

People deciding to switch out their silver fillings understand the benefits of removing mercury. Here are some potential benefits of removing amalgam fillings:

  • Avoiding Mercury Exposure: The mercury filling removal process prevents continuous exposure and contact with mercury, addressing concerns about potential health risks. 
  • Peace of Mind: Patients often experience a sense of calm after removal, knowing their mouths are now free from mercury-containing materials. 
  • Improved Appearance: Swapping mercury fillings with tooth-coloured alternatives enhances the aesthetic appeal of teeth, potentially boosting self-confidence. 
  • Minimizing Health Risks: For those with symptoms related to mercury poisoning or concerns about health risks, removing mercury fillings is seen as a step to reduce potential risks.

Further Reading: Ways Your Dental Health Affects You

Amalgam Filling Removal Cost 

When you’re thinking about getting rid of those mercury fillings, it’s important to remember that your dentist will first examine your mouth thoroughly. You must undergo some typical exams such as X-rays, intraoral pictures, and dental and medical history.

Before the procedure, the dentist will conduct a comprehensive exam to determine certain factors such as 

  • How many silver fillings need to be taken out?
  • The size of those mercury fillings.
  • The specific locations of these metal fillings in your oral cavity.

These factors play a significant role in determining the procedure’s cost and the cost may vary accordingly. So it’s important to discuss these details with your dentist to get a clear understanding of the potential costs involved. At Oris Dental, the amalgam filling removal costs start from $200.

Conclusion

Times have changed and there are constant updates in the field of dentistry. Earlier mercury-based fillings were an ideal choice for cavities but not any more. Today, people prefer natural alternatives like a white composite filling for teeth.

To know more about amalgam teeth filling removal costs in Australia get in touch with your Sunshine Coast Dentist today.

Looking for a Safer Alternative to Amalgam Fillings?

Schedule an Appointment and Take the First Step Towards a Healthier Smile!

Request An Appointment

Dr. Adarsh Pisharodi - Dentist at Oris Dental

Dr. Adarsh Pisharodi

Dr. Adarsh Pisharodi, serving as the principal dentist at Oris Dental, brings a wealth of expertise spanning over 26 years to his esteemed practice. Specializing in cosmetic dentistry, dental implants, and orthodontics, he takes immense pride in rejuvenating countless smiles and instilling confidence in Sunshine Coast residents. As an esteemed member of the Australian Dental Association and esteemed dental societies, he remains steadfast in delivering exceptional care to his patients.


Dr. Adarsh Pisharodi

Dr. Adarsh Pisharodi, serving as the principal dentist at Oris Dental, brings a wealth of expertise spanning over 26 years to his esteemed practice. Specializing in cosmetic dentistry, dental implants, and orthodontics, he takes immense pride in rejuvenating countless smiles and instilling confidence in Sunshine Coast residents. As an esteemed member of the Australian Dental Association and esteemed dental societies, he remains steadfast in delivering exceptional care to his patients.

Adarsh (Principal Dentist)

Adarsh

Adarsh (A-Dash) is the principal dentist at Oris Dental. Adarsh graduated as a dentist in 1996 from the University of Mumbai (Bombay, India). He entered private practice as an assistant dentist in one of the leading practices in Mumbai from 1996-2002. The practice offered all aspects of dentistry with the exception of Orthodontics. This prompted Adarsh to pursue a post graduate degree in Orthodontics and successfully completed the 3 year Full time the master’s program from University of Mumbai (Bombay, India) in 2005. Since then, Adarsh has been in private practice both as a general dentist and an orthodontist. He also served as teaching faculty at University in Mumbai for 3 yrs and when in India, he has been ‘the dentist’ to many dentists!! In 2008, Adarsh took the Australian Dental Council exam for direct recognition of his skill in Australia. He successfully completed the exams in the first attempt and moved to Australia early 2009. He has been in private practice in Australia since Jan 2009. Oris Dental was set up in Minyama in 2011. Oris Dental is now over 8 years old and is growing to be a well-respected practice in the area. He is particularly interested in Cosmetic dentistry Dental implants and Orthodontics. Adarsh hopes to use all the experience he has gained in the past 22 years, to offer the best in dentistry to all his patients in this practice. Adarsh believes in spreading smiles and has successfully designed smiles and in doing so improved the lives and self-confidence of many Sunshine Coast locals (Take a look at our Smile gallery!). Adarsh is an active member of the Australian Dental Association since 2009 He held the post of Senior Lecturer in Orthodontics in Mumbai University before moving to Australia. He is a Life member of the Indian Dental Association, serving as the General Secretary of the Association (Mumbai City Chapter) 2007-2009 He is Life member of the Indian Orthodontic Society. He is Candidate for Membership Examination MRACDS (Ortho) and plans to complete his membership exams soon. Adarsh is also currently pursuing his Diploma in Implant dentistry at the Royal College of Surgeons(Edinburgh). Adarsh has recently complete intensive training in implant placement and restoration in Neoss and TRI (Swiss) Implant system. He is married to Prachi for 15yrs and they have a 11 yr old son – Aarjav, a little daughter Aria who has just started prep and Daisy the mad Lab pup! He is currently learning to play Tennis and Badminton and loves watching the cricket!

Prachi (Owner/ Dentist)

Prachi

Prachi is the director, part time dentist at Oris Dental. Prachi graduated in 2002 from Nair hospital dental college, Mumbai (Bombay, India), one of the leading dental schools in Asia. She then worked in multiple private practices across Mumbai (Bombay, India). While working as a dentist in various practices she picked up the positives from them and implemented them into this practice at Oris Dental. She is very friendly by nature and is particularly good at handling children, preventive dentistry and hygiene. Prachi moved to Australia in 2009. Prachi has there on completed her Australian Dental council exams successfully in early 2011 and is now ready to bring in her 12 years of experience to Oris Dental. Prachi also serves as a part time dentist at the Oral Health Services Sunshine Coast in Caloundra Kawana and Nambour as needed.

Davina (Dentist)

Davina

Davina has been a part of our family since 2014. After completing her bachelor’s degree from the University of Queensland, Davina has been in private practice in an around the Sunshine coast for a year before joining us full time. Davina shows exemplary skills in building a great relationship and rapport with her patients and is well regarded by her peers. Davina is very highly regarded by her current patients. Davina currently works 3 days a week.

Lise Slack (Dental Hygienist)

Lise Stack

Our dental hygienist Lise Slack is a trained member of the dental team who works together with your dentist in preventing gum diseases and dental decay.

Lise joined OrisDental in 2015 and has worked extensively in private specialist practices. She graduated from the University of Stellenbosch in South Africa in 1982 and has had specific training and exposure to an extensive range of periodontal conditions and treatment modalities.

Lise’s dad was a professor in dentistry and this is where her love of teeth comes from. She has invented two specialist oral care products which are available in Australia and several international countries. Lise has also lectured at international dental conferences on the maintenance of dental implants and how to help patients care for their teeth once they have contracted periodontitis.

Both adults and children can benefit from having an appointment with a dental hygienist as they are taught how dental diseases occur and how it can be prevented or managed.

Lise is married to Sam and they have two daughters. They value their family time and love adventurous outdoor sports.

Jesse (Dental Assistant)

Jesse (Dental Assistant)

Jess has been a part of Oris Dental from the outset in 2011. Always cheerful and welcoming Jess is the star amongst our patients at our practice. If you cannot find Jess in the practice she will be at the beach!

 

Kaela (Receptionist)

Debra (Receptionist)

Kaela arrived at our practice in early 2021. Coming from eight years of retail experience in Northern NSW, she loves working with people and assisting in any way she can. Kaela has also just finished her training as a dental assistant. You will immediately fall in love with her happy, bubbly personality.

Abby (Sr. Dental Assistant)

Abby (Dental Assistant)

Abby is originally from Hervey Bay, but she has been calling the Sunshine Coast home with her husband and two kids for the past four and a half years. Abby completed her cert III in dental assisting in 2015 and is looking to further her studies In the near future. Abby enjoys camping, playing guitar, and travelling
the world with her family.

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    Dr. Param Dass

    Dr. Param Dass

    Param Dass graduated with a Bachelor in Dentistry from the University of Otago, NZ in 2005. He went on to complete his Bachelor in Medicine from the University of Auckland NZ in 2010.

    Param started working part time in our practice since 2015 with special interest in surgical procedures including Dental implants and bone grafting procedures, Surgical extractions including Wisdom teeth and other minor surgical procedures.

    Param is well known for being gentle and caring in treating patients with dental anxiety and maintains a calm demeanour.

    He is also well trained in working with patients with various levels of anxiety, offering dental treatment under Happy Gas, Twilight sedation or under Full general anaesthetic.

    Dr. Brayden Fracchia

    Dr. Brayden Fracchia

    Brayden hails from North Queensland, having completed his Bachelor of Dental Surgery at JCU Cairns, practicing in Hobart and outreach dentistry from Mount Isa over the course of his studies. He has worked with us since 2020. Brayden enjoys becoming a part of a community and enjoys the outdoors and sport in his spare
    time. Having only recently moved to the beautiful Sunshine Coast, Brayden is enthusiastic and well versed in all aspects of basic general dentistry and looks forward to bringing North Queensland hospitality to the South East.

    Briar

    Briar

    Briar stated off as a trainee dental assistant in our practice mid-2020. She is the youngest member of our practice and is rapidly becoming an integral part of team Oris. Briar completed her Certificate 3 in our practice in 2021 and works full time Dental assistant at Oris Dental.

    Drew

    Drew

    Drew is Oris Dental’ newest member, who has only recently moved from his hometown of Rockhampton. He is our Oral Health Therapist, who specializes in oral health education, general check-ups, fillings and more!
    He loves a good chat and a laugh at work. He prioritizes patient’s comfort and likes to encourage an environment where everyone feels a sense of security and safety in the dental setting. When Drew isn’t at work you’ll find him having a refreshing swim at the beach or having his usual dirty chai at his local cafe.

    Jasmine

    Jasmine

    Jasmine joined our practice in November 2021 and works with our Oral Health Therapist Drew. Jasmine is new to dental assistance, however is quickly taking on any and all challenges that come her way! She loves animals, and spending quality time with her husband and two kids. Welcome to the team!

    Brooke

    Brooke

    Brooke is originally from Brisbane but has been living on the coast since 2017. She brings over 15 years of experience in the dental industry and has had the opportunity to work in London and Melbourne for the Royal Flying Doctors. Brooke enjoys surfing, scuba diving and exploring the many things that the Sunny Coast has to offer.

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