RESTORATIONS

Amalgam Fillings

Amalgam is the most commonly used dental material for treating tooth decay. Amalgam contains a mixture of metal alloys including silver, tin, copper, zinc and mercury. Amalgam has been used in dentistry for over 150 years. Yet, there has been ongoing concern about the health risks associated with amalgam fillings.

There are certain advantages to amalgam that make it an excellent material for filling cavities. For example, amalgam has a long life and is very predictable. It is far less expensive than alternative materials such as composite resin, gold alloy or porcelain. Amalgam is also a relatively easy material to work with. When compared to alternative filling materials, amalgam costs less, takes less time to prepare and place, and the patient’s cost for amalgam fillings is largely covered by most dental insurance companies.

Is Amalgam Safe?
Numerous articles have been published linking the mercury in amalgam fillings to an array of diseases. There have been allegations that minute amounts of mercury vapor are released from amalgam, and that the mercury in amalgam can enter and harm the body. Most of these articles are not considered reliable, and the so-called “studies” cited in them are not scientific. Controversy over the mercury component in amalgam has caused worldwide concern, and controlled scientific studies have recently been conducted to determine the safety of amalgam.
Alternative Filling Materials
The alternatives to amalgam fillings are gold alloy, composite resin or porcelain materials. Gold alloy is a very durable and long lasting filling material. Composite resin fillings are tooth colored and bond well to tooth structure. Porcelain material such as onlays or inlays can hardly be distinguished from natural teeth. Although these alternative filling materials have their advantages, especially esthetically, they are more costly than amalgam and take more time to prepare and placee grooved
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