Author: Dr Behnam Aminnejad. Posted: 28.11.23

Why is it important to keep your existing fillings and not change all of your silver fillings to white composite fillings?

It's not always necessary or advisable to change all of your silver amalgam fillings to white composite fillings, as there are several factors to consider when deciding whether to replace existing fillings. Here are some reasons why you might want to keep your existing silver fillings rather than changing them to white composite fillings:

• Cost: Replacing all your silver fillings with white composites can be expensive, as composite fillings are generally more costly. Insurance may not cover the replacement of amalgam fillings solely for aesthetic reasons.
• Functionality: Amalgam fillings are known for their durability and resistance to wear and tear. They are especially well-suited for the back teeth, which experience significant chewing forces. If your silver fillings are in good condition and still functional, there may be no compelling reason to replace them.
• Longevity: Silver amalgam fillings often last longer than composite fillings, especially in high-stress areas of the mouth. If your silver fillings have a lot of life left in them, there may be no immediate need to replace them.
• Risk of Tooth Damage: When removing silver fillings to replace them with composites, some healthy tooth structure may need to be removed to accommodate the new fillings. This can weaken the tooth and increase the risk of damage or fracture.
• Allergies and Sensitivity: Some people may have allergies to the metals in silver amalgam, but such cases are rare. If you're not experiencing any adverse reactions or sensitivity, there may be no medical necessity to change the fillings.
• Consultation with a Dentist: It's important to consult with your dentist before making any decisions about replacing existing fillings. A dentist can assess the condition of your fillings and teeth and provide guidance on whether replacement is necessary.
• Personal Preference: If you are satisfied with the appearance of your silver fillings and they are not causing you any problems, there may be no compelling reason to change them solely for cosmetic reasons.

Ultimately, the decision to replace silver amalgam fillings with white composite fillings should be made on a case-by-case basis, taking into consideration factors such as the condition of the existing fillings, aesthetic preferences, budget, and the advice of your dentist. Your dentist can provide a thorough evaluation and discuss the pros and cons of replacing fillings in your specific situation.

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