Should You Replace Old Silver Fillings With Tooth-Colored Fillings?

You don’t have to remove every old silver filling. If your amalgam filling is still intact and there’s no decay underneath, the FDA doesn’t recommend taking it out just to prevent disease. But if the filling is worn, damaged, or you’re unhappy with how it looks, it’s a good idea to ask if replacing it makes sense.

Do Old Silver Fillings Need to Be Replaced Just Because They’re Old?

No. Age alone isn’t a reason to drill out a filling that’s still doing its job.

The FDA’s dental amalgam guidance points out that removing an intact filling can sacrifice healthy tooth structure and temporarily raise mercury-vapor exposure during the process. An old filling can still be in good shape.

The conversation changes when the restoration or the tooth around it has a problem, though.

What Signs Can Mean an Older Filling Needs Attention?

Fillings won’t last forever. Over time, a restoration can wear down, crack, or develop issues around the edges. If you notice any of the following, it’s a good idea to have your older filling checked:

• A filling that has cracked, broken, or lost a piece
• New or lingering pain or sensitivity around the restored tooth
• Decay or damage your dentist finds around the restoration
• A crack in the tooth near a large filling
• A metal filling you want to change for cosmetic reasons after discussing the tradeoffs

The American Dental Association recommends choosing filling material based on your specific needs, including the size and location of the restoration, how it looks, how long it will last, and the cost.

Can Silver Fillings Be Replaced With Tooth-Colored Composite?

Yes, if replacement makes sense for your situation. Mansouri Family Dental Care & Associates offers tooth-colored fillings in Marietta for new cavities and for anyone interested in talking about replacing older silver or gold fillings.

Composite blends in naturally with your tooth, but the right material still depends on your tooth and its needs. The FDA points out that some materials may not be as durable as amalgam for large back teeth that handle a lot of chewing.

How Do We Decide Whether Replacement Makes Sense?

Dr. Azita Mansouri and Dr. Michael Mansouri work together at their family-owned Marietta practice and keep up with advanced training in cosmetic dentistry and implants. When you come in for an evaluation, you’ll find out if your filling is still in good shape, if the tooth around it needs care, and which restorative material will work best for you.

Dental Filling FAQs

Should I replace a silver filling just because it contains mercury?

Not if it’s intact and there’s no decay beneath it. The FDA specifically advises against removing sound amalgam fillings solely to prevent disease unless a health care professional considers removal medically necessary.

Can every silver filling be replaced with composite?

Not always. The size and location of your filling, the condition of your tooth, how much chewing it does, moisture control, and your preferences all play a role in choosing the right material.

Ask About Tooth-Colored Fillings in Marietta

If an old metal filling is bothering you, Mansouri Family Dental Care & Associates can check it out before you decide on replacement. We offer tooth-colored fillings in Marietta and can help you look at the condition of your tooth, your current filling, and the cosmetic results you want. Call our Marietta office to set up an evaluation.