There are many reasons why you may wish to have your amalgam fillings removed and replaced with a metal-free, tooth-coloured material.
The modern alternatives to amalgam, the composite and glass ionomer materials are adhesive, do not contain mercury, and look entirely natural.
The following precautions are taken when removing amalgams:
- A rubber dam is placed over the tooth to ensure the material being removed is not swallowed. This dam can be left in place after removal of the amalgam which aids placement of a better quality restoration
- The amalgam is removed in chunks using drill bits which are specifically designed to reduce mercury vapour release.
- We routinely cover your neck and torso with a plastic bib, and eyes with goggles.
- Copious water spray and high-volume suction are used during removal of the amalgam
We use a combination of glass ionomers and composite for fillings. Unlike amalgam, these are adhesive and entirely metal-free. Adhesive fillings require less mechanical retention than amalgam, which often means less “drilling”
There is always a small chance of damage to adjacent teeth or the enamel around the filling when replacing a restoration. We minimise this risk by utilising protective “shields” between the teeth whilst removing the amalgam and special “end cutting” drill bits which cannot damage the adjacent teeth.
A number of supplements around the time of the removal of amalgams: Vitamin C, Activated charcoal and Selenium. Glutathione supplements may also be used after removal of the amalgam