It was kind of amazing to me when a patient asked the other day if there was an alternative to silver fillings. In reality, we haven't placed an amalgam (silver filling) in over ten years. White composite fillings are nicer to look at and have many advantages over the older silver fillings. There is no need to remove silver fillings unless they are inadequate or present a cosmetic issue that is important to the patient. The concerns some people have about the mercury contained within amalgam fillings has been proven to be of no real concern.
Most of the time we remove old silver fillings it is because they have outlived their usefulness and replacing them with white, composite fillings or porcelain restorations looks and feels better.
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