Thinking of Replacing Your Old Silver Fillings With White Ones?... Be Careful!

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What I've learned:
Looking at teeth using a dental mirror. If you're going to have your old silver fillings replaced with nice white fillings (also known as "composite fillings", "porcelain fillings" or "tooth colored fillings"), be prepared for a series of Crowns and Root Canals in your immediate future.

Here's how things went for me...
I had good dental insurance, so I thought I'd take the time to replace all of those old silver fillings that I'd had since childhood with nice new white fillings.

The goal: No more mouth-full-of-silver whenever I smiled big.

The reality: Serious dental work in every quadrant of my mouth.


I didn't do it because I was concerned about the amount of mercury in silver fillings.

And it wasn't purely out of vanity that I chose to have all of my silver fillings replaced.

It was a well-thought out decision that I arrived at with the help of my dentist (whom I adore).

 

Why I Decided To Switch Out My Silver Fillings For White Ones

The Mercury in Your Mouth: The Truth About Silver Fillings book.You see, two of my teeth had started to turn gray from the silver seeping through the tooth enamel itself. This is normal and natural -- particularly with silver amalgam fillings from the 1970's.

The problem was those "gray teeth" were in the front of my mouth, and as a result, it was starting to look like those teeth were dead or something. It wasn't attractive, to say the least.

I'd had my eye on those two teeth for years, and I watched as the gray color became progressively darker.

In all, I had 7 silver fillings that needed to be replaced. The dentist decided to do them on two different days, that way only one side of my mouth would be numbed at a time.

As part of the process of removing the old silver fillings, 4 of my teeth had to be drilled practically down to the nub to make room for the new white fillings.

The other 3 had to be drilled down so far that they barely even resembled teeth anymore; they required Crowns.

 

Things I've Since Learned About Silver vs White Fillings

These are things that I've learned from the many different dentists, dental hygienists, and dental assistants who have had their hands in my mouth over the course of the past 11 months trying to fix this mess!...

  • Back in the 70's, dentists used to drill out way more "good" tooth than they needed to. They didn't know better. That was just the way everyone did fillings at that time.
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  • Add to this the fact that when you're replacing fillings, you have to first drill out all the old filling, plus a little more. This is to make sure you've got a good surface on which to adhere the new filling. (The same would be true with any form of dentalwork on a tooth with pre-existing dentalwork.)
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  • Whenever you drill that much tooth away, you're opening up a whole new set of problems. Specifically... any cracks, nerve issues, hidden fractures, etc.
I look at it like this... In my case, after 30+ years of living with the same silver fillings (and having no other dental work besides fillings all those years), all of my teeth had comfortably found their own places inside my mouth. The nooks & crannies were all relative to one another, and everything was harmonious. But when I changed the shape, the contents, or the neighbor of one tooth (or, in my case 7 teeth!), then it messed up overall environment inside my mouth. All of the tiny changes that took place as a result of replacing the fillings forced my teeth to then re-settle and find a new "comfort zone" inside my mouth. Plus, all that "hollowing out" of my previously silver-filled teeth made those teeth extra vulnerable. Out of the blue, those teeth were now exposed to air, and gaps, and all-new (white) filling material. Not to mention the fact that the nerves inside those teeth had been awakened from their deep sleep.
  • Then there's the fact that white porcelain fillings have other disadvantages like they don't seal the cavity as well, and they may also irritate the existing nerve within a tooth.
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  • To top it all off... I'm told that white porcelain fillings don't last as long either. Get this: They need to be replaced every few years! I wish I'd know that before I switched out every filling in my mouth!!!
     
I only wish I'd read this first! (This too.)


UPDATE:  Well, my story actually got much crazier. I had to get a series of crowns (I've had 3... or 4... actually, I've lost count) and root canals. Neither of which is very scary -- unless things go wrong.

As a result of all this change of fillings, I had to have 4 root canals in less than 6 months -- and one of them "went wrong". The dentist (a different dentist than the one who did my fillings) simply didn't get every bit of the root or nerve out of one tooth, so decay and pain were a huge problem for many long weeks. In the end, I had to have a second root canal on that same tooth! This time, I had to go to a different dental specialist who could "undo" the root canal that had previously been done (they use "permanent" cement-type sealants!), then go in deeper and get the remaining nerve.

That still resulted in many months (not weeks) of pain for some reason. And to this day, I have still a lot of sensitivity in that tooth. How... when I supposedly don't have any nerve left in that tooth, I don't understand. But the feeling is there, trust me.

Looks like I'm not the only one this has happened to!. Heck, even Johnny Depp had to have a double root canal during the filming of Pirates of the Caribbean!
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13 Comments

Ann said:

I googled replace fillings and came across this. I went to a dentist yesterday who said my three silver fillings need to come out and be replaced with "new technology". I don't see why, but he remained adamant. So each will cost me $132 because my insurance won't cover "voluntary" removal; and I don't really see the necesssity.
I'm taking the 2nd opinion advice because my next appt is over a month away and I am willing to pay for that second dentist's opinion. Thank you so much because I have had a lot of dental problems and don't need any more!

Lisa said:

Wow - I feel like I was reading my own story -just not as many teeth! I had 8 silver fillings from when I was little! Never had them mentioned until I went to a new dentist about 5 years ago! She said they all had to be replaced because they were dangerous! I had NEVER had so much as a toothache my entire life! Well, we started with the right side of my mouth and replaced 3. From the time the novocaine wore off I had a terrible toothache in my lower molar. I went back countless times and told them to FIX it! They tried shaving down my tooth a little, some solar powered somethingarather, etc. with no relief. Went to a specialist and found I need a root canal - lovely! Had that done and when they put the crown on my entire bite shifted as well! No I am wearing down my front teeth as I have a kind of crossed bite that I settle into at night! Also have already had to have the other 2 white fillings replaced because their were gaps in them! Make a long story longer :) I have now switched to another new Dentist and the first thing she said is I need my last few silver fillings replaced right away. Being a dumb gullible person I scheduled the appt! It's tomorrow at 8:00 a.m. and i'm calling now to cancel! I thought it was just my bad luck the other time having just listened to the Dentist and not investigated on my own!!

Sue said:

Wish I'd seen this 2 weeks ago! I had upper left fillings replaced and have had problems ever since. Looks like a root canal or two for me in the near future. I'll not have any more silver fillings replaced! Wish I'd known it's not critical to do it, and noone sees the silver in the back of the mouth anyway. I think they are indeed drumming up business. Lesson learned: don't fix what isn't broke.

Cheryl Beechwood said:

July 17, 2008 I had a new patient appointment. (answered a flyer, $59 full set of x-rays, cleaning, conference with the dentist, etc. you get the idea). By the end of the visit I was in shock. It seems I need all 5 of my 30 year old amalgam fillings removed and replaced with composite ones and I need two more (filling to large, can't save the tooth type) replaced with crowns. Sorry, I ever answered that flyer. I did get a good cleaning and liked the dental hygenist. Too bad, I won't go back for the next cleaning out of my wallet. I was born at night, but not last night.

Stephen Schrader said:

Heck, I just had a silver filling put in today (7/15/08). They are stronger than white fillings and can last up to 40-50 yrs. I avoid any dentist that tells me silver fillings need to be replaced. There is no honor among thieves or dentists.

Leah said:

I wish I'd read this a month ago. Went in to have 3 30-year old silver fillings redone with white (dentist said I absolutely must do it soon). Once I was in the chair, he decided to do 5 of them. Now I'm in pain constantly, can't chew on that side at all. He tried to fix them but says I have to have 2 root canals, and then he wants me to come in so he can replace the 4 fillings on the other side! I don't think so. I wish he had explained the risks, I would have done more research. Too late for me.

kate said:

Hi Lynnette

Thank you for your response, and thank you for sharing your experience. You're right, I'm in a frenzy - I'm very worried about it and the prospect of having all that dental work done (and what could happen once I start removing old fillings) is very daunting and has kept me in bed the entire morning (very unlike me) just thinking about it and worrying. Yesterday after seeing that dentist I came home and called my previous dentist to make an appointment with her and I'll see what she has to say about it. I've been going to her for years and would have gone to her yesterday except since my move the distance is an issue. But it's worth it if I can have peace of mind.

I took three ex-rays (including the one that goes completely around your head) at this dentist's office and there seems to be no deterioration under the actual filling - but he said it could be happening and there's no way to stop it because you can't clean under the filling. What he pointed out was that there was a grey tinge around the fillings and that's a sign that they should come out. He didn't use the ex-rays to show me what was happening but his assistant showed me the ex-rays after he left and all I could see was tooth and filling - no decay at all and she didn't point out that there was decay. The dentist didn't make it sound like it had to happen right away but when they printed out what the bill would be and started trying to set up appointments I sure did feel pressured. When I told the receptionist I wanted to hold off or wait to schedule she kept saying that it was important for my health that I get it taken care of (even though the dentist and the assistant were saying there was no rush). The appointment I ended up making was for a month from now and I intend to go to my prior dentist before then and cancel the appointment with this new dentist. It just didn't feel right yesterday.


I really appreciate your advice. It's made me feel better and it was very helpful (especially being reminded that I'm the customer and I have the right to say no. When it comes to medical issues sometimes it's easy to defer to the professionals and what they think is best), but reading about your experience has also given me a perspective that I wouldn't have had otherwise. It's good to know about what could happen and I'm very glad that I found your board.


As of now I've decided that I won't do anything about it until there is an actual problem, but I am going to get that second opinion from my previous dentist.

Thank you Lynnette. You've been very helpful.

Kate

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