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Why Dr. Workman Delivers Amalgam-Free Dentistry

With modern technologies of dental adhesion, state-of-the-art ceramics and resins, the newest bonded restorations are actually close to matching nature in strength, wear, functionality and appearance. Using these new materials, it is possible to bond teeth together again, essentially restoring them back to their virgin toughness but without the invasiveness of complete-coverage crowns. In most cases, metal fillings can be replaced with techniques which are a better solution to mercury/silver amalgam fillings. It is, therefore, a possibility to maintain the healthy, remaining tooth structure, rather than grinding it away to prep for a crown.

Everything wears out, and your silver fillings are no different. They endure stressful and significant biting forces daily, and as they get older, they crack, leak and can bring about damaging fractures in teeth. With time, metal amalgam fillings can actually soak up water, causing them to swell and break free from the tooth. At this point, your tooth is much more susceptible to decay and sensitivity.


Mercury/Silver fillings have some negatives worth listing that need to be thought of if it’s time to swap your restorations:

  • Silver fillings are less appealing than natural-colored fillings. Think about it, they don’t in the least resemble a natural part of the tooth.
  • Amalgam grows and contracts when subjected to cold and hot extremes within your mouth. The constant expansion and contraction with temperature can set off cracks and fractures in your teeth. There may not be any sort of symptoms for a while, yet these teeth could become very sensitive as the crack increases or opens whenever you bite down or chew. It isn’t uncommon for patients to come in wanting to know the way they broke their own tooth when they had been eating something soft such as a banana or a slice of bread. What they don’t realize is that the tooth most likely had a crack in it well before it ultimately came apart.
  • Silver fillings under continual chewing pressure are susceptible to metal fatigue or flexing and bending failure, a concept that may be fully understood and demonstrated by repeatedly bending a metal paperclip until it breaks.
  • Metal fillings are much harder and far less flexible than the teeth they are molded into. The longer they are on the teeth, the greater pressure they place on the remaining weakened walls of the tooth resulting in fractures and cracks.
  • Metal fillings aren’t cemented to the cavity. They merely sit in the tooth and act under pressure to wedge the tooth apart, like a metal wedge is used to split logs into firewood.
  • A microscopic space surrounding the filling edge exists as soon as your silver filling is plugged into the tooth; and in this space, continuous leakage and corrosion occurs. This space is big enough to allow bacteria and food particles to seep in after a while and cause decay at the joint between the tooth and the filling. Composite fillings, however, are actually bonded to the tooth surfaces and seal the margins closed from invading bacteria.
  • In order to prepare a tooth for a composite filling, the actual tooth can usually be treated a lot more gently and with less healthy tooth structure needing to be removed. And for that reason, the dentist can maintain the greatest amount of virgin tooth structure as is possible
  • Silver fillings require drilling undercuts (think carving out a pumpkin) and removing larger healthy portions out of the tooth to be able to keep the mercury amalgam repair from falling out because it is not bonded directly to the tooth. These undercuts also can weaken the tooth as fillings get more substantial and sentence that particular tooth to upcoming cracking later on. These cracks may be substantial leading to crowning the tooth to restore it and even catastrophic cracks resulting in extraction of the tooth.
  • Composites, utilizing their opportunity to be conservative and implementing their gluelike characteristics, can reinforce and guard against fracture. By simply intercepting the potential for fracture prior to experiencing the signs and symptoms of hot/cold sensitivity as well as biting discomfort, new conservative treatments like natural-colored restorations or porcelain-bonded restorations are actually reducing the unwanted effects of toothaches and damaged teeth.
  • Finally, in many dentists’ opinions, bonded natural-colored restoratives are safer than standard fillings, simply because they don’t contain any mercury. Although the American Dental Association (ADA) suggests the utilization of mercury in metal fillings is harmless, there is certainly an ongoing discussion inside the dental sector regarding the adverse effects of these mercury amalgam fillings. Many European countries actually prohibited the utilization of mercury amalgam fillings to avoid any sort of dangers related to mercury.

Using a PROACTIVE rather than a REACTIVE method to amalgam extraction is usually a choice quite a few patients hope to have Dr. John Workman follow.