Amalgam Dental Fillings in Sacramento, CA

Please note we may not offer this service at our Sacramento, CA, office. Please call (916) 929-9222 to learn more.

Repair Your Cavities with Confidence

Amalgam fillings, commonly referred to as silver fillings, have been a cornerstone of restorative dentistry for over 150 years. Despite the evolution of modern dentistry, which now offers a variety of aesthetic options, amalgam fillings remain a durable and economical solution that has helped millions of patients maintain their oral health. Dr. Scott Grivas, your trusted Sacramento restorative dentist, provides a comprehensive overview of amalgam fillings, detailing their composition, benefits, and considerations for use in dental care.

If you reside in Sacramento, La Riviera, West Sacramento, Florin, or Rosemont and are contemplating your dental filling options, we encourage you to reach out to our team at (916) 929-9222. While our Sacramento dental practice specializes in modern composite fillings, we are also happy to evaluate your existing amalgam fillings and discuss potential replacement options tailored to your needs.

What Are Amalgam Fillings?

Amalgam fillings are metal-based dental restorations specifically designed to repair cavities and address tooth decay. These fillings are composed of a mixture of metals that create a robust and lasting solution for damaged teeth. The primary components of dental amalgam include:

• Mercury (approximately 50 percent): Acts as a binding agent.
• Silver (approximately 22-32 percent): Provides strength and durability.
• Tin (approximately 14 percent): Contributes to the overall stability.
• Copper (approximately 8-12 percent): Enhances the filling’s resistance to corrosion.
• Trace Amounts of Other Metals: These may include zinc or palladium, which can improve specific properties.

Liquid mercury is mixed with solid metal particles to create the amalgam, which is initially soft for easy application and shaping before it hardens. Understanding the composition of amalgam fillings is essential for patients who currently have them or are considering their options.

Benefits of Amalgam Fillings

Dr. Grivas highlights several significant advantages associated with dental amalgam restorations:

• Durability: Amalgam fillings are exceptionally strong and can withstand significant bite forces for over 15 years, making them ideal for areas subject to heavy chewing.
• Cost-Effectiveness: They remain one of the most affordable restoration options available, making dental care accessible for many patients.
• Strength and Load-Bearing Capacity: Their robust nature makes them particularly suitable for back teeth where chewing forces are greatest.
• Longevity: Many patients report having their amalgam fillings successfully in place for several decades without issues.
• Ease of Placement: The procedure for placing amalgam fillings is typically quick and straightforward, allowing for efficient treatment during your dental visit.

Disadvantages of Amalgam Fillings

While silver amalgam fillings are effective, they do come with some limitations that should be considered:

• Aesthetic Concerns: The metallic appearance of silver amalgam can be noticeable when speaking or laughing, which may be a concern for some patients seeking a more natural look.
• Expansion and Contraction: Temperature changes in the mouth can cause the filling material to expand or contract, potentially affecting its stability over time.
• Allergic Reactions: Although rare, some individuals may experience sensitivity or allergic reactions to the metals used in silver amalgam.
• Environmental Concerns: Due to the mercury content in silver amalgam fillings, proper disposal protocols must be followed to minimize environmental impact.

Placing Amalgam Fillings

The process of placing an amalgam filling involves several meticulous steps:

Preparation of the Tooth

The dentist begins by thoroughly removing any decay and damaged tooth structure. This is followed by careful isolation of the tooth to maintain a dry field during placement. Specialized bonding agents may also be applied to enhance adhesion.

Mixing and Placement of Amalgam

Dental amalgams are precisely mixed according to established guidelines. The mixture is then carefully placed into the prepared cavity to ensure complete coverage.

Condensation and Carving

Once placed, the filling undergoes thorough condensation to eliminate any gaps that could harbor bacteria. The dentist then carves the filling into shape, matching it closely with the natural contours of the tooth.

Final Polishing

The final step involves meticulous polishing of all surfaces to enhance comfort and function while ensuring a smooth finish that mimics natural tooth enamel.

Costs of Dental Amalgam Fillings

In the Sacramento area, the cost of amalgam fillings typically ranges from $50 to $150 per tooth. Several factors influence this cost, including the size of the cavity, the location of the affected tooth within the mouth, and specific rates set by individual dental offices. Most dental insurance plans provide coverage for amalgam fillings since they are considered a standard restoration option.

Are Amalgam Fillings Safe? Understanding Mercury Exposure

Dr. Grivas addresses common safety concerns surrounding amalgam fillings:

• Mercury Release: While minimal vapor release occurs during the placement or removal of dental amalgam, levels remain well below established safety thresholds set by health organizations. Mercury in dental amalgam is regulated and considered safe by health organizations.
• Exposure Levels: Extensive research has confirmed that standard dental amalgam fillings pose minimal health risks for most patients. While mercury vapor is released during placement and removal, regulatory bodies consider the levels safe for most patients.
• Exceptions: Some individuals may require alternative materials due to metal sensitivities or personal preferences.

Environmental Impact of Dental Amalgam Waste

Dental amalgam waste poses a significant environmental concern due to its mercury content, a toxic substance that can have detrimental effects on humans, wildlife, and the environment. When dental offices dispose of amalgam waste improperly, it can lead to contamination of soil, water, and air, posing serious ecological risks. The Environmental Protection Agency (EPA) has identified dental offices as one of the largest sources of mercury pollution in wastewater.

To mitigate the environmental impact of dental amalgam waste, dental offices can adopt several best management practices (BMPs). These include installing amalgam separators to capture and hold excess amalgam waste, which prevents mercury from entering the wastewater system. Using pre-capsulated mercury/alloy can minimize the risk of mercury spills, and avoiding direct skin contact with mercury or freshly mixed amalgam is crucial for safety. Additionally, employing high-volume evacuation systems fitted with traps or filters during polishing or removal of amalgam can significantly reduce mercury exposure.

Proper disposal of amalgam waste through licensed waste disposal facilities is essential to ensure that mercury does not end up in landfills or water bodies. Furthermore, dental offices can consider transitioning to mercury-free dental filling materials, such as composite resin fillings, to reduce their environmental footprint and promote a safer, more sustainable practice.

Tips for Taking Care of Your Filled Teeth

Taking care of your filled teeth is crucial for maintaining good oral health and ensuring the longevity of your dental fillings. Here are some practical tips to help you care for your filled teeth effectively:

• Practice Good Oral Hygiene: Brush your teeth at least twice a day with fluoride toothpaste and floss once a day to remove plaque and bacteria. This helps prevent decay around your fillings and keeps your mouth healthy.
• Avoid Chewing or Biting on Hard Objects: Chewing on hard objects like ice, pens, or hard candies can cause your fillings to crack or chip, leading to further dental issues.
• Limit Sugary and Acidic Foods: Consuming sugary and acidic foods can contribute to tooth decay and erosion, which can compromise the integrity of your fillings. Opt for a balanced diet to support your oral health.
• Visit Your Dentist Regularly: Regular dental check-ups are essential for identifying any issues with your fillings early on and preventing further problems. Your dentist can also provide professional cleanings to maintain your oral health.
• Avoid Grinding or Clenching: Grinding or clenching your teeth can put excessive pressure on your fillings, causing them to wear away or crack. If you have a habit of grinding your teeth, consider using a mouthguard at night.
• Use Desensitizing Toothpaste: If you experience sensitivity after getting a filling, using a desensitizing toothpaste can help alleviate the discomfort. These toothpastes contain ingredients that help block the pathways to the nerves in your teeth.

Replacing Dental Amalgam Fillings

There are several reasons you might consider replacing your existing amalgam fillings:

• Cosmetic Improvement: Switching from metal-based fillings to tooth-colored alternatives can enhance your smile’s appearance. Dental materials like composite resins offer aesthetic benefits compared to traditional amalgam fillings.
• Structural Issues: If your current filling has developed cracks or wear over time, replacement may be necessary to maintain tooth integrity.
• New Decay: Cavities can develop around existing fillings; thus, addressing new decay promptly is essential.
• Personal Preference: Some patients prefer modern materials that align with their aesthetic goals or health considerations.

Frequently Asked Questions

Ready for Your Dental Consultation? Call Today!

Whether you’re considering your first filling or looking to replace an existing amalgam restoration with a more modern option, Dr. Grivas and our dedicated team are here to assist you every step of the way. We offer comprehensive consultations where we discuss all available options tailored specifically to meet your unique needs.

Serving Sacramento, La Riviera, West Sacramento, Florin, Rosemont, and surrounding areas with commitment and care, we strive to provide exceptional dental services that prioritize your health and satisfaction. To schedule your consultation today and explore your dental filling options with confidence, contact our Sacramento office at (916) 929-9222!