Should You Have Your Amalgam (Silver) Fillings Removed?

If you have “silver” fillings in your mouth, you’re well aware of how they affect your smile. Shiny, right!? If you’ve ever thought about having them removed, and had any concerns as to whether it was the right thing to do, the safe thing to do, or even an affordable thing to do, we’re here to help. We’ll cover these questions, and a few other common concerns that tend to pop up when the dentist is asked: “Can you do anything about all that metal in my mouth?”

How much does it cost?

The cost to remove an old amalgam filling and replace it with resin, varies. But, you should expect it to fall somewhere between $115 and $300. Here’s an interesting online dental cost calculator you could play around with to get a feel for what you could be looking at in your market. 

Are there risks involved in removing fillings?

Yes. Generally speaking, if an amalgam filling remains strong and free of decay, the Food and Drug Administration recommends it be left alone. Disturbing a successful filling means a greater portion of the tooth would need to be removed, and working on an amalgam filling can also exposing you to mercury vapor you could otherwise avoid. 

But, which is safer? Amalgam or Resin?

This is the perennial question. With amalgam, there is concern over the metals used, and with resin it's the BPA. The American Dental Association has information regarding the safety and efficacy of both solutions, so if this issue concerns you, you can get an accurate understanding of the risks by clicking the links above. Coming to a conclusion that’s right for you is something only you can do. So, educate yourself as much as possible, using the input of your physician and well-researched medical sites to help you get there.

When it really comes down to it, the decision as to whether to leave in or switch out amalgam fillings with resin is up to your doctor. Your X-rays, the health of your gum tissue, and your teeth and bone structure will inform your dentist as to what’s best for you. After all, your teeth as unique as you are!

Different Techniques for Flossing

When it comes to dental floss, what’s the best kind? Well, if you ask a dentist, they’ll tell you the best dental floss is the floss you’ll actually use. That could be Teflon floss, dental tape, nylon floss, waxed floss, and flosses with or without flavors – there are a lot of choices! There are also a number of ways to get your flossing done that don’t have you wrapping a long string of floss across your fingers and deftly maneuvering your hands in such an enclosed space. Enter the oral irrigator, the vibrating flosser, and the dental pick! Which might be best for your kids?

• Dental Pick: If you’re prone to ignore flossing, you may want to consider a good ol’ fashioned dental pick. You’ve no doubt seen these before (sometimes cast aside on the sidewalk!) … they look kinda’ like a plastic toothpick with a strand of dental floss strapped across a wide u-shaped tip. The simplicity and compact nature of these little portable floss “picks” seem to add to their convenience, and kids seem to love them when they’re first learning to floss. We’ll bet you can find at least one colleague in your office who has a few in their purse or desk for those moments when lunch lingers on the teeth a bit longer than appreciated!
• Electric Flossers: Depending on the brand, electric flossers are known by a variety of names, and searching for these handy little devices can be somewhat maddening online (trust us!). You may be best just wandering into the drug store or supermarket to explore in person! There are vibrating flossers, power flossers, and air flossers. Picking the one that’s right for you depends on the task at hand. Power flossers and air flossers seem best if you’re dealing with space concerns near the gumline, and may be a good substitute for an interproximal toothbrush. A vibrating flosser, on the other hand, looks much like a dental pick and because of its design, can cover the entire length of the tooth. Ask your dentist which is best for you.
• Oral Irrigator: An oral irrigator is a device that uses a pulsating stream of water to remove plaque and food debris from between your teeth. There are a variety of instruments on the market, and your dentist can recommend one based on the health of your gum tissue and budget. Oral irrigators are remarkably effective at keeping gum tissue healthy, and have been shown to reduce pocket depth due to periodontitis. “Pocket depth,” refers to the depth of the gum tissue that immediately surrounds your teeth. You may not know it, but that’s what your dentist or hygienist is testing for when they’re poking that instrument in your mouth during an exam and calling out numbers!

It’s worth noting that each of these devices, while recommended, should be considered as supplements to normal flossing – still your best choice. But, if you have dexterity concerns, are purchasing something for a youngster, or just want to ensure your teeth are the cleanest they can be, these tool are great options!

Diabetes and Dental Health

25.8 million children and adults in the United States – 8.3% of the population – have diabetes. And not too far behind those 25.8 million are the estimated 79 million Americans with prediabetes. What's worse, the prevalence of the disease is on the rise, with an estimated 552 million to be diagnosed by 2030. Its progress has become so staggering, the International Diabetes Foundation has termed Diabetes as “The Global Burden.” Diabetes is a serious illness, and its complications are manifold. Most know of its impact on circulation, visual acuity, and heart and kidney function. Many aren't aware, however, of its deleterious effect on gum tissue. If you're prediabetic, have diabetes or have a loved one with the disease, you'll want to learn more about how to ward off this commonly unknown side effect of the disease.

Diabetes is a disease with tentacles. It touches and degrades so many aspects of a person's physical health, it becomes difficult to be mindful of all its complications without proper vigilance.  Yet, vigilance is precisely what is needed, particularly with regard to its role in a healthy mouth, because having diabetes can not only lead to oral disease, but the presence of oral disease can also aggravate diabetes. When it comes to diabetes and the mouth, it is unfortunately, as the scientific community calls it, a “two way street.”

What are some of the Oral Health complications of Diabetes?

• Tooth Decay: Occasionally, an observant dentist who notices a high instance of cavities in an otherwise healthy mouth is the first to suggest a patient be tested for diabetes. The reason for this is that uncontrolled diabetes results in higher levels of salivary glucose. When coupled with a diabetic's diminished salivary production, the mouth tends to bathe in an environment ripe for tooth decay, and these parallels are markers that get a dentists’ attention. If you're already diabetic, you'll want to keep your dentist informed of your disease and its current state so they can always be on the lookout for related problems in your mouth.
• Gingivitis And Periodontal Disease: Because diabetes lowers the body's ability to fight infection, people with the disease are more likely to encounter bouts with gingivitis and periodontitis. Both gingivitis and periodontitis are bacterial gum infections, with gingivitis being the less advanced version of the two. Having either condition, though, requires diligent care because of a diabetic's inability to fight these infections properly. Diabetics have the added burden of having to contend rising sugar levels caused by the body's reaction to stress and infection. The resulting “see-saw” effect can be quite difficult to manage, to say the least. If nothing else sways you to consider your oral health as it relates to diabetes, this single interrelated factor alone should convince you this is a battle you need to fight from an offensive, rather than a defensive position.
• Fungal Infections: Also related to the body's inability to fight infection, diabetics are likely to experience a greater incidence of oral fungal infections. Thrush, which can be common in infancy as a baby develops their immune system is often seen in diabetic patients as well.
• Loss of Taste: In the far reaching realm of diabetes complications, losing your ability to taste certainly ranks among the more unpopular. Here, nerve damage is the culprit, as untreated or uncontrolled diabetes can cut off nerve transmissions to the brain from the taste buds, thus impairing or completely removing one's ability to taste. Not good.

Diabetes is a serious illness, and thankfully, it is one that can be prevented. If you already have the disease, it can also be controlled by following the advice of your doctor and your dentist. Be sure to make all of your health care team members aware of your disease so you can best stay on top of it. There is nothing worse than the awareness that you could have saved yourself from risky complications through better self-care. And there is nothing better than knowing that you did save yourself from additional illness by doing the right thing. So be proactive, and be healthy!