Monday, October 8, 2018

Filling You in on the Realities of Dental Amalgam


Going to the dentist is scary enough, right? Well how about being told that you will have to have a filling done on a cavity, and that dental filling was composed of something called dental amalgam. After searching up what dental amalgam is actually composed of, you find out it is 50% elemental mercury by mass. Further research leads you to find out that this mercury is released at low levels in the form of a vapor that can be inhaled and absorbed by the lungs. You probably didn’t want to get that filling in the first place, but now you really don’t want to get that filling, do you?

These are the thoughts going through a person’s mind when they hear that their filling will be made of dental amalgam. After doing further research, they question the filling composite material and wonder if this is even safe for them as high levels of exposure to mercury vapor can be associated with adverse effects in the kidneys and the brain. Negative stereotypes and stigmas of chemistry have made people fear even the word “chemicals,” let alone knowing that you would be constantly inhaling one given that you had used dental amalgam as a solution for your most recent result of a sweet tooth.
However, the bottom line is: dental amalgam is completely safe and even FDA approved, despite the contradiction of the filling’s possible adverse effects. Chemistry plays a very large role in the profession of dentistry, and generally of any healthcare field. There’s a reason why mercury is used in the dental amalgam; and that is to bind the alloy particles together strongly, creating a durable and solid filling. As the FDA states, the amount of mercury vapor let off by the dental amalgam is too low to produce any significant effects. As stated in the FDA article, “The weight of credible scientific evidence reviewed by FDA does not establish an association between dental amalgam use and adverse health effects in the general population.  Clinical studies in adults and children ages 6 and above have found no link between dental amalgam fillings and health problems.”


But because of these “environmental concerns” with dental amalgam, some dentists have moved on to composite resins. The most common composite resin used for dental fillings is Bis-GMA, formed by BPA and GMA which polymerize in UV light, according to an article posted on Chemistry & Engineering News.

If you have a cavity filling in which dental amalgam was used, fear not! Nor is it advised to get it removed/changed. By doing this, you are putting the healthy tooth that you have remaining at risk. Unlike your skin or many other parts of your body, once you grow to a certain age, you cannot re-grow tooth structure. So healthy, strong tooth structure is very important and preserving it as much as you can is necessary! Dental amalgam is actually very strong, durable, long-lasting, are less likely to break than most other fillings and are even cheaper! Despite this, most people choose to go with the Bis-GMA composite resin because of the “environmental concerns” and for its natural looking color.


Sources:
https://www.fda.gov/medicaldevices/productsandmedicalprocedures/dentalproducts/dentalamalgam/ucm171094.htm
https://cen.acs.org/content/cen/articles/94/i24/Periodic-Graphics-chemistry-dentistry.html
https://www.alliancedental.ca/visiting-the-dentist/what-are-silver-fillingsdental-amalgam-made-of/

2 comments:

  1. Very good title and graphics for an interesting and really quite important topic. A good example of the dangers of chemophobia. It would be helpful to link to your sources in the text. Quite specialized sources.

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  2. Cavities are really disastrous because they can destroy all of your teeth and when you laugh loudly the black cavities can make your impression really bad. This is why I always follow the instructions offered by the dentist Torrance to prevent cavities and other diseases.

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