Fillings

Fillings

Want to remove your old amalgam fillings? Contact Integrated Dental Health on (02) 4708 7007 for safe removal!

Even with the most thorough brushing and flossing routine, many people will at some stage, require a filling, either because of tooth decay or an accident that has caused a tooth to fracture or become weak.

A CEREC ceramic filling is a high strength restoration that is used to replace tooth structure lost to decay or fracture or to shape, re-form and align teeth. CEREC fillings are individually designed and made in a single appointment by our highly trained and experienced dentists using the latest CAD-CAM (computer aided design and manufacture) software, equipment and techniques.

CEREC ceramic fillings are superior to plastic composites and our dentists recommend those as the gold standard of care as they present less problems with food catching between fillings due to curing shrinkage.

What are the advantages of CEREC restorations?

CEREC ceramics perform better than conventional filling materials in the long-term, as they have lower failure rates and require replacement less frequently or even at all if maintained properly. CEREC restorations also maintain their appearance over time as they are less susceptible to wear, staining and fracture.

Why a CEREC filling?

Fillings on back teeth are subject to heavy biting forces and are often large, having to replace large sections of tooth structure lost to decay or fracture. Other conventional materials are weaker, or have less predictable properties. This means that they may separate from the tooth, wear or break, causing weak areas that allow microbes to penetrate underneath the filling. This leads to tooth or filling fracture, recurrent decay and the need to replace fillings more often, increasing in size each time and increasing the risk of tooth fracture or infection of the dental pulp.

What is the procedure?

In a single appointment, our dentists will remove any decay in your tooth, then shape and prepare the tooth for the ceramic filling. A digital scan is then taken of your teeth to create a 3D model, which is used to design the filling in the CEREC software.

Our dentists will select a shade with you that matches or enhances your natural teeth and can add highlights, shading or even stains to make your filling blend in seamlessly. Your individualised CEREC filling is made right there and then and placed at the same appointment avoiding the need to wait and come back for multiple appointments.

Our dentists are highly trained and experienced in working with CEREC technology and will happily talk you through the different treatment options.

Click here to find out about safe amalgam removal

What is safe mercury amalgam removal?

Safe mercury amalgam removal aims to remove mercury amalgam fillings without exposing the patient to mercury vapour and particles during the procedure. Dental mercury amalgam fillings are a mixture of mercury, tin, copper and silver. They are very cheap to produce and have been used for a long time in dentistry. Mercury amalgam fillings are reliable, durable, resistant to decay and less technique sensitive during placement than more modern composite (white) fillings. Due to the amalgamation process chair side, mercury is largely contained within the filling and so it may not have significant clinical effects. However, we no longer recommend them as modern materials are far superior.

Dr Henriette has not placed amalgam fillings since 1999 and we are an amalgam free practice.

Why do some people not support mercury amalgam fillings?

It is generally accepted that there is no “safe level” of mercury for the body. Mercury is the second most common cause of acute toxic metal poisoning after arsenic (1) and it is registered as one of the top five most toxic substance in Australia. For this reason, there are very stringent regulations on the use and disposal of mercury and mercury containing waste. Pieces of mercury amalgam filling cut out of your teeth are collected and disposed of as hazardous waste. Many believe that even being exposed to a small amount of mercury is too much, and so many individuals seek removal of their mercury amalgam fillings. It is a well-established fact that mercury is released from amalgam fillings due to chewing, brushing, tooth grinding, hot drinks, drilling and polishing. Unfortunately, dentists performing mercury amalgam removal and placement suffer more neurological effects compared to the average person and we know that multiple organ systems may be affected by mercury. A major problem with mercury is that once it enters the body it is assimilated into the tissues and is extremely difficult to remove or measure. Furthermore, retention of mercury is cumulative over time, and in combination with other toxins, it may lead to toxicity and symptoms. Those who suffer with a sluggish bowel, constipation or poor liver function are more likely to have problems with toxicity due to poor excretion.
Disclaimer* This information should be used as a guide only. Please seek professional dental advice for your individual needs.

Our view

We at Integrated Dental Health believe that those who have mercury amalgam fillings in their mouth are most certainly exposed to more risk of toxicity than those who do not have mercury fillings. But there are risks associated with dental treatments. The safe mercury amalgam removal procedure is no different. Every time your tooth is drilled, structure is permanently lost and there is a risk of tooth sensitivity and even tooth loss. No filling material can replace natural tooth structure. The risks of elective safe mercury amalgam removal must be considered during a thorough professional consultation with your dentist. At Integrated Dental Health, safe mercury amalgam removal limits the chance of ingestion or inhalation of mercury by the patient – you, dentist and dental assistant. Our equipment and special techniques help achieve this. It is our opinion that antioxidants such as Glutathione GSH, and vitamin C, as well as chelating agents such as zinc may help the body to remove mercury from body tissues. We recommend you consider some of these supplements as you proceed through your amalgam removal, unless you are having this aspect of your treatment looked after by a GP or a naturopath. For complex cases, we refer to a highly-experienced GP for careful chelation using EDTA and or DMSA while supporting the body with mineral supplements.

Call Integrated Dental Health today to book an appointment by calling us on (02) 4708 7007.


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