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A Guide on Amalgam and White fillings at Hereford Dental Clinic

What are amalgam fillings?

Amalgam or silver fillings are the metal coloured fillings that many people have.  Amalgam was the traditional material used for fillings for many years.

Why should I consider white fillings?

Most people have fillings of one sort or another in their mouths. Nowadays fillings are not only functional, but can be natural looking as well.  Many people don’t want silver fillings that show when they laugh or smile because they are more conscious about the way they look.

Can I get them on the NHS?

The National Health Service will not usually allow white fillings on the biting surfaces of back teeth.  However, this does not apply to the sides of back teeth or to any front teeth. There is a slight chance that some people may be sensitive to the metals used in silver amalgam fillings.  If this sensitivity is proven, it may be best to replace the amalgam fillings with another type.  (In very exceptional cases these replacements may be available on the NHS, if a consultant decides that a patient is extremely sensitive to these materials and asks for them to be replaced.)

Are they expensive?

Because many white fillings are only available privately, costs can vary quite a lot from dentist to dentist.  Costs usually depend on the size and type of white filling used and the time it takes to complete the treatment.  Costs may also vary from region to region.  As a guide, white fillings start from around £40 each, but your dentist hereford will be able to give you an idea of the cost before you agree to treatment.

Are they as good as silver amalgam fillings?

White fillings have always been considered less long lasting than silver amalgam fillings.  But there are now new materials available with properties comparable to silver amalgam, and these are proving to be very successful.  The life expectancy of a white filling can depend greatly on where it is in your mouth and how heavily your teeth come together when you bite.  Your dentist hereford can advise you on the life expectancy of your fillings.  However, any fillings provided on the NHS are automatically guaranteed for one year.

Is it worth replacing my amalgam fillings with white ones?

It is usually best to change fillings only when your dentist hereford decides that an old filling needs replacing.  If so you can ask to have it replaced in a tooth-coloured material. Some dentists prefer not to put white fillings in back teeth, as they are not always successful.  One way around this would be to use crowns or inlays, but this can mean removing more of the tooth and can be more expensive.

What are tooth-coloured fillings made of?

This can vary, but they are mainly made of glass particles, synthetic resin and a setting ingredient.  Your dentist herefordshire should be able to give you more information about the particular material that they use.

Where can I get them done?

Most dental practices offer white fillings as a normal part of the treatment they give you.  However, white fillings are classed as a ‘cosmetic’ treatment, and you can therefore only have them if you pay for them.

Are there any alternatives to fillings?

Adhesive dentistry is another form of this treatment.  This involves bonding the filling to the tooth.  The dentist has to remove less of the tooth, which is obviously better. As we have already said, there are alternatives such as crowns and inlays although they can cost a lot more.  Veneers can be used on front teeth instead of crowns or fillings.

Fissure Sealants at Hereford Dental Clinic

What are sealants?

Sealants are a safe and painless way or protecting your children’s teeth from decay.  A sealant is a protective plastic coating, which is applied to the biting surfaces of the back teeth.  The sealant forms a hard shield that keeps food and bacteria from getting into the tiny grooves in the teeth and causing decay.

Which teeth should be sealed?

Sealants are only applied to the back teeth – the molars and premolars.  These are the teeth that have pits and fissures on their biting surfaces.  Your dentist will tell you which teeth should be sealed after they have examined them, and checked whether the fissures are deep enough for sealing to help.  Some teeth naturally form with deep grooves, which will need to be sealed, others with shallow ones which will not need sealing.

Decay present

What is involved?

The process is usually quick and straightforward taking only a few minutes per tooth.  The tooth is thoroughly cleaned, prepared with a special solution, and dried.  The liquid sealant is then applied and allowed to set hard – usually by shining an ultraviolet light onto it.

Will my child feel it?

No, it is totally pain free, and the teeth do not feel any different afterwards.
How long do they last?

Sealants usually last for many years, but your dentist will want to check them regularly to make sure that the seal is still intact.  They can wear over time, and sometimes the dentist needs to add or replace some sealant to be sure that no decay can start underneath them.

How do they work?

The sealant forms a smooth, protective barrier, by covering all the little grooves and dips in the surface of the tooth.  Dental decay easily starts in these grooves.

fissure sealants placed

When should this be done?

Sealants are often applied as soon as the permanent teeth start to come through.  This is usually between 6 and 7 years of age.  The rest are usually sealed as soon as they appear which can be any time between 11 and 14 years of age.

Silver Mercury Amalgam Fillings Removal - Hereford

At Hereford Dental Clinic we offer a safe method of removing silver mercury amalgam fillings efficiently. A patient recently attended and had the following silver fillings present in their lower teeth

Silver mercury amalgam fillings which are to be removed at Hereford Dental Clinic

Silver mercury amalgam fillings which are to be removed at Hereford Dental Clinic

After two visits we were able to remove all the silver mercury fillings and place white composite fillings and two dental crowns. This treatment was done under sedation and the patient was lightly sedated without being aware of what was going on. This meant that instead of four or five visits the treatment could be done in two visits. The patient was over the moon.

 

g-morris-after

White Fillings placed along with two dental crowns to remove the unaesthetic silver mercury fillings

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