Silver amalgam dental filling
Hello, Doctor! I would like to ask for your advice.
I had a cavity in the molar next to my lower wisdom tooth, which was filled with silver amalgam.
Initially, there were no issues with food getting stuck, but after a year, I’ve recently noticed that food gets stuck every time I eat, and it’s difficult to clean even with dental floss.
I visited the dental clinic and asked the dentist to refill it, but he refused, stating that it doesn’t need to be redone because the same issue would occur again after some time.
He suggested that I should just clean it regularly with dental floss.
The second option he mentioned was to remove the crown from the wisdom tooth and place a crown on the molar as well.
I am very troubled by this situation.
Could you please advise me on the best solution? Should I seek another dentist? Thank you!
Xiao Zhan, 40~49 year old female. Ask Date: 2022/12/12
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to consult the Oral and Maxillofacial Surgery department (for wisdom teeth) or the Restorative Dentistry department (for fillings) at a medical center for a second and third opinion.
If the opinions of each physician are generally similar, it is advisable to proceed with the treatment plan provided by the medical center.
Reply Date: 2022/12/12
More Info
Dealing with food trapping after having silver fillings can be quite frustrating, especially when it affects your daily eating habits. It’s not uncommon for patients to experience food getting stuck around dental restorations, including silver fillings, over time. Here’s a comprehensive look at the issue, potential solutions, and advice on how to manage it effectively.
Understanding the Issue
Silver fillings, also known as amalgam fillings, are durable and can last many years. However, as you’ve experienced, they can sometimes create spaces where food particles can become trapped. This can happen due to several reasons:
1. Wear and Tear: Over time, the filling may wear down or the surrounding tooth structure may change, creating gaps.
2. Tooth Alignment: Changes in the alignment of your teeth, possibly due to the eruption of wisdom teeth or other dental changes, can lead to food trapping.
3. Filling Shape: The shape of the filling itself may not be optimal for preventing food from getting stuck.
Solutions and Advice
1. Improved Oral Hygiene: Since your dentist has suggested using dental floss more frequently, it’s crucial to ensure you’re using it correctly. Flossing after every meal can help remove trapped food particles and reduce the risk of decay around the filling. Consider using a floss threader or interdental brushes, which can be more effective in cleaning tight spaces.
2. Water Flossers: If traditional flossing is challenging, a water flosser can be an excellent alternative. It uses a stream of pulsating water to remove food particles and plaque between teeth and below the gum line.
3. Regular Dental Check-ups: Regular visits to your dentist are essential. Even if your dentist has advised against redoing the filling, they can monitor the situation and provide professional cleanings that can help manage food trapping.
4. Consider a Dental Crown: If the tooth is significantly compromised or if the filling is large, your dentist may recommend a crown. A crown can provide a smoother surface and better contour, reducing the likelihood of food getting trapped.
5. Consult Another Dentist: If you feel unsatisfied with your current dentist’s advice, seeking a second opinion can be beneficial. Another dentist may have different insights or solutions, such as adjusting the filling or considering other restorative options.
6. Dietary Adjustments: Be mindful of the types of food you eat. Foods that are sticky or have a tendency to break apart (like certain breads or candies) may exacerbate the problem. Opt for softer foods that are less likely to get stuck.
7. Orthodontic Evaluation: If your wisdom teeth are impacting your other teeth, it may be worth discussing with an orthodontist. They can evaluate whether removing the wisdom teeth could alleviate the food trapping issue.
Conclusion
Food trapping around silver fillings can be a common issue, but it’s manageable with the right strategies. Maintaining excellent oral hygiene, considering alternative dental treatments, and possibly seeking a second opinion can all contribute to a better experience. Remember, your comfort and health are paramount, so don’t hesitate to advocate for your needs when it comes to dental care. If the problem persists, further intervention may be necessary to ensure your dental health is not compromised.
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