Is Ingesting Silver Powder from Dental Work Toxic? - Dentistry

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Is silver powder toxic if ingested?


Hello, Dr.
Tseng.
I went to the dentist due to a toothache, and the doctor drilled out the cavity that was previously filled with silver amalgam, then refilled it.
Although I rinsed my mouth several times during the procedure, I am still worried that some of the amalgam might mix with my saliva and be accidentally swallowed.
I would like to know what happens if silver amalgam is accidentally ingested? Is there a way for the body to metabolize it? Thank you.

Xiao Ming, 10~19 year old female. Ask Date: 2014/01/09

Dr. Zeng Guanghui reply Dentistry


Hello: Worn silver powder mixed with saliva may result in a small amount of silver particles being ingested.
If these silver particles are accidentally swallowed, they are mostly metabolized and excreted, so there is no need for excessive concern.
However, it is still advisable to rinse your mouth thoroughly after dental procedures to avoid ingestion as a precaution.
Wishing you good health.

Reply Date: 2014/01/09

More Info


Ingesting silver powder, particularly from dental amalgam fillings, raises valid concerns regarding potential toxicity. Dental amalgam, commonly referred to as "silver fillings," is composed of a mixture of metals, including silver, mercury, tin, and copper. The mercury in amalgam has been a focal point of health discussions due to its toxicity in larger amounts. However, when amalgam is used in dental procedures, it is generally considered safe for most patients.

Based on the information provided, if you accidentally ingested a small amount of silver powder during a dental procedure, the immediate risk to your health is likely minimal. The amount of mercury released during the removal of old amalgam fillings is typically very low, especially if the fillings have been in place for a long time. Most dental professionals take precautions to minimize exposure to mercury vapor during the removal process, and the risk of significant mercury toxicity from incidental ingestion is low.

Mercury, when ingested in small amounts, is usually excreted by the body without causing harm. The human body has mechanisms to metabolize and eliminate trace amounts of metals, including mercury. However, it is essential to monitor for any unusual symptoms that may arise after ingestion, such as gastrointestinal discomfort, nausea, or other systemic reactions. If you experience any concerning symptoms, it is advisable to seek medical attention promptly.

Regarding the long-term effects of mercury exposure from dental amalgam, research has shown that the levels of mercury released from amalgam fillings are generally below the threshold that would cause adverse health effects in most individuals. The American Dental Association (ADA) and the World Health Organization (WHO) have both stated that dental amalgam is a safe and effective material for dental restorations.

If you are particularly concerned about the presence of mercury in your dental work, you may want to discuss alternative materials with your dentist. Composite resins, glass ionomer cements, and other materials are available that do not contain mercury and can be used for dental restorations. However, it is essential to weigh the benefits and drawbacks of these materials, as they may not be as durable as amalgam in certain situations.

In summary, while ingesting a small amount of silver powder from dental work may cause concern, the risk of toxicity is low, and the body can typically metabolize and eliminate trace amounts of metals. It is always best to consult with your dentist or healthcare provider if you have specific concerns or experience any adverse symptoms following dental procedures. Regular dental check-ups and open communication with your dental care provider can help ensure your oral health and address any worries you may have about dental materials.

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