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92: The Truth about Mercury Fillings
Episode 9213th August 2025 • The Wonder Tooth Podcast • Dr. Radwa Saad DMD
00:00:00 00:23:13

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Mercury Fillings vs. White Fillings: What’s Really Better for Your Health and Smile?


Have you ever opened your mouth wide and noticed a silver glint in the back? Or maybe your dentist asked if you preferred a silver or white filling—and you weren’t sure which to choose? Today on The Wonder Tooth, we’re diving into one of the most debated topics in dentistry: silver amalgam vs. white composite fillings. What are they made of? How do they perform? And do they really affect your body differently? Let's get into the facts, myths, and science behind these two popular dental materials.

WHAT ARE MERCURY (AMALGAM) FILLINGS?

Definition:

Silver fillings, or amalgam fillings, have been used in dentistry for over 150 years. They’re made from a mixture of metals, including:

  1. Mercury (around 50%)
  2. Silver
  3. Tin
  4. Copper
  5. Zinc (sometimes)

The mercury binds the metals together and creates a hard, durable material once set.

✅ PROS OF SILVER FILLINGS

  1. Durability and Longevity
  2. Lasts 10–15 years, sometimes longer.
  3. Withstands strong chewing forces, ideal for molars.
  4. Cost-Effective
  5. Generally more affordable than composite fillings.
  6. Quick Placement
  7. Less technique-sensitive.
  8. Easier to place in areas with limited access or moisture.
  9. Bacteriostatic Properties
  10. Some studies suggest amalgam fillings may inhibit bacterial growth under the filling.

❌ CONS OF SILVER FILLINGS

  1. Aesthetic Concerns
  2. Very noticeable, especially when laughing or speaking.
  3. Not suitable for front teeth or visible areas.
  4. Cracks and Fractures
  5. Metal expands and contracts with temperature changes, which can lead to tooth fractures over time.
  6. May weaken the remaining tooth structure.
  7. Mercury Content and Health Concerns
  8. Contains elemental mercury, which is toxic in large amounts.
  9. The ADA and FDA state that amalgam is safe for most people, but some health-conscious patients and holistic providers prefer to avoid it.
  10. Mercury exposure risk is higher during placement or removal—not while intact.
  11. Some people may have allergic reactions or sensitivities.
  12. Environmental Concerns
  13. Mercury waste requires special disposal procedures.
  14. Not environmentally friendly.
  15. Corrosion and Leaking
  16. Can corrode or cause tooth discoloration over time.

WHAT ARE WHITE (COMPOSITE) FILLINGS?

Definition:

White fillings, also known as composite resin fillings, are made from a tooth-colored plastic and glass mixture. They chemically bond to your tooth and are often used in cosmetic and general dentistry.

✅ PROS OF WHITE COMPOSITE FILLINGS

  1. Aesthetic Appeal
  2. Tooth-colored, blends naturally with enamel.
  3. Perfect for front teeth and visible areas.
  4. Preserves More Natural Tooth
  5. Requires minimal removal of healthy tooth structure.
  6. Bonds directly to the tooth for added strength.
  7. Mercury-Free
  8. Contains no metal or mercury.
  9. Preferred by patients with mercury sensitivities or seeking holistic care.
  10. Less Temperature Sensitivity
  11. Expands and contracts more like natural tooth, reducing fracture risk.
  12. Versatile Use
  13. Can be used to repair chipped, broken, or worn teeth.

❌ CONS OF WHITE COMPOSITE FILLINGS

  1. Shorter Lifespan (Historically)
  2. Typically lasts 5–10 years, but newer materials can last longer with proper care.
  3. Technique Sensitive
  4. Requires a dry, clean environment.
  5. More time-consuming to place.
  6. Higher Cost
  7. More expensive than amalgam fillings.
  8. Not always fully covered by insurance.
  9. Can Stain Over Time
  10. More porous than porcelain or natural enamel.
  11. Prone to discoloration from coffee, tea, or tobacco.
  12. Slight Shrinkage on Curing
  13. Can lead to microleakage if not placed correctly.
  14. Requires advanced training and precision from your dentist.

🔬 HEALTH IMPACT: SILVER VS WHITE FILLINGS

FactorSilver (Amalgam)White (Composite)
Mercury ContentYes (50%)No
BiocompatibilityGenerally safe, some sensitivityHighly biocompatible
Toxicity RiskControversial, but low in mostVery low
Allergy RiskRare but possibleRare
Hormonal or Immune ImpactNo proven link, but avoided by some patients with autoimmune conditionsPreferred in integrative and holistic care

🏁 CONCLUSION: WHICH IS RIGHT FOR YOU?

Choosing between silver and white fillings comes down to your priorities:

  1. If you want affordability and durability, and the filling is in a back molar, silver may still be an option.
  2. If you value aesthetics, safety, and preserving natural tooth structure, white composite is the clear winner.

At Dent Blanche Dental, we specialize in tooth-colored, biocompatible materials using the latest technology to restore your smile in a safe, elegant, and effective way.

🎯 CALL TO ACTION

Concerned about old silver fillings or ready for a mercury-free, cosmetic upgrade?

📍 Visit us at Dent Blanche Dental in Princeton, NJ

📞 Call now at 609-890-1888

🌐 Book your appointment online: www.dentblanchedental.com

Are you looking for the best cosmetic dentist in Princeton, NJ?

At Dent Blanche Dental, we specialize in smile makeovers, porcelain veneers, teeth whitening, Invisalign, and dental implants, ensuring that every patient leaves with a radiant, confident smile. Experience Elevated Cosmetic Dentistry.

Dent Blanche Dental is a luxury dental office in Princeton designed to provide the highest level of comfort and cutting-edge dental technology. With state-of-the-art digital smile design, 3D CAD/CAM technology, and same-day porcelain restorations, we offer customized, natural-looking results that enhance your smile instantly.

Our Cosmetic Dental  Services:

Porcelain Veneers in Princeton, NJ: Enhance your smile with custom porcelain veneers, crafted to provide a perfectly aligned, bright, and natural look. Using advanced digital scanning, we ensure a precise fit and long-lasting durability.

Teeth Whitening – Professional & Effective: Looking for the best teeth whitening in Princeton, NJ? Our professional Zoom whitening removes deep stains and brightens teeth up to 8 shades lighter in just one visit.

Clear Aligners – Straighten Your Teeth Discreetly: As an InvisalignPreferred Provider, Dr. Radwa Saad offers a clear, comfortable, and Sure Smile removable orthodontic solution to straighten teeth without metal braces.

Dental Implants – Permanent Tooth Replacement: Missing teeth? Our same-day dental implants restore your smile with natural function and aesthetics, ensuring a lifelong solution for tooth loss.


Why Choose Dent Blanche Dental?

✔️ Led by Dr. Radwa Saad, a top cosmetic dentist on the East Coast

✔️ State-of-the-art technology for precise, natural results

✔️ Private, luxury operatories with a serene environment

✔️ Trusted by celebrities and professionals

✔️ Convenient Princeton location, easily accessible from neighboring towns

 

Book Your Cosmetic Consultation Today

 

Discover how elevated dentistry can transform your smile.

📍 Visit us at Dent Blanche Dental, Princeton, NJ

 

📅Schedule your appointment today here

We’re thrilled to bring you the latest innovations and help you understand how dentistry is evolving. So tune in to *The Wonder Tooth Podcast* for this full episode, where Dr. Saad answers your questions, shares real-life stories, and explains how we can help you achieve a perfect smile—on the same day!

Stay tuned for more insights, and remember, your dream smile is closer than you think!

Subscribe for More:

Don’t miss out on future episodes of *The Wonder Tooth*! Subscribe, hit the notification bell, and drop a comment below to let us know how often you change your toothbrush. Dr. Saad might feature your question in an upcoming episode! 

Make sure to tune in to this eye-opening episode, and remember, great oral health starts with the right information. We're here to help you smile with confidence!

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 Schedule an appointment today

👉 https://dentblanchedental.com

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if you have any questions or looking for a consultation or a second opinion, please reach us at:

Your Princeton Dentist: Dr. Radwa Saad

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