Amalgam Filling: When it Should be Removed

Signs You Might Need to Remove an Amalgam Filling

• Pain when biting: If pain occurs consistently over a few days or more, it may suggest the filling is loose, cracked, or the underlying tooth is affected. These symptoms may indicate changes in the filling or tooth structure. A dental assessment is recommended to determine the cause.
• Sensitivity to hot or cold: If temperature sensitivity lasts for more than 1-2 weeks, especially after eating or drinking, it may signal decay or leakage.
• Rough or chipped surface: If a filling feels sharp, uneven, or gritty immediately or over several days, it could be breaking down and trapping bacteria.
• Food getting stuck repeatedly: If food gets lodged around the filling for several meals or more, it may indicate gaps or wear that need attention.
• Strange taste or bad breath: If you notice a metallic taste or persistent bad breath for over a week, there could be decay or bacterial buildup under the filling.
• Visible cracks or dark spots: If you see visible changes in the filling that don’t go away within a few days, it may be time for an evaluation.
• Allergy or sensitivity to the material: If you experience persistent irritation, swelling, or unusual reactions soon after the filling is placed, it may indicate a sensitivity to the material used.

Dentists typically assess signs like pain, cracks, or decay to determine whether a filling should be removed. The goal is to address specific issues while preserving as much natural tooth as possible.

Safety Precautions Taken by the Nuffield Dental Team

In addition to the clinical steps taken during amalgam removal, Nuffield Dental follows broader safety measures that apply across all procedures to protect both patients and staff.

• Sterilisation of instruments and equipment: Reusable tools are cleaned using high-temperature autoclaves (high-pressure steam sterilisers), and disposable covers or barriers are used where appropriate to reduce cross-contamination risk.
• Full surgical setups when needed: For complex treatments, surgical protocols are followed - including sterile gloves, gowns, drapes, and instrument trays - to help maintain a controlled environment.
• Use of approved materials and maintained technology: Dental materials are selected based on regulatory approvals and treatment needs. Equipment such as autoclaves, digital X-ray systems, and air-driven handpieces are regularly maintained and sterilised to meet hygiene and safety standards.