Please could you

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Please could you tell me of any known negative effects of amalgam fillings, thank you.


I wondered if amalgam could actually have any effect on your gums and bones as I always had very good teeth which seem to have deteriorated since having a metal bridge fitted.
The bridge did not bond properly and after the first six months I have had a gap between the bridge and the tooth (for about three years). I have been badly let down by dentists in this area who have seen the problems but have not treated them. I have now lost one tooth and have been told by my new dentist that it would cost thousands of pounds to put my problems right. He says the bridge would not have caused any problems but even if the metal had not affected me, wouldn’t having a gap (which food might get into) have caused my problems.
I look forward to your comments and I am only asking out of curiosity as the level of deterioration seems linked to the fitting of the bridge but obviously I could be wrong. (I’m not intending to sue anyone)
Regards,
Lynne K

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Asked on 22/12/2006 12:00 am
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It is difficult to say what has gone on here without actually seeing you. Rest assured that despite the controversy over amalgam, it will not effect your gums and bones in the manner you describe.
Any accumulation of detritus in the mouth is a potential problem. If you have had a gap around a bridge which you have not been able to keep clean, you could well experience consequential and difficult problems with the supporting teeth. Wherever possible as dentists, we try to eliminate potential stagnation areas.


To get any more specific advice you would need to be seen by the person giving the second opinion.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 12/01/2007 12:00 am
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It is an interesting and constantly recurring question that you ask. The body of scientific evidence that supports any negative health effects from well placed and maintained mercury amalgam fillings does not exist.


There is, however, plenty of evidence that mercury amalgam fillings produce a raised level of mercury in the mouth when they are placed, polished or removed and also to a lesser extent when one has a hot drink or acidic food and drink, this can be reflected in trace form more centrally in the body.


Some individuals may be more sensitive to mercury amalgam fillings than others and this can be seen by innocuous gum lesions adjacent to large fillings in the same way that some people react to Nickel in earrings for example.


There is no proven link with mercury amalgam fillings to major health problems and illnesses such as ME and multiple sclerosis although these linkages have been claimed by some practitioners, but these claims have been denigrated by most scientists and clinicians


The above is a summary of the main debate and evidence thus far.  Amalgam fillings have the greatest longevity of all fillings directly placed in the mouth as opposed to those constructed of gold or porcelain in the dental laboratory; are generally well tolerated by teeth and appear to be stable, preventative of recurrent tooth decay and relatively simple to place by all levels of dental practitioners. They are however unsightly and waste amalgam from drilled out fillings may have some detrimental impact on the environment if not disposed of correctly.


Whether one should have amalgam fillings as opposed to an alternative filling material therefore comes down to personal choice as a consumer, the particular site the filling is to be placed in and the relative ability of the dental practitioner completing the treatment.


 

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 09/01/2007 12:00 am
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Lynne,
Sorry to hear about your troubles. 
First, the metal used in bridge construction is not amalgam but usually a combination of precious metals which are very safe and do not release any toxins etc. The metal here is almost certainly not the cause of your problems.
A poorly fitting bridge could make the supporting teeth more susceptible to decay which could lead to the tooth being lost in the long term.
There may be other issues such as gum disease etc that have caused these problems but with out a clinical examination with XRays etc is not possible to determine the exact cause.
The important thing is to find someone you trust and find a long term solution!
James

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 08/01/2007 12:00 am