have had a couple of amalgam fillings replaced with white ones and the teeth look really grey

Q. Hi, I have had a couple of amalgam fillings replaced with white ones and the teeth look really grey (you can tell where the grey filling was) is there any way of rectifying this? Iwas hoping to have all my amalgams replaced but the ones I have had look worse than before! I’d also like to know whether I’d be suiable for tooth whitening if my teeth have tetracyclene staining? Many thanks.

A. Hi many thanks for your enquiry, this is a very common problem when replacing silver fillings for white fillings. the silver material sometimes stains the tooth tissue, so even once the silver material is removed the tooth can appear grey, the only option then is for the dentist to accept this as a comprimise and fill the tooth, this however does mean the tooth may still look grey even with a white filling. the other option is to drill the tooth deep enough until all the stained tooth tissue is removed. this will then resolve the problem once filled but can result in the tooth needing extra treatment due to the deep drilling such as root canal treatment and crown work in the future.

The other option would be to leave the silver fillings and crown the teeth using the silver material as cores for the crowns. this would ensure that the colour of the crowns woul be as white as you wanted with no stained tooth tissue shining through.

the best thing would be to seek the advice of a cosmetic dentist.

Dr Kailesh Solanki
Kissdental

Dr Kailesh Solanki Kissdental – UK Practice of the Year 2007 157 Woodsend Road, Flixton, Manchester, M41 8GN.2 New Street, Altrincham, Cheshire, WA14 2QS. 13 Stanley Street, Manchester, M8 8SH. Web: www.kissdental.co.uk Tel: 0161 748 5250 View My Profile Dr Solanki
November 26th, 2013 at 08:47 PM
Wendy Says :

Hi, I had a silver amalgam filling removed today as it made my tooth look totally grey and had it replaced with a white filling. However, there is a silver band around the top quarter of the tooth (although the rest of the tooth looks ok). Does this mean that the dentist may have left some if the old silver filling in and this is now showing through? The old filling was pretty deep so maybe the white filling isn’t deep enough? How can this be rectified? The dentist said its just my tooth but it looks like some silver has been left in. Any advice please?

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