Auburn Dental Blog

Signs Your Silver Fillings Need Replacement: Auburn, NY Guide

Close-up of a molar with silver amalgam dental filling inside a patient’s mouth
added on: August 8, 2025

Silver fillings, also known as dental amalgam, are a mixture of metals used to restore teeth damaged by decay. For decades, they were the most common type of filling due to their strength and affordability. While still functional for many, these restorations can show signs of wear or failure after years of use.

In Auburn, NY, more patients are choosing to replace their old silver fillings for reasons beyond decay. Concerns about aesthetics, aging dental work, and potential health risks are prompting people to explore safer, more natural-looking options. This shift reflects both increased awareness and advances in modern dental materials.

At Beautiful Smiles in Auburn, NY, we help patients identify when silver fillings may need to be replaced, whether for cosmetic reasons or to protect their oral health. In this guide, we’ll walk through the common warning signs, lifespan expectations, health considerations, and professional options available for restoring your smile.

Warning Signs Your Silver Fillings May Be Failing

Silver fillings can last for many years, but they aren’t designed to last forever. Over time, physical stress, temperature changes, and natural wear can weaken the material or the bond between the filling and your tooth. Patients in Auburn, NY should be aware of common signs that indicate it may be time for a replacement.

How do I know if my silver filling is failing?

You might notice symptoms such as:

  • Sharp pain or discomfort when biting down
  • Sensitivity to hot or cold foods
  • A metallic taste or bad breath that doesn’t go away
  • Discoloration or staining around the filling
  • A feeling that the filling is loose or shifting

These signs suggest the filling may no longer be properly sealed. In some cases, decay can develop underneath the surface, which can’t be seen without a dental exam. That’s why routine general dentistry services in Auburn, NY, are essential for catching issues early.

What does a cracked silver filling look like?

A cracked silver filling may show:

  • Visible gray lines across the filling
  • Jagged or sharp edges
  • Small gaps between the filling and the tooth

Cracks can allow bacteria to enter the tooth structure, leading to decay or even infection. If left untreated, a cracked filling could eventually require more invasive treatment like a root canal or crown.

What happens when a silver filling leaks?

Leaking silver fillings allow saliva, food particles, and bacteria to seep under the restoration. This can cause:

  • Increased tooth sensitivity
  • A recurring bad taste or odor
  • Undetected decay beneath the surface

Leakage weakens the tooth’s integrity and can lead to larger cavities or fractures if not addressed promptly.

What does it mean when a silver filling falls out?

If a silver filling falls out, consider oral surgery and emergency tooth care in Auburn. The exposed tooth becomes vulnerable to:

  • Bacterial infection
  • Tooth breakage
  • Temperature sensitivity
  • Sharp pain when chewing

Contact a dentist in Auburn, NY immediately if this happens. Prompt treatment can prevent complications and protect the remaining tooth structure. Depending on the damage, the dentist may recommend replacing the filling, placing a crown, or, in advanced cases, consider oral surgery and emergency tooth care in Auburn.

Age Factors That Affect Longevity

While silver fillings are known for their durability, time eventually takes a toll. Even with excellent oral hygiene, older fillings may begin to fail due to age-related wear and tear. For patients in Auburn, NY, knowing the lifespan of these restorations can help you decide when replacement may be needed.

How long do silver dental fillings last?

Most silver dental fillings last between 10 to 15 years. Some may last even longer if the patient practices good oral hygiene, avoids grinding or clenching, and attends regular dental checkups. However, no filling lasts indefinitely. Over time, chewing forces, temperature fluctuations, and jaw pressure can cause the metal to expand, contract, or weaken. 

Health Considerations for Older Silver Fillings

Many Auburn, NY patients ask whether silver fillings are safe, especially if they’ve had them for decades. While silver fillings (also called amalgam fillings) have been widely used and studied, concerns persist about mercury exposure and long-term health effects. It’s important to separate myths from evidence when making decisions about your dental care.

Are silver dental fillings dangerous?

Silver fillings are made from a mix of metals, including mercury, silver, tin, and copper. Mercury allows the material to harden quickly and stay durable over time. When intact and properly sealed, amalgam fillings have not been shown to cause harm in healthy individuals, according to both the American Dental Association (ADA) and the U.S. Food and Drug Administration (FDA).

However, fillings that are cracked, leaking, or breaking down may release small amounts of mercury vapor. In these cases, replacement may be advisable to reduce exposure.

Can silver dental fillings cause health problems?

Most problems linked to silver fillings are due to their failure, not the material itself. For example, cracked or worn fillings can allow bacteria to enter the tooth, causing decay or infection. In some cases, mercury vapor can be released when chewing or grinding, especially if the filling is already compromised.

The key takeaway: If your filling is intact and functional, it likely poses no health risk. If it’s damaged or you’re experiencing symptoms like sensitivity or metallic taste, it’s best to consult with your dentist.

Do silver dental fillings contain mercury, and should you be concerned?

Yes, traditional silver fillings contain about 50% mercury by weight. Mercury is bound with other metals, which stabilizes it. However, small amounts of vapor can be released during chewing, clenching, or grinding.

Modern research suggests that the amount of mercury released from intact fillings is low and not harmful for most people. But the cumulative effect of multiple old fillings, especially those showing signs of wear, may raise concern for some.

Aesthetic Impact of Silver vs White Fillings

For many patients in Auburn, NY, the appearance of dental work matters just as much as function. Silver fillings may still be structurally sound, but their metallic color can make them stand out, especially when used on front or side teeth visible when smiling or speaking.

Should I replace silver fillings with composite for cosmetic reasons?

Yes, many patients choose to replace silver fillings with white composite fillings for a more natural look. Composite resin blends in with the surrounding tooth, making it nearly invisible. This option is particularly appealing for fillings on front teeth or those that show when you laugh or talk.

Beyond aesthetics, some patients report feeling more confident and less self-conscious after making the switch. At Beautiful Smiles in Auburn, NY, we often recommend white fillings for patients who value both cosmetic improvement and comfort. These restorations are part of our broader cosmetic dentistry solutions at Beautiful Smiles in Auburn, NY, which include bonding, whitening, and veneers.

Can a dentist replace silver fillings with white ones in Auburn, NY?

Yes, many dental offices, including ours in Auburn, offer filling replacement services. The process usually involves:

  • Evaluating the condition of the existing silver filling
  • Carefully removing the old amalgam
  • Cleaning the tooth and checking for underlying decay
  • Rebuilding the area with composite resin matched to your tooth shade

Depending on the size and location of the filling, your dentist may recommend additional options such as CEREC® same‑day crowns in Auburn for added strength and longevity.

Replacing silver with white fillings is a straightforward process, and it can greatly improve the overall look of your smile, especially if you’re considering other cosmetic upgrades.

Professional Assessment and Next Steps in Auburn, NY

If you’re unsure whether to keep or replace your silver fillings, a professional dental evaluation is the best place to start. At Beautiful Smiles in Auburn, NY, our team will assess the condition of your restorations and recommend the safest, most cost-effective options based on your health, goals, and budget.

Will dental insurance cover replacing silver fillings in Auburn, NY?

It depends. Many dental insurance plans cover the cost of replacing a silver filling if the procedure is medically necessary, for example, due to cracking, leaking, or decay. However, insurance may not cover replacements done solely for cosmetic reasons.

Common scenarios where coverage applies include:

  • Structural damage to the filling or tooth
  • Recurring cavities beneath an old filling
  • Allergic reactions to metal materials

Our team will help you understand your policy and explore coverage options before treatment begins.

Is replacing silver fillings worth it?

Yes, replacing silver fillings can be worthwhile from both a health and aesthetic perspective. If the filling is nearing the end of its lifespan, shows signs of wear, or causes discomfort, replacement is often the safest option. Patients in Auburn, NY also find value in the confidence boost that comes from a cleaner, more natural-looking smile.

At Beautiful Smiles, we offer a range of restorative dentistry options in Auburn, NY, from composite fillings to ceramic crowns, tailored to your needs.

How much does it cost to replace silver fillings in Auburn, NY?

Costs can vary based on several factors:

  • The number of fillings being replaced
  • The size and location of each filling
  • The material chosen (composite vs. crown)
  • Whether additional treatment is needed (e.g., decay removal, root canal)
  • Your insurance plan and coverage details

We provide clear, upfront estimates at our Auburn dental office so you can make an informed decision without surprises. While exact pricing varies, most patients find that replacing old fillings is a practical investment in long-term oral health and comfort.

FAQs About Silver Fillings

How long should a silver filling last?

Silver (amalgam) fillings typically last 10 to 15 years, but they can last longer with good oral hygiene and regular checkups. Over time, they may weaken, crack, or separate from the tooth, requiring replacement.

Is it better to remove silver fillings?

It depends on their condition. If a filling is cracked, leaking, or causing discomfort, or if you’re concerned about mercury or appearance, removal may be recommended. Functional, intact fillings may not need replacement.

Can old silver fillings cause bad breath?

Yes. If a silver filling leaks or has decay underneath, it can trap bacteria and lead to bad breath. A dental evaluation in Auburn, NY can determine if the filling is the source.

Should I replace my silver filling with white fillings?

Many patients replace visible silver fillings with white composite ones for cosmetic reasons. If the filling is showing signs of wear or affects your smile, composite may be a better option.

Time to Replace Your Silver Fillings? Here’s What to Do Next

Silver fillings don’t last forever. Over time, they can crack, leak, or wear down, potentially putting your oral health at risk. Many Auburn, NY patients also choose to replace them for cosmetic reasons or peace of mind regarding mercury content.

At Beautiful Smiles in Auburn, NY, we help patients decide when it’s time to make the switch. Whether you’re experiencing symptoms, concerned about the material, or simply ready for a more natural-looking restoration, we offer safe and effective options that fit your goals. If you’re unsure about the condition of your silver fillings, contact our Auburn dental office today and take the first step toward a healthier, brighter smile.

About The Author

Dr. David G. Nangle is an experienced cosmetic and restorative dentist who employs modern technology to provide exceptional dental care. He is skilled in cosmetic dentistry, smile design, comprehensive restorative dentistry, implant dentistry, and occlusion. Dr. Nangle is a member of the American Dental Association (ADA), the American Academy of Cosmetic Dentistry (AACD), and the Misch Implant Institute.


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