There’s been a lot of buzz about mercury-free dentists lately and I’m not really sure what to think. I have silver fillings and mine have held up just fine over the years without any issues. But since I’ve become a mom, I tend to be really protective of my son and have tried, whenever possible, to minimize his exposure to dangerous chemicals. I’ve thought about a mercury-free dentist for him, but he really loves our current dentist and I have a feeling it would be really hard to switch. Are the benefits worth switching to a mercury-free dentist? — Maria

Maria,
As it stands now, the American Dental Association (ADA), Food and Drug Administration (FDA), Environmental Protection Agency (EPA), and even the American Academy of Pediatric Dentistry (AAPD) stand behind the safety of amalgam fillings. Of course, we all recognize the dangers of mercury, but in doses as small as this, all of the agencies agree that they’re safe. However, many other private organizations continue to question their safety and there’s a big movement to get away from them anyway.

The good news is that you probably do not need to seek out a mercury-free dentist in order to avoid amalgam fillings. Most dentists are happy to work with you and will do a composite (tooth- colored) filling if that’s what you prefer, even if they routinely do metal ones. Rather than try to switch, it’s a good idea to talk with your current dentist and see what his thoughts are. You may be surprised to find out how seldom he does amalgam fillings to begin with. Avoiding them, should your son ever need to have a filling, shouldn’t be a problem at all.

Sometimes dentists do prefer to do metal fillings on kids because it’s easier to make sure they stay put. The tooth colored fillings require cooperation from the patient and a dry mouth. If your son can’t cooperate, or if the dentist feels amalgam is best, then you may want to start searching for an alternative. Often times, a pediatric office can help overcome these obstacles with their demeanor or by entertaining the child while the work is being performed. Sedation or nitrous oxide (laughing gas) can also be offered to help kids stay more comfortable and agreeable in the chair.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.