Amalgam-free dentistry in Essen
Dental amalgam contains mercury. As of January 1, 2025, its use is generally prohibited in the European Union, with only very limited medical exceptions remaining possible. Our long-term treatment goal is to provide amalgam-free dental care. Therefore, we actively address existing amalgam fillings during our comprehensive diagnostic process and plan for their replacement whenever the benefits of an amalgam-free restoration outweigh the impact of the procedure on the tooth and the existing restoration.
01
Assess each existing restoration individually
02
Plan removal and replacement together
03
Comparing material alternatives clearly
01
Why we actively address existing amalgam fillings
European regulations end the new use of amalgam, primarily with regard to mercury and the protection of the environment and health. They do not require the blanket removal of existing fillings. Nevertheless, this gives us a clear reason to include old amalgam restorations transparently in the long-term treatment plan rather than treating them as a settled matter.
02
Clinical findings determine the timing and approach
We assess factors such as marginal integrity, potential cavities, cracks, remaining tooth structure, any symptoms, and your overall medical situation. Your informed preference for an amalgam-free restoration is also explicitly taken into account.
We particularly recommend replacement in cases of structural defects or other medical reasons. However, a filling that shows no clinical issues can also be included in a planned amalgam replacement procedure. The crucial factor is ensuring that the removal, protective measures, and subsequent restoration can be carried out professionally while preserving as much healthy tooth structure as possible.
03
Protective measures and new restorations go hand in hand
During the removal process, we tailor appropriate protective measures and a tooth-preserving approach to the specific situation. The type of direct or indirect restoration selected depends on the size, location, and mechanical load of the defect.
We explain the properties, limitations, and costs of potential materials before you make your decision. A general statement regarding the “biological compatibility” of a material is no substitute for an individual medical history and examination.
Frequently asked questions
Making informed decisions about amalgam fillings.
Should every old amalgam filling be replaced?
Our long-term goal is amalgam-free dental care. We therefore recommend a structured assessment of every existing amalgam filling and a discussion regarding potential replacement. This does not mean removing all fillings immediately and without evaluation: the sequence, timing, and benefits depend on the condition of the tooth, the remaining tooth structure, any symptoms, medical factors, and your personal goals.
What replacement materials are available?
Depending on the clinical findings, various tooth-colored direct or indirect restorations may be suitable. Following the examination, we will compare their suitability, the effort involved, their limitations, and the costs.
Is the restoration work carried out in a single appointment?
This depends on the number and extent of the affected teeth as well as the planned new restoration. A step-by-step approach may be advisable if multiple teeth are involved.
This information does not replace a personal examination or individual medical advice.
Legal basis for the new regulations: Regulation (EU) 2024/1849, specifically the amendment to Article 10 of the EU Mercury Regulation.
Responsible for clinical content: Dr. Stefan Schmid, dentist.