Amalgam (Silver Filling) Removal in Langley, BC
Amalgam (silver) fillings have been used in dentistry for over 150 years. While they are durable and effective, many patients today choose to replace them — either because they are aging and need replacement, for cosmetic reasons, or because they prefer a mercury-free restoration. At North Langley Family Dental, we offer safe amalgam removal and replacement with modern tooth-coloured composite fillings for patients in Langley, Walnut Grove, Willowbrook, Fort Langley, and across the Fraser Valley.
What Is Dental Amalgam?
Dental amalgam is a metal alloy composed of approximately 50% liquid mercury combined with a powdered alloy of silver, tin, and copper. The combination creates a durable, workable material that has been used for filling cavities for generations.
When Should Amalgam Fillings Be Replaced?
Not all amalgam fillings need to be removed. A functional, intact amalgam filling that is not causing problems does not necessarily need immediate replacement. However, replacement is clinically appropriate when:
- The filling is cracked, broken, or failing
- There is decay developing under or around the filling
- The tooth around the filling is cracked
- The filling is worn to the point of no longer sealing the tooth effectively
- The filling is large and the tooth requires additional protection (a crown may be recommended)
Replacing Amalgam for Cosmetic Reasons
Many patients choose to replace old amalgam fillings for aesthetic reasons — they prefer the natural look of tooth-coloured composite and want a smile that doesn’t reveal dark silver fillings when they laugh or speak. This is a completely valid reason to have amalgam replaced, and we are happy to discuss which fillings are most visible and the options available.
Safe Amalgam Removal
When removing amalgam fillings, mercury vapour can be released during the drilling process. While the exposure is brief and within safe limits, we take measures to minimize unnecessary exposure for patients, our team, and the environment:
- High-volume evacuation (suction) to capture amalgam particles and vapour at the source
- Sectioning the filling into large chunks where possible (reducing drill time and vapour release)
- Rubber dam isolation to prevent particles from being swallowed
- Air filtration in the operatory
- Proper amalgam waste disposal protocols
After removal, the tooth is restored with a tooth-coloured composite filling for a natural-looking, mercury-free result.
Composite vs. Amalgam: What Replaces It?
We replace amalgam fillings with tooth-coloured composite resin. Composite:
- Matches your natural tooth colour exactly
- Bonds directly to the tooth, requiring less removal of healthy tooth structure
- Contains no mercury
- Is strong and durable, particularly for small to medium fillings
For teeth with very large amalgam fillings, a dental crown may provide better long-term protection after amalgam removal. We will advise you on the best restoration option for each tooth.
We accept the Canadian Dental Care Plan (CDCP) and most major dental insurance plans. We serve patients from Langley, Walnut Grove, Willowbrook, Fort Langley, Brookswood, Aldergrove, Maple Ridge, and Abbotsford.
Is it safe to remove amalgam fillings?
Amalgam removal is a routine dental procedure. During removal, mercury vapour is briefly released, but the exposure is within established safe limits. We use protective protocols (high-volume suction, rubber dam, sectioning technique) to minimize exposure as much as possible. The procedure is well-established and performed safely every day in dental practices worldwide.
Should I have my amalgam fillings removed even if they're still intact?
If your amalgam fillings are intact and functioning well, they do not necessarily need immediate removal. Removal itself does release some mercury vapour, so the decision involves weighing the brief exposure during removal against the desire for a mercury-free restoration. We will help you assess each filling individually and make an informed decision.
What replaces amalgam fillings?
Amalgam fillings are replaced with tooth-coloured composite resin. For very large restorations, a ceramic inlay, onlay, or crown may be recommended for better long-term protection of the tooth structure.
Does removing amalgam hurt?
Amalgam removal is performed under local anaesthetic — you will not feel pain during the procedure. Post-procedure sensitivity is similar to any filling appointment and typically resolves within a few days.
Is amalgam removal covered by insurance?
Coverage depends on your plan. If the filling is being replaced for clinical reasons (failing, decayed, cracked), it is typically covered under restoration benefits. If the replacement is purely cosmetic, coverage may be limited. Some plans cover composite at the same rate as amalgam, with any upgrade cost paid by the patient. We will review your plan before proceeding.
How long does it take to replace an amalgam filling?
A single amalgam removal and composite replacement typically takes 30–60 minutes depending on the size and location of the filling. Multiple fillings can often be completed in a single appointment by treating one quadrant of the mouth at a time.
Visit North Langley Family Dental Today
Ready to replace your old silver fillings? Contact North Langley Family Dental at 604-888-6885 or book online. Serving patients in Langley, Walnut Grove, Willowbrook, Fort Langley, and the Fraser Valley.
