If you are going to the dentist soon, you might ask, “Do NHS dentists still use mercury fillings?” The answer is yes, they do. Mercury fillings, also called silver or amalgam fillings, are still used in many NHS dental clinics. They are safe, strong, and cheap. That is why they are often used for treating tooth decay in back teeth. Even though some new materials have become popular, many NHS dentists still offer mercury fillings. In this article, we will explain why mercury fillings are used, who can get them, and what is changing in the future.
What Are Mercury Fillings?
Mercury fillings are also known as dental amalgam. They are silver in colour and made by mixing mercury with other metals like silver, tin, and copper. This mix creates a strong and long-lasting filling. Dentists have used amalgam fillings for over 150 years. They are often placed in the back teeth where more pressure from chewing happens. These fillings can last for many years. They are also easier and faster to place than some newer types. Although they are not very pretty, they do the job well and are still a common choice in NHS dentistry.
Are Mercury Fillings Safe?
Yes, mercury fillings are considered safe by experts. The small amount of mercury used in fillings does not harm most people. Studies show that the levels are very low. They are much lower than what we might take in from food or air. However, some groups should be more careful. Children under 15, pregnant women, and people who are breastfeeding are advised not to have mercury fillings. In these cases, dentists will usually use other filling materials. If you are worried about safety, your dentist can explain what is best for you.
Why Do NHS Dentists Still Use Them?
NHS dentists still use mercury fillings because they are affordable, strong, and last a long time. They are quicker to place than white fillings and work well in areas where you chew the most. On the NHS, dentists have to balance cost with care. That is why amalgam is often used in back teeth. White fillings can take more time and cost more to apply. On the NHS, white fillings are normally used in front teeth. If you want white fillings in your back teeth, you might need to pay privately for the treatment.
Are There Any Changes Coming?
Yes, there are changes happening. Around the world, countries are trying to use less mercury to protect the environment. A global agreement called the Minamata Convention encourages this. In the UK, mercury fillings are not banned yet. But dentists are being told to use less of them over time. This is called a phase-down. In Northern Ireland, mercury fillings will not be allowed after January 2025, as it still follows EU rules. In the rest of the UK, dentists can still use them, but are using them less often as better materials become available.
What Are The Alternatives?
There are many options that do not use mercury. One common choice is composite resin. It is tooth-coloured and looks natural, so it is great for visible teeth. Another choice is glass ionomer, which is used for small fillings and helps release fluoride to protect teeth. Ceramic fillings are also available and are very strong. However, these may cost more and are not always offered through the NHS. Your dentist will look at your tooth and decide which material is best. They will also tell you if a certain option is covered under the NHS.
What If I Already Have Mercury Fillings?
If you already have mercury fillings, you do not need to worry. There is no need to replace them unless they are broken or causing problems. Removing old fillings can sometimes release more mercury than leaving them in place. Dentists will check them during your regular visits. If a filling needs to be changed, your dentist will talk to you about the best replacement material. Unless you have pain or cracks, it is often better to leave the fillings alone. Always ask your dentist if you have concerns about your old silver fillings.
What Do These Changes Mean For NHS Patients?
For now, NHS patients will still be offered mercury fillings if they are needed. These fillings are safe and can last a long time. But over the next few years, you may notice more dentists using white or other types of fillings instead. The goal is to protect both health and the environment. If you want a white filling in a back tooth, ask your dentist. They will let you know if it can be done through the NHS or if you will need to pay privately. It’s always okay to ask about your options.
Final Thoughts
To sum up, yes, NHS dentists still use mercury fillings. They are useful, strong, and low-cost. Although the use of mercury is slowly being reduced, these fillings are still common, especially for back teeth. If you want to avoid mercury fillings, talk to your dentist before treatment begins. They will explain the best options for your situation. The dental world is changing, and more dentists are moving to safer, modern materials. But for now, silver fillings are still part of NHS dental care. Knowing your choices helps you take better care of your teeth and smile.