Dentist Dunwoody: To Remove or Not to Remove

shakespeare-with-skullDental Amalgam and Other Restorative Materials.

According to Dr. Oz, mercury is a powerful neurotoxin and therefore, at certain levels, can cause neurological issues, autoimmune disease, chronic illnesses and mental disorders; you should remove your amalgam fillings.  The burning question is whether an unknown quantity of mercury vapor in our silver fillings at a constant exposure poses a significant health risk.

Based on current scientific data the ADA has concluded that the removal of amalgam restorations from a non-allergic patient for the alleged purpose of removing toxic substances as indicated by Dr. Oz, when such treatment is performed solely at the recommendation of the dentist, is improper and unethical.  Any dentist who claims that dental treatment or diagnostic techniques performed by the dentist has the capacity to diagnose, cure or alleviate diseases, infections or other conditions without being based upon accepted scientific knowledge or research, is acting unethically.

Yet there are conflicting studies between Sweden and the United States. In Sweden, they have conducted a number of studies where people, with pre-existing neurological and health issues (Chronic Fatigue-type symptoms), had amalgams removed; 78% reported improvement in their health status. In the United States, official studies hired by the FDA and National Institutes of Health (NIH) stated that “the current data is insufficient to support an association between mercury release from amalgams and the various complaints that have been attributed to this restorative material.”[1]

The problem is there is no direct evidence of a cause and an effect, only a correlation.  So the question remains ‘to remove or not to remove’.   Your dentist has an ethical duty to be honest and trustworthy and telling you to remove your amalgam fillings for health reasons violates that ethical duty.  So what’s a patient to do?  Unfortunately, no one is really sure.

This probably doesn’t answer your question of what to do, but it does help you understand what your dentist is supposed to do.  Have your dentist examine your fillings to determine whether or not they are intact, and have a conversation about the potential health risks of keeping or removing amalgams. Discuss the options available with your provider to help make a smart decision.  And if we can be of service please feel free to give us a call.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

 

[1] http://www.doctoroz.com/videos/toxic-teeth-are-our-amalgam-fillings-safe

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Cosmetic Dentistry? Dunwoody

Golden-EggGenerally, cosmetic dentistry performed by a general dentist is centered around improving your appearance, not the functioning of your teeth nor your bite.  Many dentists refer to themselves as ‘cosmetic dentists’ regardless of their lack of specific education, specialty, training, or experience in the field. This has been considered unethical particularly as it relates to the objective of marketing to patients.[1]  Cosmetic dentistry  has never been recognized by the American Dental Association as a formal specialty area of dentistry.[2][3]  Yet, there are still dentists that promote themselves as cosmetic dentists. It’s misleading and infers that a ‘cosmetic dentist’ has some form of credentialed training.  Ironically, ‘cosmetic dentists’ continue to tout themselves as members of the ADA.

Unfortunately, merely correcting the patients aesthetics without giving consideration as to how the mouth functions is a disservice to the patient.  There are only 2 specialties recognized by the ADA that consider the patient’s aesthetics and function during treatment, prosthodontists and orthodontists.  They are formally trained specialists[4] recognized by the ADA that undergo a minimum of 2–3 years full-time rigorous education program after dental school graduation.  These specialties are the paths that lead to board certification approved by the ADA.  Forbes Magazine ranks Prosthodontists as the rarest dental specialist in the U.S.

So the next time you are contemplating ‘cosmetic dentistry’ consider a Pro, a Prosthodontist.

Novy Scheinfeld, DDS, PC

Prosthodontist

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3658

info@rightsmilecenter.com

www.rightsmilecenter.com

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[1]  Maihofer MG (February 2009). “Cosmetic dentistry is not a recognized specialty”. The Journal of the Michigan Dental Association 91 (2): 18. PMID 19288658.

[2] Ibid

[3] “American Association of Public Health Dentistry”.

[4] Dentist trained in a post doctorate university program.