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CS
Restorative

Replacing old amalgam fillings

Safe removal of legacy mercury fillings and replacement with modern composite or ceramic.

Replacing old amalgam fillings
Duration
45—75 minutes
Anaesthesia
Local anaesthesia
Price
from CZK 4,000

Why to address it

Amalgam fillings were the standard for decades; today we replace them for several reasons. They are visibly different from natural tooth, metal expansion over time can fracture the tooth, and they contain mercury — since 2018 amalgam has been restricted for children and pregnant women in the Czech Republic, with stricter EU rules from 2025.

How we work

We work under a rubber dam that isolates the tooth and prevents inhalation or swallowing of particles. Strong suction and cooling water minimise aerosol. Once the amalgam is removed we treat the tooth with an adhesive system and rebuild it with composite — or, for large defects, a ceramic onlay.

Afterwards

After replacement the tooth blends with the rest of your dentition and is usually only mildly sensitive for the first few days. If the cavity left by the amalgam is very deep, we plan for the possibility that root canal treatment may be needed later.

Frequently asked

Do I have to replace all amalgams at once?
No. We proceed in smaller blocks — typically quadrant by quadrant. A functional, well-sealed amalgam does not necessarily need replacing if you are used to it.
Are white fillings as durable?
For small to medium defects, yes. For large defects a ceramic onlay holds shape and load better.
Could amalgam be making me unwell?
Scientific evidence for the general population is mixed. If you have specific concerns or a documented allergy we are happy to plan replacement. Diagnosis of any health symptoms is for your physician to make.

Ready to begin?

Book a check-up or get advice over the phone — we are happy to answer any questions you have.