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Home / Restorative dentistry / Replacing Old Fillings
Existing dental work

Should an Old Filling Be Replaced?

Age alone is not a reason. A filling that is sealed, sound, and not causing problems is usually best left alone — every replacement removes a little more tooth.

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Reasons to replace

Decay at the margin
The seal has failed and bacteria are getting underneath.
A fracture in the filling or tooth
Structural, not cosmetic.
An open margin
A gap you can catch a probe in.
Recurrent sensitivity
Especially if it is worsening.
Cosmetic reasons, front teeth
A legitimate reason when the patient wants it — stated as cosmetic, not as necessity.

On replacing silver fillings

A sound amalgam filling that is sealed and not fractured does not need replacing on the grounds of being amalgam. Removing it means removing more tooth structure and, in a large filling, may commit the tooth to a crown.

If you would prefer a tooth-coloured restoration for appearance, that is a valid choice — it should simply be framed as a preference rather than a clinical necessity.

What we can explain here — and what needs an exam

A page can inform you. It cannot examine you.

We can explain online
What a failing margin is
Why every replacement removes tooth structure
The difference between necessary and elective replacement
Determined after an exam
Whether your filling is failing
Whether a replacement filling or a crown is appropriate
Whether decay has reached the nerve

What to do next

Ask which category the recommendation falls into: failing, or elective. Both are reasonable answers; conflating them is not.

Request an appointmentQuestions to ask
Related
Tooth-coloured fillingsCrown or filling?Do I really need a crown?Restorative dentistry

General information reviewed by Mankirat Gill, DDS · August 2026. Not a substitute for an in-person examination.