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Reasons to Consider Amalgam Removal You may want to replace your amalgam fillings if: The filling is damaged: Cracked, worn, or loose fillings should be replaced regardless of material Decay has developed: Cavities around or under old fillings require treatment You’re experiencing symptoms: That you suspect may be related to mercury exposure You’re pregnant or planning pregnancy: Mercury can cross the placental barrier You’re nursing: Mercury can appear in breast milk You have multiple large fillings: Greater surface area means more potential mercury exposure You want to eliminate mercury: As a proactive health measure You want better aesthetics: Tooth-colored fillings look more natural You have metal sensitivities: Or prefer biocompatible materials When Amalgam Removal May Not Be Urgent If your amalgam fillings are: In good condition with no cracks or wear Not causing symptoms Small and few in number You may choose to leave them in place and simply monitor them