Multiple Sclerosis and Silver Fillings

Once a patient gets over the shock of being diagnosed with MS they then start looking for a possible cause. Patients often will find an article or hear a story about the relationship between MS and silver tooth fillings (amalgam). I have patients with MS that never had a filling or have the disease and lost all there teeth many years before they developed the disease.

After reviewing the American Dental Associations Evidence Based Dental site,,and PubMed I located an article "Dental amalgam and multiple sclerosis: a systematic review and meta-analysis" by Aminzadeh and Etminan. They found a slight, nonstatistically significant  increase between amalgam use and risk of MS. The conclusion of the study was that future studies need to be performed taking into account the size of the sllver filling, the surface area and duration of exposure.

As a conservative practitioner I cannot recommend prophylatic removal of amalgam fillings. When a silver filling fails, a tooth cracks or a cavity needs to be filled then a Resin Bonded Ceramic( white) filling is a reasonable option.

If you would like additional information simply contact me using the contact form or call the office in Levittown. The phone number is 516-796-6600.

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Dr. Marc Gottlieb is one of Long Island's leading dental practicioners, specializing in helping those who feel anxiety or apprehension when visiting the dentist. He can be reached at