What’s Changing in 2026

Patients ask this all the time:
“Are silver fillings still safe?”
“Should I replace mine?”
“What are the alternatives?”

This topic is trending again—because the conversation is shifting nationally toward mercury-free dentistry, and that keeps patients curious and sometimes anxious.

 

Why is the conversation louder right now?

In February 2026, the Indian Health Service (IHS) announced it would end the use of mercury-containing dental amalgam by 2027, transitioning to mercury-free restorative materials across its programs.

That announcement doesn’t automatically mean every existing “silver filling” is dangerous—but it does mean more patients are asking questions and wanting options.

 

What the FDA says (important nuance)

The FDA has issued recommendations for certain high-risk groups regarding dental amalgam (mercury-containing fillings). These groups include:

  • Children (especially under 6)
  • People who are pregnant or planning pregnancy
  • Nursing mothers
  • People with neurological disease or kidney dysfunction
  • People with sensitivities to mercury or certain metals

The FDA also states that intact amalgam fillings should not be removed solely to prevent disease, unless a health professional determines it’s medically necessary.

 

So… should you replace your old silver fillings?

Often, the decision is less about panic and more about clinical reality:

  • If a filling is stable and intact, it may be fine to monitor.
  • If a filling is cracked, leaking, or causing sensitivity, it may be time to replace.
  • If you’re in a higher-risk group (pregnancy planning, young children, certain health conditions), you may want to discuss mercury-free options for future restorations.

 

Don’t guess—evaluate.
The right plan depends on your tooth, your health history, and what the filling is doing today—not just what you read online.

 

What are “tooth-colored fillings,” and are they good?

Most people are referring to composite resin fillings—mercury-free materials that blend naturally with your tooth. Many patients prefer them for aesthetics, and modern dentistry uses a range of restorative materials depending on the tooth and bite forces.

The takeaway for 2026 is simple: patients want options, and dentistry is increasingly built around mercury-free restorative choices, especially for those who prefer them or may be at higher risk.

 

Ready for a “filling check” and real answers?

If you’re unsure about older fillings, sensitivity, cracks, or you just want peace of mind, schedule an evaluation.

📞 Call Dr. Ellen Johns’ office today: 317-872-5104
📍 1619 W 86th Street, Indianapolis, IN 46260
Ask specifically about: mercury-free options, replacement timing, and what’s best for your tooth.