The Mercury Question: Understanding the Risks of Amalgam Fillings and The Benefits of Safe Removal (The SMART Protocol)

For decades, “silver” or amalgam fillings were the standard material used for treating cavities. While they were effective for filling a hole, modern biological dentistry has raised serious concerns about their primary component: mercury. If you have amalgam fillings, you’ve likely heard the debate, and at Smilecreator, we take it seriously. We prioritize your long-term, whole-body health, which is why we’re committed to patient education and the safe removal of these materials.

The Problem with Elemental Mercury

Amalgam fillings are typically 50% elemental mercury. While some organizations claim the mercury is “stable,” scientific evidence shows that mercury vapor is continuously released from the filling, especially when subjected to everyday forces like chewing, brushing, or consuming hot beverages. This vapor is odorless and colorless, and it can be inhaled and absorbed by the body. For those sensitive to heavy metals, or those with existing health challenges, this low, chronic exposure is a significant concern. It potentially contributes to systemic inflammation, allergic reactions, and neurological symptoms due to mercury being a known neurotoxin. For any patient pursuing a holistic health path, eliminating this constant source of exposure is a crucial step toward achieving optimal wellness.

Our Commitment to Safety: The SMART Protocol

The act of removing an amalgam filling can temporarily release a significant burst of mercury vapor, which is why we strictly adhere to the highest standard of safety: the Safety Mercury Amalgam Removal Technique (SMART). This is a stringent set of procedures designed to protect you, our dental team, and the environment during the process.

Key Protective Measures in the Removal Process

The protocol is multi-layered and modified for each patient and their specific needs. Depending on the number of fillings, their sizes and the systemic illness that may be present, additional measures may be taken. For example, supplemental oxygen may be used via a nasal cannula and via an external air source to prevent inhalation of any vapor. We also at times use a non-latex barrier called a “dental dam”, to isolate the tooth and prevent you from swallowing any filling particles. Critical to safety is the use of a high-volume evacuation system, which captures mercury vapor right at the source, and a water-cooled drill to remove the filling in larger chunks, which minimizes the production of hazardous dust. This procedure and technique are called “chunking”.

There are also additional recommendations we will offer depending on your specific case. For instance, the use of Activated Charcoal and some other supplements a week or so prior to any removal also ensure added benefits.

Choosing a biological dentist who uses the SMART protocol ensures that the process of improving your oral health is done safely and without compromising your systemic health.