The Safe Removal and Replacement of Amalgam Fillings: What You Need to Know

For decades, amalgam (metal) fillings have been widely used in dentistry. However, increasing awareness of their mercury content and potential health effects has led many to seek safer alternatives. In this article, we explore the risks associated with amalgam fillings, the safest removal protocols, and the best materials for replacement.

Why Replace Amalgam Fillings?

Amalgam fillings contain a mixture of metals, including silver, tin, copper, and—most concerning—mercury. Mercury is a known neurotoxin that can release harmful vapors, especially when fillings degrade or are removed without proper safety measures. These vapors can be absorbed into the body, potentially leading to neurological and systemic health issues.

If you have amalgam fillings and are considering their removal, it's crucial to follow a safe removal process to minimize mercury exposure.

The SMART Protocol for Safe Removal

The Safe Mercury Amalgam Removal Technique (SMART) is an internationally recognized protocol developed by the International Academy of Oral Medicine and Toxicology (IAOMT). This method ensures that mercury exposure is minimized during the removal process. Key elements of the SMART protocol include:

• High-powered air filtration to capture mercury vapors.
  

• Nasal oxygen supply to prevent inhalation of toxic fumes.
  

• Protective barriers, such as a rubber dam, to isolate the treatment area.
  

• Specialized drilling techniques to remove fillings in large chunks rather than as dust.
  

• Supplemental detox support before and after the procedure, such as chlorella, activated charcoal, and vitamin C.
  

If you are considering having your amalgam fillings removed, make sure to find a practitioner trained in the SMART protocol to ensure the safest possible experience.

What Are the Best Replacement Materials?

Once an amalgam filling is removed, the next step is selecting a safe and durable replacement material. Options include:

• BPA-free composite resin – A popular, aesthetically pleasing option but may contain some plastic components.
  

• Ceramic fillings (onlays and overlays) – Highly durable and completely metal-free, making them a preferred choice for long-term health.
  

• Zirconia crowns – A strong, biocompatible option when larger restorations are needed.
  

Minimally invasive procedures are ideal, as they help preserve as much natural tooth structure as possible.

Detoxing After Amalgam Removal

Removing amalgam fillings is only part of the journey. Heavy metals can accumulate in the body's tissues, so proper detoxification is essential. Some key detox strategies include:

• Heavy metal detox smoothies containing blueberries, cilantro, spirulina, and barley grass juice powder.
  

• Infrared sauna therapy to support the body's natural detox pathways.
  

• Lymphatic drainage techniques, such as massages and hydration, to help flush toxins.
  

• Nutritional support, including probiotics, vitamin C, B-complex, and omega-3s, to aid recovery.
  

Learn More on the Podcast

The connection between dental health and systemic health is becoming increasingly clear. If you are experiencing unexplained symptoms, such as fatigue, brain fog, thyroid imbalances, or even reproductive issues, your dental history may hold the answer.

In the latest episode of the Healing Through Dentistry Podcast, we discuss real-life patient cases, the risks of dental metals, and what you can do to protect your health.

Listen now to explore the link between your teeth and your overall well-being.

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