What to Expect During Safe Amalgam Removal: A Patient’s Guide

Dr. Michele Volchonok • October 18, 2024

If you’ve ever wondered whether removing mercury-based amalgam fillings is worth it for your health, you’re not alone. With growing awareness about the potential risks of mercury exposure, many patients are opting to replace these old fillings with safer, biocompatible alternatives. But how does this process work, and what can you expect?

Why Remove Amalgam Fillings?

Amalgam fillings, also known as silver fillings, contain about 50% mercury. Even though mercury vapor is released in small amounts during everyday activities like chewing or drinking hot liquids, prolonged exposure can raise concerns. Some studies suggest mercury exposure may contribute to symptoms like headaches, fatigue, and even cognitive issues such as memory loss​.


By removing amalgam fillings, patients may reduce their mercury exposure and enjoy the benefits of newer, more natural-looking materials like composite resins.

The SMART Protocol: A Safe Removal Process

Amalgam removal must be done carefully to prevent mercury exposure. Many dentists follow the SMART protocol (Safe Mercury Amalgam Removal Technique), developed by the International Academy of Oral Medicine and Toxicology (IAOMT). Here’s what to expect during the procedure:

Protective Gear: You’ll be fitted with a rubber dam to isolate your mouth and prevent mercury particles from being swallowed or inhaled.

External Oxygen: You'll likely wear a nasal mask to breathe pure oxygen, ensuring you don’t inhale mercury vapor during the procedure​.

Cool Water and Suction: The dentist will use high-speed suction and cold water to keep the area cool and reduce vapor release while removing the filling in large chunks​.

Air Filtration: Specialized air filtration systems, such as HEPA filters, ensure mercury vapors do not linger in the room​.

Post-Removal Detox and Care

After removal, it’s essential to help your body detox any mercury that may have entered your system. Common strategies include:

Chlorella Supplements: Known for binding to heavy metals, chlorella can help eliminate mercury from your digestive system​.

Dietary Adjustments: Eating sulfur-rich foods like garlic, onions, and cruciferous vegetables can support your body’s detox pathways​.

Choose Tetrahealth™ for Safe Amalgam Removal

At Tetrahealth™, we prioritize your health and safety with a comprehensive, biologic approach to dental care. Our two convenient office locations are equipped with the latest technology, including the SMART protocol, to ensure a safe and comfortable amalgam removal process. Whether you’re looking to replace old fillings for health reasons or to improve your smile’s aesthetics, our team will carefully assess both functional and aesthetic needs, ensuring you leave with a healthier, more beautiful smile.


Ready to make the switch? Contact us today to schedule your consultation!