The Truth About Mercury Fillings: Why SMART Removal Matters

Dental amalgam fillings—commonly called “silver fillings”—have been used to restore cavities for decades. However, these fillings contain about 50% mercury, a toxic heavy metal that can release harmful vapors. As awareness of mercury toxicity grows, many patients are opting to replace their old amalgam fillings with safer alternatives. However, improper removal can expose both patients and dental professionals to unnecessary risks. That’s why Dr. Shahbazi follows the SMART (Safe Mercury Amalgam Removal Technique) protocol when removing any mercury or “silver” fillings.

Understanding Mercury in Dental Fillings

While durable and cost-effective, mercury fillings pose a significant health risk. Mercury, a neurotoxin, can accumulate in the body and potentially lead to neurological disorders, immune system dysfunction, and other health issues. The International Academy of Oral Medicine and Toxicology (IAOMT) has raised serious concerns about mercury exposure, particularly during the placement or removal of fillings. This underscores the urgent need for the SMART (Safe Mercury Amalgam Removal Technique) protocol.

What Is SMART?

SMART, developed by the IAOMT, is a scientific protocol designed to minimize mercury exposure during amalgam filling removal. This method involves specialized equipment, safety barriers, and procedures to protect patients and dental professionals from inhaling mercury vapors or ingesting particulate matter.

Key Steps in the SMART Protocol

1. Proper Ventilation and Filtration
   • To reduce mercury vapor inhalation, high-volume air filtration systems and external air sources (oxygen masks) are used.
2. Patient Protection Measures
   • A dental dam isolates the tooth being treated, preventing mercury particles from being swallowed.
   • A nasal mask provides an alternative air source to minimize inhalation of mercury vapors.
3. Use of High-Speed Suction and Water Irrigation
   • A high-volume evacuator is placed near the filling to capture mercury particles.
   • Copious amounts of water are used to keep the filling cool, reducing vapor release.
4. Sectional Removal Technique
   • Instead of drilling through the filling, the dentist cuts it into smaller pieces and removes them intact. This reduces heat generation and vaporization.
5. Protective Gear for Dental Professionals
   • During the SMART protocol, Dr. Shahbazi and her assisting staff take every precaution to ensure your safety. They wear protective gowns, masks, and gloves, providing a secure environment that minimizes the risk of exposure to mercury.
6. Immediate Mercury Waste Management
   • Removed amalgam pieces are properly collected and disposed of following environmental safety guidelines.
7. Post-Removal Detoxification Recommendations
   • We advise our patients on ways to support detoxification with supplements such as activated charcoal, chlorella, or vitamin C.

Why SMART Removal Matters

Without SMART, mercury vapor exposure significantly increases during filling removal. Studies have shown that drilling into amalgam fillings without precautions can release large amounts of mercury into the air. This exposure poses health risks, especially for pregnant women, children, and individuals with mercury sensitivity.

By choosing Dr. Shahbazi, a dentist trained in the SMART protocol, you can be confident that your amalgam fillings will be removed safely, responsibly, and with minimal risk to your health.

If you have mercury fillings and are considering removal, our office’s SMART protocol can remove your fillings while protecting you from unnecessary mercury exposure. Transitioning to mercury-free dentistry is a step toward better oral and overall health.

Are you ready to explore safe mercury filling removal? Call Pure Smiles Center for Advanced Dentistry at Pure Smiles Phone Number (480) 585-1612 to schedule a consultation with Dr. Shahbazi today.