Safe Mercury Amalgam Filling Removal
Following IAOMT Protocols for Safety-Conscious Dental Care
At My Dentist, we understand that some patients are concerned about the presence of amalgam (metal) fillings, which contain mercury as part of their composition.
While dental amalgam has been used successfully for decades, many patients today prefer to have these fillings removed for personal, health-conscious, or aesthetic reasons. When removal is requested, it should always be performed with the highest safety standards.
That’s why we follow the International Academy of Oral Medicine and Toxicology (IAOMT) Safe Mercury Amalgam Removal Protocol (SMART) to minimise exposure to mercury during the procedure.
What Is Amalgam?
Dental amalgam is a silver-coloured restorative material made from a mixture of metals including silver, tin, copper, and mercury.
Although still considered safe by regulatory bodies, amalgam use has declined in Australia in favour of tooth-coloured composites and ceramics. Patients often choose to replace amalgam fillings for cosmetic reasons, to align with a low-tox approach, or because of concerns about material safety.
Why Choose Safe Amalgam Removal?
If you decide to replace your amalgam fillings, it’s essential that removal is carried out in a way that reduces mercury particle and vapour exposure.
By following the IAOMT SMART protocol, we ensure safety for:
- You, the patient
- Our dental team
- The environment
How We Perform Safe Amalgam Removal (SMART Protocol)
Our process includes:
- Rubber Dam Isolation – protecting soft tissues and reducing exposure.
- Supplemental Oxygen Supply – limiting inhalation of vapours.
- Specialised High-Volume Suction – capturing particles near the treatment site.
- Protective Barriers – PPE for both patients and staff.
- Sectioning & Removal in Large Chunks – minimising aerosolisation.
- Water Coolant – reducing heat and vapour release.
- Safe Waste Disposal – environmentally responsible handling of amalgam debris.
Your Treatment Plan
Before proceeding, we always:
- Conduct a thorough clinical examination.
- Assess the condition of existing restorations.
- Discuss your goals and preferences.
- Provide suitable replacement options, such as BPA-free composite or ceramic.
Our focus is on informed choice, minimally invasive dentistry, and wellness-conscious care.
Our Approach
We support patients who wish to make conscious decisions about their dental materials. Whether your reasons are cosmetic, health-based, or personal, we provide safe, evidence-based amalgam removal and replacement.
Book a Consultation
Thinking about replacing your amalgam fillings? Book a consultation to discuss your options and learn more about our IAOMT Safe Mercury Removal protocols.
Book a Consultation
Thinking about replacing your amalgam fillings? Book a consultation to discuss your options and learn more about our IAOMT Safe Mercury Removal protocols.
What is a mercury amalgam filling?
A silver-coloured filling made from a mix of metals, including mercury, which was widely used for decades to restore teeth.
Why do patients choose to remove them?
Often for cosmetic reasons, concerns about mercury exposure, or alignment with a health-conscious lifestyle.
Is it safe to remove amalgam fillings?
Yes — when carried out under strict safety protocols such as the IAOMT SMART technique, which minimises vapour and particle exposure.
What materials replace amalgam fillings?
We use high-quality composite resin or ceramic — both mercury-free, biocompatible, and natural-looking.
Do I need to remove all my amalgam fillings?
Not necessarily. Stable and symptom-free amalgam may be left in place unless you prefer replacement.
Is amalgam removal covered by health insurance?
In many cases, yes — if replacement is clinically indicated. We provide item codes so you can check with your insurer.
Frequently Asked Questions
