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SMART – Dental Amalgam Removal

Home Cosmetic Dentistry SMART – Dental Amalgam Removal

Safe Mercury Amalgam Removal Technique (SMART) is a safety protocol from IAOMT (International Academy of Oral Medicine and Toxicology).

The U.S. Food and Drug Administration (FDA) reports that while mercury amalgam has been in use for decades to fill the teeth, there are risks associated with it and therefore, the patient must be very careful while getting this filling and also removing it from the teeth.

This page discusses how a dentist removes mercury according to the SMART protocol. Continue reading to know the benefits, cost, procedure, risks, and more about it.

Avail Financing

Why Silver or Mercury Amalgam Was Used?

Tooth decay is likely to occur to anyone at any time. A dentist can replace the decayed portion with a long-lasting material to avoid further tooth damage. This dental amalgam also known as silver fillings was previously composed of mercury amalgam as one of the active ingredients along with copper and silver to make these fillings. However, these fillings that were previously administered are now marked as potentially dangerous for a person’s health.

According to the National Health Services (UK), dental fillings made of cast gold, silver amalgam, and composite fillings should be utilized for this purpose and mercury should be avoided as it can be harmful.

Are You a Good Candidate?

Though anyone who wants to remove dental amalgam can have it, some candidacy criteria should be considered. You can be a good candidate for SMART if the following apply to you:

  • You have mercury amalgam dental filling.
  • You do not want to compromise your safety.
  • You know the risks of having mercury amalgam filling.

Why Mercury Dental Amalgam Filling is Harmful?

Mercury is poisonous to your body and it must not be present in your mouth or your body. The longer you have it in your mouth or your body the more harm it will cause.

One recent study carried out by the University of Washington has proved that mercury amalgam toxicity causes mercury poisoning and leads to long-term brain damage

SMART for Toxic Mercury Filling Removal

Mercury-based amalgam filing(s) must be replaced with the composite dental filling that has been approved by the FDA or NHS or FDI.

The Safe Mercury Amalgam Removal Technique (SMART) process should have to be performed with great care as mercury particles can spread into the mouth, nose, of the patient and can also affect other people in the room.

SMART is one of the leading protocols to avoid possible risks during the removal of this filling. At Euromed Clinic Dubai our dental surgeons are specially equipped and trained to carry out this procedure with great care.


The safety of the patient, doctor, and people around is our top priority. Some notable advantages have been enlisted below:

  • Your health is no longer at risk due to the presence of mercury in the mouth.
  • The presence of an alternative filling material gives peace of mind to the patient.
  • Replacement fillings perfectly resemble teeth color and that looks natural.

Pre-Op Care

The patient does not have to make any special preparations before having this treatment, as it’s a very simple treatment. You just have to follow the instructions of your dentist during the procedure.


At EuroMed Clinic our dentists follow all SMART guidelines from IAOMT to remove amalgam from the tooth or teeth. We have all the necessary machines, equipment, and tools to perform this procedure.

Part 1: Initial Preparation: Initial preparation is an important part and we try to ensure the following precautionary measures before we get started:

  • The dentist, dental staff, and the patient cover themselves with protective gowns.
  • The dentist and dental staff wear non-latex nitrile gloves to avoid mercury contamination.
  • The dentist and dental staff will also wear activated charcoal masks, head coverings, and face shields.
  • The patient’s face and all other body parts will be covered with an impermeable barrier.
  • To avoid inhalation of mercury particles, a nasal mask is used to deliver external oxygen to the patient. Alternatively, a nasal cannula can be used.
  • The patient’s mouth will be properly sealed using a non-latex nitrile dental dam.
  • To avoid inconvenience, saliva ejectors will be inserted under the dental dam.

Part 2: Amalgam Removal: It is important to use thin drills during the procedure to remove mercury as a single large piece. This goal can be achieved by trying to separate amalgam from the tooth. By doing so, the risk of dividing mercury into small pieces reduces. Moreover, a vast amount of water will be used to reduce the level of heat produced during the procedure. Furthermore, a conventional high-speed evacuation device will be used to gather mercury particles to reduce mercury levels in the surroundings.

Part 3: Final Teeth Cleaning: After complete removal of amalgam, the doctor will flush the mouth thoroughly with water followed by rinsing out with charcoal. All items that have been contaminated with mercury will be properly disposed of; this includes instruments, containers, clothing, and equipment. The items that were not directly exposed to mercury will be cleaned toughly.

After Care Recovery

The patient will stay safe during the treatment and there is not much care required afterward. The new filling will require the patient not to chew hard items for one to two days.

How to Avoid Risks after Mercury Amalgam Filling?

Research studies have explained how mercury can release during the replacement, placement, and removal of dental amalgam fillings. For this reason, mercury-based fillings are best avoided. It is also why extreme care is required to avoid the proliferation of mercury particles or vapors inside the mouth or in the room where the procedure is underway.

Get The Cost

Cost of Dental Amalgam Removal in Dubai

Each person has distinct concerns and goals which means that there are different treatment scopes for different patients. Furthermore, the following factors also influence the SMART’s cost:

  • The size of each mercury filling(s)
  • The location of the metal filling(s)
  • The number of fillings to be removed

We can share pricing details if you visit us for a short consultation.

SMART – Dental Amalgam Removal FAQ’s

Is it safe to have amalgam fillings removed?

Removal involves risks but there are safer ways using which one can reduce possible risks. Safe protocols have been designed to remove dental fillings that can harm the mouth and other areas. Make sure your dentist use the safest protocols for filling removal.

Which dental filling is the safest?

Amalgam dental fillings or silver fillings are among the safest options. Researchers have elaborated that these fillings are durable and safe. In general, copper, silver, mercury, tin, and other metals can be used to make this type of dental fillings.

Is dental amalgam safe?

Yes, it is a safe and long-lasting option because the metals used to make amalgam dental fillings are safe to be used inside the mouth. Copper, silver, mercury, tin and other metals can be used to make them.

How are fillings removed?

A specific method of dental filling removal should be used based on the type of dental filling that needs to be removed. If you want to have your dental fillings removed, make sure your dentist uses safe protocols to do that.

Get a Consultation

In essence, SMART is the smart choice when it comes to removing mercury fillings. You can speak to one of our dentists who performs SMART at Euromed Clinic Dubai. Scheduling an appointment has never been easier, call us via our Whatsapp number or fill in the online form to get a consultation for dental filling removal.

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