If you are considering replacing an existing silver amalgam filling, the removal process should be planned carefully. At The Dental Studio, Dr. David Peterson and our team provide safe amalgam removal in Sandy, Utah, using specialized measures intended to reduce mercury exposure during treatment.
Our office is certified in the Safe Mercury Amalgam Removal Technique, commonly known as the SMART protocol. This approach was developed by the International Academy of Oral Medicine and Toxicology to help protect patients, dental professionals and the treatment environment while amalgam restorations are removed.
What Is Safe Amalgam Removal?
Dental amalgam is a restorative material made from a combination of metals, including mercury, silver, tin and copper. These fillings have been used for many years because of their durability, but some patients prefer to replace them with mercury-free or metal-free alternatives.
Safe amalgam removal differs from routine filling replacement because it incorporates additional protective measures during the procedure. The goal is to limit contact with amalgam particles and reduce inhalation of mercury vapor while the restoration is being removed.
The presence of an amalgam filling does not automatically mean it should be replaced. Dr. Peterson will first evaluate the filling, the surrounding tooth structure and your individual concerns before recommending treatment.
Our SMART Amalgam Removal Protocol
The Dental Studio follows the IAOMT’s Safe Mercury Amalgam Removal Technique. Our safety measures include:
- Protective draping for the patient and treatment area
- High-volume suction and filtration
- Respiratory protection for members of the dental team
- A separate supply of 100% oxygen for the patient to breathe
- Careful sectioning of the amalgam restoration when appropriate
- Controlled collection and disposal of removed material
These measures are intended to reduce unnecessary exposure during the procedure. Our team has been trained to follow the protocol carefully and consistently.
Why Patients Consider Amalgam Removal
Patients may ask about replacing an amalgam filling for a variety of reasons. In some cases, the restoration is damaged or no longer functioning properly. In others, the patient prefers a mercury-free or more natural-looking material.
Amalgam removal may be considered when:
- The filling is cracked, loose or worn
- Decay is present around or beneath the restoration
- The surrounding tooth structure has fractured
- The filling no longer seals the tooth effectively
- The restoration affects the appearance of the smile
- The patient prefers a mercury-free or metal-free alternative
Dr. Peterson will explain whether replacement is clinically appropriate and discuss the restorative materials available for the tooth.
Mercury-Free Replacement Options
After an amalgam filling is removed, the tooth may be restored with a composite, ceramic or other appropriate biocompatible material. The recommended option depends on the size and location of the restoration, the amount of healthy tooth remaining and the forces placed on the tooth.
Composite resin is a tooth-colored material that bonds directly to the tooth. Ceramic may be recommended when a larger or more durable restoration is needed.
Patients can learn more about our mercury-free dental fillings and biocompatible and metal-free dentistry options.
What To Expect During Your Appointment
Your visit begins with an evaluation of the existing filling and the surrounding tooth. Our dentist may also use digital imaging or other advanced diagnostic technology to determine whether decay, cracks or structural damage are present.
Before removal begins, our team prepares the treatment area and puts the appropriate protective measures in place. Dr. Peterson then removes the amalgam carefully while using suction, filtration and the other elements of the SMART protocol.
Once the filling has been removed, the tooth is cleaned and evaluated. The selected replacement material is then placed or the tooth is prepared for a custom restoration.
The number and length of appointments depend on the condition of the tooth, the size of the restoration and the type of replacement required.
Experience in Mercury-Safe Dentistry
Dr. Peterson joined the IAOMT in 2012 and earned IAOMT accreditation in 2013. Our office is certified in the SMART protocol and operates as a mercury-free practice.
This training supports our broader commitment to holistic and biological dentistry. We consider the immediate condition of the tooth while also taking the patient’s material preferences, treatment goals and overall wellness into account.
Our team will answer your questions openly and explain the benefits, limitations and alternatives associated with treatment before you make a decision.
Frequently Asked Questions About Safe Amalgam Removal
What does SMART stand for?
SMART stands for Safe Mercury Amalgam Removal Technique. It is a protocol developed by the International Academy of Oral Medicine and Toxicology to reduce mercury exposure during amalgam removal.
Is your office certified in safe amalgam removal?
Yes. The Dental Studio is certified in the IAOMT’s SMART protocol, and Dr. Peterson is an IAOMT-accredited dentist.
Does every amalgam filling need to be removed?
No. An amalgam filling should be evaluated individually. Dr. Peterson will consider the condition of the restoration, the surrounding tooth and your personal concerns before recommending removal.
How is SMART removal different from regular filling replacement?
SMART removal includes additional protective measures such as draping, filtration, respiratory protection, high-volume suction and a separate oxygen supply for the patient.
What will replace my amalgam filling?
The replacement may be made from composite resin, ceramic or another appropriate biocompatible material. The best option depends on the condition and location of the tooth.
Can all of my amalgam fillings be removed at once?
The treatment plan depends on the number, size and location of the fillings, as well as your oral health and restorative needs. Dr. Peterson will explain whether treatment should be completed in one visit or divided into multiple appointments.
Is safe amalgam removal part of biological dentistry?
Yes. Mercury-safe removal and biocompatible restorative options are important parts of our holistic and biological approach to dental care.
Will my replacement filling look natural?
Composite and ceramic restorations can be selected to blend with the surrounding teeth. The final appearance depends on the location of the tooth and the type of restoration required.
Schedule a Safe Amalgam Removal Consultation
If you have questions about an existing silver filling, our team can evaluate the restoration and help you understand your options. We will not recommend removal automatically or pressure you into treatment that is not appropriate for your needs.
Please contact our office or call 801-278-4787 to learn more about safe amalgam removal in Sandy, UT, and schedule a consultation with Dr. Peterson.