SMART
SMART: Safe Mercury Amalgam Removal Technique
Amalgam Filling Material
Amalgam filling material is a metal alloy consisting of silver, lead, tin, zinc, and palladium, which is mixed with mercury. This combination produces a soft filling material that dentists can place into the tooth cavity and compress into shape. The amalgam hardens within 24 hours, allowing patients to chew effectively. Amalgam is a cost-effective, easy-to-use, and durable filling material with a long lifespan. It was widely used by dentists in the past for dental restorations. However, it also has several disadvantages, including:
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The color does not resemble natural tooth color.
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Excessive tooth structure removal is required, as the cavity must be enlarged to accommodate the amalgam filling.
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Amalgam can cause discoloration of the tooth structure surrounding the filling, resulting in a grayish hue.
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About 1% of patients may develop mercury allergies from amalgam fillings.
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There is a risk of exposure to heavy metals, especially mercury, from amalgam.
Holistic Dentistry and Anti-aging Medicine emphasize a systematic, comprehensive approach to overall health. They focus on the amount and effects of various heavy metals on the body, noting that even small amounts of mercury can cause multiple health issues such as allergies, neurological symptoms, memory loss, headaches, Alzheimer’s disease, fatigue, anxiety, immune deficiencies, and diseases like Multiple Sclerosis. Therefore, it is recommended to avoid having amalgam fillings containing mercury in the mouth when possible.
However, removing amalgam fillings can release mercury vapor, which can be harmful. Proper procedures must be followed to minimize mercury vapor exposure during removal.
At Medtopia Holistic Dentistry Clinic, we use the SMART technique for amalgam removal, designed to eliminate amalgam fillings and mercury vapor as quickly and safely as possible by:
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Using rubber dams to prevent amalgam debris and mercury vapor from contacting oral tissues.
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Employing high-volume suction to remove amalgam debris and water during drilling.
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Utilizing high-power mercury vapor suction during the procedure.
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Providing supplemental oxygen to reduce inhalation of mercury-contaminated air.
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Using efficient drilling techniques and specialized equipment to rapidly and effectively remove amalgam.
Additionally, after amalgam removal, patients are advised to undergo mercury detoxification therapy with an anti-aging medicine specialist. This may include chelation therapy or supplements to help eliminate mercury from the bloodstream.


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- Suitable for young working adults
- Suitable for seniors and menopausal age groups