When it comes to getting your amalgam fillings removed find out why you should get it done right the first time by making the SMART choice. Brisbane Holistic Dentist Dr Rachel Hall explains more.

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Mercury, used in dental amalgam, has been linked to many health problems. About half of amalgam is made of mercury, the rest from other metals such as silver and tin. Mercury has been identified as an environmental hazard and linked to Alzheimer’s disease, multiple sclerosis, and kidney and brain damage.


Should You Get Amalgam Removal?
Should you get your amalgam fillings removed?
That is only a choice you can make.
If you need to have a filling replaced due to decay, breakage or issues with the tooth then you should be asking to have it done safely to reduce your exposure to mercury.

Do dental fillings contain mercury?
Are silver fillings made with mercury?
Is there mercury in those old-fashioned gray fillings?
Is elemental mercury a component of dental restorations?
Do tooth fillings have mercury in them?
I have some metal fillings in my teeth. Is there mercury in those?
Are dental amalgams composed of mercury? (Dental amalgam is the technical term for the metal fillings with mercury)
Is mercury used as a material in cavities?
Is mercury an ingredient in dental composites? (Composite fillings are tooth-colored and don't contain mercury

Safe Amalgam Removal and Understanding Mercury
Mercury in Amalgams:

Dental amalgam fillings, the traditional gray fillings, contain a mixture of metals, including mercury. While the American Dental Association (ADA) considers them safe for most people, some individuals are concerned about potential health effects from mercury exposure, particularly during removal.

Mercury is a heavy metal that can be toxic in high doses. However, the amount of mercury released from dental amalgams is very low and considered safe by most health organizations.

Safe Amalgam Removal Techniques:

The key to minimizing mercury exposure during removal is following the Safe Mercury Amalgam Removal Technique (SMART) protocol. Here's a deeper dive into SMART:

Isolation: A rubber dam, a sheet placed around the tooth, isolates the work area, preventing debris and mercury particles from entering the mouth and airway.
High-Volume Suction: A powerful suction device continuously removes mercury particles and aerosols created during drilling.
Water Irrigation: A constant stream of water cools the area and traps mercury vapors before they become airborne.
Air Filtration System: A special filtration system captures any remaining mercury vapors before they reach the patient or dentist.
Separate Air Supply: The patient breathes filtered air through a nosepiece to avoid inhaling mercury.
Proper Disposal: Removed amalgam waste is collected and disposed of according to hazardous material regulations.
Finding a Qualified Dentist:

Look for dentists who:

Follow SMART protocol: Ensure the dentist uses the latest techniques for safe amalgam removal.
Have experience: Experience with safe amalgam removal procedures is crucial to minimize risks.
Are affiliated with IAOMT: The International Academy of Oral Medicine and Toxicology (IAOMT) [[ Ссылка ]] provides resources to find dentists who prioritize safe amalgam removal.
Alternatives to Amalgam Fillings:

While generally safe, discuss with your dentist if replacing amalgam fillings with composite fillings is a suitable option for you. Composite fillings are tooth-colored and do not contain mercury.

Communication is Key:

Discuss your concerns about mercury exposure with your dentist. Let them know your preference for a safe removal procedure using the SMART protocol.

Additional Considerations about Mercury:

Mercury Exposure: Mercury exposure can occur from various sources besides dental amalgams, including certain fish, environmental pollution, and some medications.
Individual Concerns: If you have pre-existing health conditions or a heightened sensitivity to mercury, discuss these concerns with your dentist to determine the best course of action.

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