Are you concerned about the safety of your silver fillings? Mercury amalgam removal is a growing trend in modern dentistry, as more patients seek to replace their old amalgam fillings with safer, more aesthetic alternatives. At our clinic, we follow strict safety protocols to ensure the responsible removal of amalgam fillings, minimising mercury exposure to protect your health and the environment.
Mercury amalgam, also known as silver filling, is a common dental material composed of a mixture of mercury, silver, tin, and copper. It’s been used for over 150 years to restore decayed teeth due to its durability and affordability.
However, amalgam contains elemental mercury, which can release low levels of mercury vapour over time, particularly when chewing or grinding teeth. While the Australian Dental Association considers amalgam safe, some individuals prefer to have them removed due to health concerns, allergies, or for aesthetic reasons.
Many patients opt for mercury amalgam removal for one or more of the following reasons:
Health concerns about mercury exposure.
Allergic reactions to metals in amalgam.
Aesthetic improvement—white fillings look more natural.
Cracked or leaking amalgam fillings that need replacing.
Preference for biocompatible or holistic dental care.
When performed by a trained dental professional using proper safety protocols, mercury amalgam removal is considered safe. Dentists who perform this procedure typically follow guidelines to minimise mercury vapour exposure, such as:
High-volume suction (evacuation systems)
Rubber dam isolation
Protective eyewear and respiratory masks
Air filtration systems
Chunk removal instead of drilling into fine particles
These precautions protect both the patient and dental staff during the removal process.
Mercury amalgam removal follows a structured protocol, which may include the following steps:
Patient preparation – You may be given a protective gown, head cover, and a nasal mask with oxygen to prevent inhalation of vapours.
Rubber dam placement – This isolates the tooth and protects soft tissues.
Sectioning the filling – The dentist cuts the filling into chunks for removal rather than grinding.
Suction and filtration – High-powered suction and air filters capture mercury vapours and particles.
Filling replacement – The removed amalgam is replaced with a tooth-coloured composite, ceramic, or other biocompatible material.
Post-op care – You may be given detox or remineralisation advice based on your health preferences.
Choosing mercury amalgam removal can offer several benefits:
Improved appearance with tooth-coloured restorations
Reduced mercury exposure, especially if your amalgams are worn or cracked
Peace of mind for patients concerned about toxic materials
Support for overall health in integrative or holistic treatment plans
Yes, improper removal can potentially increase your mercury exposure. That’s why it’s crucial to work with a dentist experienced in safe mercury amalgam removal techniques. Using the SMART (Safe Mercury Amalgam Removal Technique) protocol endorsed by the International Academy of Oral Medicine and Toxicology (IAOMT) helps protect you from unnecessary exposure.
After removal, most patients choose from the following alternatives:
Composite resin – Tooth-coloured and aesthetic, suitable for small to medium restorations.
Ceramic (porcelain) – Strong, durable, and biocompatible.
Gold or other metals – Less common today, but long-lasting.
Glass ionomer – Releases fluoride but may not last as long in load-bearing areas.
Your dentist will help you choose a material based on the location of the filling, your bite forces, and aesthetic preferences.
No, mercury amalgam removal should not be painful. The procedure is performed under local anaesthesia to numb the tooth and surrounding area. You may feel some vibration or pressure during the process, but it should not be uncomfortable. After the procedure, mild sensitivity is normal and usually resolves quickly.
The time required for mercury amalgam removal depends on the number and size of fillings to be removed. On average, a single filling may take 30 to 60 minutes. Multiple visits may be required if you have several amalgam restorations.
In Australia, most private health insurance policies that cover general dental may reimburse part of the cost of amalgam removal and replacement. However, coverage may vary, particularly if the procedure is done for cosmetic or holistic reasons rather than for structural damage. Check with your insurer for specific benefits.
The mercury in dental amalgam is bound with other metals, but it can release small amounts of mercury vapour over time. While regulatory bodies consider this safe for most people, individuals with sensitivities or those seeking holistic care may prefer to avoid it altogether through mercury amalgam removal.
You might consider removal if:
You have broken, leaking, or discoloured fillings
You experience sensitivity or allergic reactions
You are concerned about mercury exposure
You want a more aesthetic or biocompatible solution
Yes, many patients request mercury amalgam removal for aesthetic or health-related reasons, even if their fillings are not currently failing. Your dentist can help you assess whether removal is appropriate and develop a safe treatment plan.
White fillings made from composite resin or ceramic are free from mercury and blend naturally with your teeth. While they may not last as long as amalgam in some cases, modern materials are increasingly durable and are considered a safer, more aesthetic option by many dentists.
Look for a dentist who:
Is trained in SMART protocols
Uses rubber dams and high-volume evacuation
Offers biocompatible material testing if needed
Works with patients seeking holistic or integrative dental care
Many such dentists will advertise mercury amalgam removal on their website or be affiliated with organisations like the IAOMT.
While the scientific community remains divided on whether amalgam fillings cause systemic health issues, many patients report subjective improvements in symptoms such as fatigue, brain fog, or allergies after removal. These improvements may be linked to reduced mercury exposure or the body’s improved detox ability post-removal.
However, it’s important to set realistic expectations and consult your healthcare providers for a holistic view of your health.
If your fillings are intact, stable, and not causing symptoms, there may be no immediate need to remove them. Some dental organisations advise that removal should only occur if medically necessary or if there are clear benefits. However, if you are seeking a mercury-free or holistic approach to dental care, removal can be part of a long-term wellness strategy.
The cost can vary based on:
The number of fillings being removed
The materials used for replacement
Whether additional procedures (like crowns) are needed
Your choice of dentist or clinic
On average, expect to pay $200–$500 per filling for removal and replacement. Speak with your dentist for a tailored quote.
After the procedure, you may notice:
Temporary tooth sensitivity
Minor gum irritation
A lighter, more aesthetic smile
A sense of reassurance or peace of mind
Your dentist may recommend supplements, a detox diet, or remineralisation therapies as part of your post-treatment care, especially if you’re working with a holistic practitioner.
Mercury amalgam removal is a safe, effective, and increasingly popular dental treatment for those looking to reduce their exposure to mercury and enjoy a more natural-looking smile. Whether you’re concerned about potential health effects, want to upgrade your dental work, or simply prefer a more biocompatible approach, amalgam removal can be a valuable step toward improved oral and overall wellbeing.
If you’re ready to explore your options for mercury amalgam removal, reach out to Star Dental Care and Lead Dentist Dr Jeremy Rourke a qualified dental professional with post-graduate training in amalgam removal protocols who can guide you through a safe, personalised treatment plan.
