Patient Education

What Is SMART Amalgam Removal?

Published October 28, 2025
What Is SMART Amalgam Removal?

What Is SMART Amalgam Removal? SMART stands for Safe Mercury Amalgam Removal Technique. It is a protocol designed to safely remove silver (over 50% mercury containing) fillings while minimizing mercury exposure for both the patient and the dental team.

Why Is This Important? Traditional amalgam removal can release mercury vapor and particles, which are toxic when inhaled or ingested. Mercury exposure has been linked to neurological, immune, and kidney problems, especially in sensitive individuals, children, and pregnant women.

How Does SMART Work? SMART removal follows strict safety measures to significantly reduce inhalation and ingestion of mercury particles during the process. Key steps include: • High-volume suction and specialized filtration to capture mercury vapor • Isolation techniques (such as rubber dams) to prevent ingestion • Protective barriers and equipment for patient and staff (including masks, gowns, and eyewear) • Air purification and controlled drilling methods to minimize aerosol • Use of biocompatible, mercury-free replacement materials

Benefits of SMART Amalgam Removal: • Reduced mercury exposure during removal • Enhanced patient safety and comfort • Protection for the dental practitioner and staff • Support for whole-body wellness, especially for patients sensitive to toxins or with autoimmune conditions

A Thoughtful, Biological Approach At Aura Dental and Wellness, SMART amalgam removal reflects our commitment to minimizing toxicity, supporting the body’s natural balance, and providing dentistry that considers overall health—not just teeth.

If you’re considering replacing old silver fillings, SMART amalgam removal offers a gentle, intentional, and safety-focused option. We are happy to answer your questions and help you make the best choice for your health.