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The Safe Mercury Amalgam Removal Technique


The Safe Mercury    Amalgam Removal Technique


How many times have you wondered “Now that I’ve decided to replace my silver amalgam fillings is it safe to do so?”

And this is a completely logical thought, since we hear so much about mercury toxicity that we feel confused, isn’t this right?

Fortunately the International Academy of Oral Medicine & Toxicology (IAOMT) helps us by offering the most up to date (last review December 2016) research protocol for safe amalgam fillings removal.

This technique has been given a very clever name—SMART which is the acronym of the words Safe Mercury Amalgam Removal Technique.

All dental amalgam fillings are as usually mentioned silver fillings contain an average of 50% of mercury.

According to research mercury vapor is known to be released from amalgam fillings  during brushing, chewing, teeth grinding, removal of filling etc.

There are studies that mention that these vapors are not harmful for your overall health  and also others that support the exact opposite effect – That mercury is absolutely toxic both for you the patient, as well as, for us the dental staff (dentist & dental assistant).


Here I will ask you the following question:

“ Since there is a protocol that has already been approved by the International Academy of Oral Medicine & Toxicology  why not apply it instead of risking it and placing my overall health in danger?”



The protocol and technique of safe mercury amalgam removal  by the International Academy of Oral Medicine and Toxicology recommends that the following precautions and protocols need to be in place during the amalgam removal procedure:

  1. The room in which the mercury fillings are removed must have a high volume air filtration system known as Dental Air Vacuum System capable of removing mercury vapor and amalgam particles generated during the removal of the mercury fillings.

The device must be placed at a certain distance of 2-4 inches from your mouth in order to absorb as must harmful vapors and particles as possible.

  1. During the amalgam removal procedure, all windows in the room must be open.
  2. Throughout the procedure you will be able to rinse your mouth with a special mouthwash with Chlorella.
  3. All dental staff (Dentist, dental assistant) as well as yourself (patient) will have to wear protective gowns.

It has been noted that during the amalgam removal procedure, particles of mercury  generated from the procedure may spread from the mouth to the knees, chest, shoulders, neck as well as on the dentist and dental assistant!

  1. Also protective caps for hair and head must be provided for everyone in the room.
  2. The gloves we will be using for the procedure must be specialized nitrile gloves .
  3. A dental dam that is made with non-latex nitrile material must be properly placed and sealed in your mouth.
  4. A strong suction saliva system must be used throughout the procedure to protect you from the mercury amalgam particles.
  5. Properly sealed masks must be used by the dental staff (dentist & dental assistant) throughout the procedure.
  6. The amalgam should be sectioned in to chunks and removed in as large pieces as possible.
  7. At the end of the procedure a rinse with the mouthwash of Chlorella must be thoroughly  repeated.

Last but not least, the International Academy of Oral Medicine & Toxicology for safety precautions does not recommend the removal of amalgam fillings during pregnancy or for women who are breastfeeding.

Dr. Anna Maria Yiannikos has been certified in the S.M.A.R.T procedure by the International Academy of Oral Medicine.

Dental Surgeon (DDS, MSc.)

Member of the International Academy of Oral Medicine & Toxicology