The SMART Choice
Make the SMART choice to protect your health by learning about the Safe Mercury Amalgam Removal Technique (SMART) from the International Academy of Oral Medicine and Toxicology (IAOMT).
Why should I care?
All silver-colored dental fillings, also called dental amalgams, contain approximately 50% mercury.
How much mercury is released
from silver amalgam fillings?
Removal of silver dental amalgam fillings without safety measures can potentially result in everyone in the dental room exceeding the safety limit of mercury exposure.
Some patients require the removal of silver amalgam fillings due to device failure, while others opt for the removal of silver amalgam fillings because of cosmetic purposes (white-colored fillings match the teeth better) or because they prefer to have dental fillings that do not contain mercury. However, removal of silver amalgam fillings without safety measures can potentially result in everyone in the dental room exceeding the safety limit of mercury exposure. Obviously, the danger to the patient is the greatest since mercury is being released directly into the mouth. Also, dentists and dental staff not applying safety techniques can be routinely exposed to these mercury releases.
What is the Safe Mercury Amalgam Removal Technique (SMART)?
SMART Certified, “mercury-safe” dentists apply special techniques to remove dental mercury amalgam fillings.
To read the SMART protocol recommendations with scientific references, click here.
To download a Checklist of the protocol recommendations for patient-dental discussion, click here.
Note that due to mercury releases, polishing, placement, removal, or any disruption of a dental mercury amalgam filling should not be should not be conducted upon patients who are pregnant or lactating and should not be done by dental personnel who are pregnant or lactating.
What are the mercury-free alternatives
for dental amalgam fillings?
Obviously, once dental amalgams have been removed, they must be replaced with a different dental filling material. Most consumers choose direct composite fillings because the white coloring matches the tooth better and the cost is considered affordable.
There has likewise been concern about glass ionomers, many of which contain fluoride.
Patients who are concerned about the material in their dental fillings often choose to speak with their dentists about using a material that does not contain the ingredient.
Another option for dental patients concerned about which mercury-free alternative to use as a filling material is to do their own research and/or take a dental biocompatibility test. Indeed, the IAOMT suggests that composites and all replacement materials should also be assessed for safety and biocompatibility with special consideration for all populations and all known risk factors.
Mercury Amalgam Fillings
Mercury-Free Composite Filling
How do I make the SMART choice to protect my health?
- Watch the videos and read all the information on this webpage.
- Download our checklist for dentists and patients to discuss safe mercury amalgam filling removal here.
- If you are a patient: Share the SMART choice page with your dentist, doctor, family, and friends: www.thesmartchoice.com
- If you are a dentist: Learn more about becoming certified in the Safe Mercury Amalgam Removal Technique (SMART) by clicking here.
- Search for an IAOMT SMART-certified dentist by clicking here.
- Note that due to mercury releases, polishing, placement, removal, or any disruption of a dental mercury amalgam filling should not be should not be conducted upon patients who are pregnant or lactating and should not be done by dental personnel who are pregnant or lactating.