SMART Amalgam Removal in Long Beach

What is SMART amalgam removal? 

SMART is an acronym for the Safe Mercury Amalgam Removal Technique. This technique was developed by the International Academy of Oral Medicine and Toxicology (IAOMT) and it ensures that all patients (and our dental team) are protected during the mercury removal process. According to many studies, silver (amalgam) fillings can contain up to 50% mercury, which may lead to many overall health issues. Mercury has been correlated with depression, anxiety, chronic illnesses, constant fatigue, fetal deformities, and more. For this reason, many patients with old metal fillings wish to have them removed.

Did you know…

According to the IAOMT, all metal fillings contain approximately 50% mercury.

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How it works: The SMART process

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Consultation

At your consultation, your doctor will examine your existing metal fillings and determine if they need to be replaced. If they are in good condition and do not pose a threat to your health, your doctor may recommend they stay in place. In most cases, though, it is beneficial to have them replaced.

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Precautionary Measures

During your filling removal, your doctor will wear protective covers, and you will be protected with a drape as well. A high vacuum filtration system will be present in the operatory to remove any mercury vapor produced from the removal of your silver fillings.

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Preparing for the Procedure

To ensure you do not inhale any harmful vapors, you will be breathing oxygen through a face mask throughout the duration of the procedure. Your doctor will also place a dental dam in your mouth to seal off the area being worked on.

Removal of Metal Fillings

Once all precautionary measures are in place, your dentist will begin removing the metal amalgam fillings with a precise drill, suction, and water.

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Oral Rinse

After the metal filling has been removed, your doctor will give you a slurry of charcoal and water to rinse with. By rinsing with a slurry, the charcoal will absorb any potential residual amounts of metal that may have entered your mouth.

Placement of New Fillings

Finally, your tooth will be filled with a durable composite filling where the metal filling once was. Composite fillings preserve the structure of your tooth while also enhancing its overall appearance.

Ozone Therapy and SMART

Ozone therapy plays a key role in the Safe Mercury Amalgam Removal Technique (SMART) by eliminating bacteria and supporting healing after mercury fillings are removed. This natural form of oxygen has strong antimicrobial properties, which help detoxify the tooth structure and encourage faster tissue recovery.

With ozone therapy, you will experience enhanced safety, reduced inflammation, and a cleaner, healthier treatment area.

Did you know…

Mercury was used in metal fillings until 2009.

Make the SMART choice! Book your appointment today.

Call (562) 421-9411 to book an appointment.

Have questions about your SMART filling removal? Find answers here.

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Does SMART hurt?

No. The entire area surrounding the tooth will be numb throughout the process. You may be able to feel slight pressure from the drill, but you should not feel any pain. In some cases, sedation options may be available to you to help keep you blissfully unaware and relaxed during your SMART procedure. If you’re interested in exploring your options for sedation, book a consultation with your doctor today!

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How long does the process take?

The length of the procedure will vary based on each patient's unique needs. The size and amount of metal fillings being removed will have an effect on the length of the procedure. However, it usually takes about the same amount of time as having a filling placed per tooth.

Is removing mercury fillings covered by insurance?

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In some cases your metal filling removal may be covered by your insurance if it is determined to be a necessary treatment as opposed to an elective one. If you are looking to have your metal fillings removed for cosmetic reasons alone and they are deemed to be in good condition and not posing a threat to your health, you may incur some out of pocket fees. To better understand your insurance coverage, contact your provider. Our team is also happy to answer any questions you may have to ensure you are getting the most out of your dental insurance benefits.

Do I need to have my amalgam fillings removed?

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In most cases metal fillings will need to be removed. This is usually due to the age of the filling. Now, most dentists use composite fillings so it is likely that if you have a metal filling, it may be failing. This can lead to additional tooth decay, so it is important to have your fillings checked to see if they are functioning properly. On top of any potential tooth decay, it is usually safer to have metal fillings removed proactively to lessen the risk of developing mercury poisoning (and its side effects) in the future.

Why is ozone therapy used with SMART?

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Ozone therapy is used to neutralize bacteria and detoxify the treated area, making the mercury removal process safer while also promoting natural healing. This added step adds extra protection during your treatment and recovery.

Did you know…

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As you brush, chew, and clench your teeth, your metal fillings could be releasing harmful mercury vapor.

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