Safe Removal of Amalgam Fillings


amalgam fillings

October 9, 2018

Safe Removal of Amalgam Fillings |, ,

Amalgam fillings are made of a combination of metals including mercury, silver, tin, copper, and others too. Over time, these metals leak into the natural tooth causing discoloration and, in some cases, even infections and abscess.

Many people now choose to replace their amalgam fillings using ceramic inlays, not only for aesthetics but health reasons too. A person with amalgam fillings releases mercury vapor every time chewing occurs. This enters the body and over the long term can cause more serious health problems.

Looking at an amalgam filling, it may seem very small. However, although it may seem minimal to the naked eye, it can actually be a very deep filling. When these fillings are deep, they can leak metals into the conducts of the tooth. This can cause discomfort, pain, and infection. Often, the tooth requires root canal treatment and in a worse case, extraction.

amalgam filling

Remove the Amalgam Filling & Remove the Mercury

Mercury is a naturally occurring metal but is categorized as extremely toxic with known health effects from exposure to high amounts including autoimmune, kidney and neurological. Many people have concerns about the mercury contained within amalgam fillings and would prefer to have this removed entirely.

A good dental practitioner will take careful steps to ensure that when a filling is removed there is no danger of mercury exposure for the patient.

If your fillings present decay, are broken, chipped, damaged or you have a toothache, then this is a good indication that the time is right to replace the amalgam filling.

amalgam removal

Options for the Removal of Amalgam Fillings

Removing amalgam fillings and replacing them with tooth-colored ceramic inlays is an excellent option. Inlays allow the dentist to restore the contour on the biting surface of the tooth, creating a more stable bite, adding strength because the inlay is bonded to the tooth, and improving the aesthetics, too. In fact, because these restorations are so precise, only a dentist could tell which teeth have inlays.

On the other hand, composite resin is not recommended for the replacement of amalgam fillings. Composite resin is a special type of ‘paste’ which is good for newly formed, very small cavities. This is not a strong material for large extension restorations and it does not create the correct contour or biting surface for replacing amalgam fillings.

amalgam removal

The Removal of Amalgam Fillings

The removal and replacement of amalgam fillings should be undertaken with great caution by the treating dentist. It is important to minimize the patient’s exposure to mercury vapors during the removal process.

Fillings are always kept cool during the removal process and a rubber dam is used to keep fragments of the amalgam filling from entering into the patient’s mouth. A high vacuum suction system is used to immediately remove all amalgam particles once they become loose and an alternative source of pure oxygen can also be provided.

amalgam removal inlay

We take a quick and easy optical scan of the tooth, design the new piece in 3D and make it in-clinic in just a few minutes.

If you would like more information or have questions about the safe removal of amalgam fillings, please complete our online form or send us a message to (0051) 977 547 437


  • Dentistry for Health NYCJanuary 6, 2020

    Really nice and useful post. I got to know new things about safe removal of amalgam fillings. Thanks for sharing this information with us.

  • c RodriguezFebruary 8, 2020

    Hello, please reply to confirm the work you can provide and an idea of its cost and timing. I’m looking to get SMART amalgam removal of 2 fillings and 1 crown with an amalgam band and to get replacement for these. Additionally ; exam, xrays, 1ea of filling, crown, root canal, small chip bond, whitening, necessary anesthesia. Please advise if this work can be done in one visit and how many days I should allow. I would like to do this at end of March. Thank you for your help. Carolyn

    • Lloyd HannisFebruary 9, 2020

      Hello Carolyn. We are very familiar with the process of safe removal for amalgam fillings as we are a mercury-free dentist clinic. This means that all of our restorations are made from porcelain/ceramic by 3D CAD-CAM, with zero metals involved. This is a healthier and much more pleasant overall experience for the patient. We’ll email you more information. Thanks!


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