SMART Amalgam Removal

A Safer, More Conscious Approach to Mercury Filling Removal

At PGH Dental Wellness, we follow the SMART protocol (Safe Mercury Amalgam Removal Technique) to protect your health and minimize exposure when removing silver-colored amalgam fillings.

These fillings often contain mercury, a toxic heavy metal that may vaporize during removal. The SMART method, developed by the International Academy of Oral Medicine and Toxicology (IAOMT), is designed to reduce that risk through protective equipment, ventilation, and precise clinical protocols.

This approach reflects our core philosophy: to do less harm, use safer materials, and treat every aspect of oral health in connection with the body as a whole.

What to Expect with SMART Removal

When it’s time to replace your amalgam fillings, our clinical team uses a comprehensive protective process that includes:

• A sealed and filtered treatment room with high-volume air filtration
  
• Specialized dental dams and suction systems to isolate the tooth and contain debris
  
• Full-body protection for both patient and provider, including face shields and external oxygen supply
  
• Sectioning of the filling into pieces to avoid aerosolizing mercury
  
• Immediate cleanup and removal of debris to reduce any risk of reabsorption
  
• Post-removal guidance to support detox pathways and healing

The SMART protocol is just one part of how we prioritize your safety — and one of several ways we support patients seeking more biologically aligned care.

Learn about our approach to Biological Dentistry ›

Why Patients Choose SMART Removal

Many patients come to us looking for a safer alternative to traditional dentistry — especially those with autoimmune conditions, chronic inflammation, or long-term exposure to heavy metals.

SMART removal is ideal for anyone who:

• Wants to replace mercury fillings with tooth-colored restorations
  
• Has sensitivities or concerns about metal toxicity
  
• Is working with an integrative physician or detox protocol
  
• Is pursuing long-term restorative treatment
  
• Values a conservative, whole-body approach to oral health

If you’re seeking more information on alternatives to silver fillings, visit our Amalgam Replacements page for additional insight into modern materials and options.

Our Commitment to Safer Materials

In keeping with our metal-safe, fluoride-free, and airway-conscious values, we use only biocompatible filling materials when replacing old restorations. This may include ceramic, resin-based composites, or other non-toxic materials designed for strength and long-term stability.

Explore all general dentistry services ›

FAQs About SMART Amalgam Removal

What does SMART stand for?

SMART stands for Safe Mercury Amalgam Removal Technique. It’s a detailed protocol designed by the IAOMT to reduce mercury exposure during dental amalgam removal.

Why is mercury a concern in dental fillings?

Traditional silver-colored fillings contain about 50% mercury, which can release vapor when drilled. Over time, or during removal, this vapor may be inhaled or absorbed unless protective steps are taken.

How do I know if I should have my fillings removed?

It depends on your overall health, dental history, and personal concerns. If you’re experiencing symptoms or simply want a safer material, we’ll help assess whether removal is the right next step.

Will insurance cover SMART removal?

Most dental insurance covers filling replacement when medically necessary, though not all plans account for the additional safety protocols. We’ll provide a clear treatment plan and estimate before any work is done.

Is SMART removal safe for children?

While most amalgam fillings are found in adults, if your child has one, we take every precaution to ensure safe, age-appropriate care — with protective measures tailored to pediatric needs.

A Calmer, Safer Way to Restore Your Smile

Whether you’re ready to remove old metal fillings or simply want more confidence in your dental materials, we’re here to help. Our SMART-certified team will guide you through every step — with transparency, comfort, and a focus on your overall wellbeing.

Request an Appointment or call (412) 367-1808 to learn more.