What Is Safe Mercury Removal? The SMART Protocol Explained
A dental amalgam filling in a tooth

Every time you chew, sip a hot coffee, or grind your teeth at night, you might be unknowingly releasing mercury vapor directly into your mouth and lungs. Those silver “amalgam” fillings that have been in your teeth for years or even decades contain mercury, the same toxic substance found in some thermometers and fluorescent lightbulbs. What’s even more alarming? The process of removing these fillings, if done improperly, can expose you to dangerous levels of mercury vapor that far exceed what the fillings release naturally over time.

At Club K Holistic Dental, we understand your concerns about mercury exposure and follow the strictest safety protocols for amalgam removal. Dr. Knapton is certified in the SMART (Safe Mercury Amalgam Removal Technique) protocol, ensuring both patients and our dental team remain protected throughout the removal process. Our holistic approach prioritizes your safety while helping you transition to healthier, metal-free options.

Understanding Mercury Amalgam Fillings

Mercury amalgam fillings still contain approximately 50% mercury mixed with other metals like silver, tin, and copper. While many professional dental organizations have long maintained that these fillings are safe, concerns about mercury exposure continue to grow among patients and healthcare providers.

When you chew, grind your teeth, or consume hot beverages, mercury vapor can be released from these fillings, and some individuals may be more sensitive to this exposure than others. Even brushing your teeth, a dental cleaning, or anything else that causes friction on those fillings can release dangerous amounts of mercury vapor 

Many patients choose removal not just for health concerns, but also for aesthetic reasons. Mercury fillings can darken over time, causing the surrounding tooth structure to appear gray or discolored.

What Is the SMART Protocol?

The SMART protocol is a comprehensive set of safety measures developed by the International Academy of Oral Medicine and Toxicology (IAOMT) specifically for the safe removal of mercury amalgam fillings. This protocol goes far beyond standard dental practices to minimize mercury exposure for everyone in the treatment room.

SMART stands for Safe Mercury Amalgam Removal Technique, and it represents the gold standard for protecting patients, dental staff, and the environment during amalgam removal procedures. The protocol includes specific equipment, techniques, and environmental controls that dramatically reduce mercury vapor exposure.

Unfortunately, not all dentists are trained in the SMART protocol. It requires specialized equipment, additional education, and a commitment to following detailed safety procedures that go above and beyond typical dental protocols.

Key Components of Safe Mercury Removal

The SMART protocol involves multiple layers of protection working together to create the safest possible environment for the removal of amalgam. These safeguards include:

  • High-volume suction systems that capture mercury vapor before it can be inhaled
  • Rubber dam isolation to prevent amalgam particles from being swallowed
  • Supplemental air supply for patients to breathe clean air during the procedure
  • Specialized cutting techniques that minimize heat and mercury vapor generation
  • Personal protective equipment for all staff members in the treatment area
  • Air filtration systems to clean the treatment room air
  • Proper waste disposal following EPA guidelines for mercury-containing materials

The process also includes pre- and post-removal protocols, such as nutritional support recommendations and timing considerations to optimize your body’s natural detoxification processes.

Why Choose SMART-Certified Removal?

Choosing a SMART-certified dentist for your amalgam removal isn’t just about following safety protocols; it’s about working with a practitioner who understands the broader health implications of mercury exposure and takes your concerns seriously.

SMART certification requires ongoing education and training to maintain its validity. Certified practitioners stay current with the latest research on mercury toxicity and removal techniques. They also understand that amalgam removal is often part of a larger journey toward better health and wellness.

The protocol also protects our team and the environment. Proper mercury handling prevents contamination of water systems and reduces occupational exposure for dental professionals who perform these procedures regularly.

Many patients report feeling more confident and comfortable knowing their dentist follows these comprehensive safety measures. This peace of mind allows you to focus on your health goals rather than worrying about potential exposure during treatment.

Take the Next Step Toward Mercury-Free Dentistry at Club K Holistic Dental

Removing mercury amalgam fillings is a critical decision that deserves careful consideration and the highest safety standards. The SMART protocol is the most comprehensive approach to safe amalgam removal available today, protecting both your immediate and long-term health.

Dr. Knapton’s certification in the SMART protocol, combined with our team’s commitment to holistic, patient-centered care, ensures you receive the safest possible treatment. We understand choosing mercury removal is often part of a broader commitment to wellness, and we’re here to support you throughout your journey. Ready to learn more about safe mercury removal and whether it’s right for you? Contact our Springfield office at (417) 397-7700 or schedule your consultation online to discuss your options with Dr. Knapton and discover how SMART protocol removal can support your health goals.

Legally Reviewed By:

Dr. Joshua Knapton

Dr. Joshua Knapton combines his dual DMD and MBA from Roseman University with specialized training in biological dentistry. His personal experience with NAET allergy elimination—which resolved his own hand condition and his children's skin problems—inspired his holistic approach. As a certified NAET practitioner and member of the International Academy of Oral Medicine and Toxicology, Dr. Knapton is uniquely qualified to address both your dental needs and overall wellness.

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