SMART Amalgam Removal at Maryland Holistic Dentistry

Safe Mercury Removal with a Biocompatible Approach

Silver (amalgam) fillings have been used in dentistry for over a century, but they contain approximately 50% mercury — a known neurotoxin. At Maryland Holistic Dentistry, we are proud to offer SMART-certified amalgam removal, ensuring your old metal fillings are removed as safely as possible.

Our team follows the Safe Mercury Amalgam Removal Technique (SMART), developed by the International Academy of Oral Medicine and Toxicology (IAOMT), to protect you, our staff, and the environment. Whether you're dealing with metal sensitivities, health concerns, or are simply looking to transition to biocompatible restorations, we’re here to help.

Learn more about our holistic dentistry philosophy and why Maryland patients trust us for safe, wellness-based care.

What Is SMART Amalgam Removal?

SMART stands for Safe Mercury Amalgam Removal Technique, a set of strict protocols designed to:

Prevent mercury vapor exposure during removal
Reduce risk of mercury particle ingestion
Protect the patient’s airway, body, and nervous system
Ensure safety for dental staff and the environment

At Maryland Holistic Dentistry, our clinicians are SMART-certified and use advanced safety systems to execute each step precisely. This method goes far beyond conventional filling removal and supports your long-term health and detoxification process.

Our SMART Protocol Includes:

Patient Protection:
- External oxygen supply through a nasal mask
- Full-body draping and non-latex barriers
- Oral vacuum and isolation to prevent ingestion
Air Filtration & Containment:
- High-volume evacuation with mercury vapor filters
- Saliva ejector under the dam for additional suction
- HEPA air filtration in treatment rooms
Specialized Tools:
- Sectional removal technique to minimize vapor release
- Copious water spray and suction to cool and contain
- Rubber dam isolation to shield tissues
Post-Removal Support:
- Optional nutritional support for detoxification
- Safe placement of biocompatible fillings or ceramic restorations

This protocol aligns with our broader commitment to non-toxic dental care, and is part of our integrated services available in Crownsville, Dunkirk, and Annapolis.

Why Replace Amalgam Fillings?

While the FDA acknowledges that amalgam is generally safe for the majority of people, certain populations — including pregnant women, children, and those with metal sensitivities — may benefit from replacement. Reasons to consider SMART removal include:

Concern about mercury toxicity
Cracked, corroded, or leaking fillings
Discoloration of surrounding teeth or gums
Aesthetic reasons (silver fillings are highly visible)
Symptoms of chronic fatigue, brain fog, or neurological issues

You can also explore our blog post on mercury-related health risks to better understand the potential impact of these materials.

What to Expect During Your Visit

Consultation & Safety Screening:
We assess your medical history and review current amalgam restorations using digital X-rays and, if needed, 3D CT scanning.
Customized Treatment Plan:
We’ll outline a step-by-step process for removing your fillings, with options for IV sedation or natural relaxation techniques if desired.
Safe Removal & Restoration:
After removal, we replace the amalgam with biocompatible composite or ceramic materials, designed to function naturally with your body.
Ongoing Support:
Our team may recommend supplements or detox-friendly habits to support your post-removal health.

Frequently Asked Questions

Is amalgam removal safe for everyone?
Yes — when done using SMART protocols. Our clinicians are trained to provide this service in a way that protects even vulnerable patients, including children and those with autoimmune issues.

Can I get all my amalgam fillings removed at once?
It depends on how many fillings you have and your overall health. We often phase out fillings over multiple appointments to reduce exposure and support healing.

What materials do you use to replace silver fillings?
We use BPA-free composite resins, zirconia, and other biocompatible restorations tested for individual tolerance when necessary.

Do you test for metal allergies or sensitivities?
Yes — we offer optional biocompatibility testing to ensure the materials we use are safe for your body.

Protect Your Health with SMART Amalgam Removal

Don’t let outdated metal fillings compromise your well-being. At Maryland Holistic Dentistry, we’re committed to safe, transparent, and holistic dentistry — and that includes how we remove toxic materials from your body.

Call to schedule your SMART amalgam removal at one of our convenient locations:

You can also request an appointment online today.