At Folly Beach Family Dentistry, we understand that many patients want to feel confident not only in how their dental work looks and functions, but also in the materials and techniques used during treatment. For patients with older silver-colored amalgam fillings, we offer a thoughtful, safety-focused approach to amalgam removal.
SMART stands for Safe Mercury Amalgam Removal Technique. It is a protocol developed by the International Academy of Oral Medicine and Toxicology, also known as the IAOMT, to help reduce mercury exposure during the removal of mercury-containing amalgam fillings.
SMART amalgam removal is a set of safety recommendations used when removing dental amalgam fillings. Dental amalgam fillings contain mercury, and the removal process can release mercury vapor and particles if not handled carefully. The goal of SMART is to help reduce exposure for the patient, dentist, dental team, and treatment environment during the procedure.
At Folly Beach Family Dentistry, we approach amalgam removal conservatively. Not every silver filling needs to be removed. If you have an older amalgam filling, we will examine the tooth, review your concerns, explain your options, and recommend treatment only when it is clinically appropriate.
Patients may ask about amalgam removal for several reasons. Some have older fillings that are cracked, worn, leaking, or no longer functioning properly. Others are interested in mercury-safe dentistry, biological dentistry, or more biocompatible dental materials.
The FDA notes that intact amalgam fillings should not be removed solely to prevent disease or a health condition unless a healthcare professional considers removal medically necessary. The FDA has also recommended that certain higher-risk groups avoid new dental amalgam fillings when possible and appropriate.
Our goal is to give you clear, balanced guidance so you can make an informed decision about your dental care.
Before recommending amalgam removal, we begin with a consultation and dental exam. During this visit, we may:
If removal is recommended, we will create a personalized treatment plan based on the condition of the tooth and your long-term oral health needs.
After an amalgam filling is removed, the tooth will need to be restored with an appropriate replacement material. Depending on the size and location of the filling, options may include a tooth-colored composite restoration, ceramic restoration, crown, or another restorative solution.
Folly Beach Family Dentistry also offers several services that may appeal to patients interested in biocompatible and metal-free dentistry, including:
We will explain which option is most appropriate for your tooth, bite, aesthetic goals, and long-term oral health.
SMART amalgam removal is often associated with biological or biocompatible dentistry because it reflects a more safety-conscious approach to dental materials and treatment techniques. Patients who are interested in SMART removal may also be interested in IAOMT-informed dentistry, ozone therapy, metal-free restorations, and zirconium implant options.
At Folly Beach Family Dentistry, our approach is grounded in patient education, conservative treatment planning, and respect for each patient’s preferences.
Folly Beach Family Dentistry welcomes patients from Folly Beach and surrounding Lowcountry communities, including Charleston, James Island, Johns Island, West Ashley, Mount Pleasant, Kiawah Island, Seabrook Island, Sullivan’s Island, and Isle of Palms.
If you are looking for SMART amalgam removal near Folly Beach, Charleston, or James Island, our team would be happy to discuss your options.