Safe Amalgam Removal

Many people come to see us to request removal and replacement of their amalgam fillings for health reasons, because of concerns regarding the safety of mercury-based fillings, or for cosmetic purposes, as they do not like the appearance of black, dark fillings and discoloured teeth.

We offer an extremely comprehensive amalgam removal service following exceptionally strict protocols to ensure we minimise any potential mercury exposure to the patient and our team members. As part of this service you will receive a detailed information booklet about mercury and health and a thorough amalgam removal consultation and comprehensive dental examination together with x-rays and photographs where appropriate.

At the consultation we discuss what is involved and answer any questions you may have regarding mercury, amalgam fillings and your health. Time is taken to explain the implications of replacing your amalgams and any possible after effects along with ways in which to support yourself during the process and maximise mercury excretion and elimination from the body.

At this visit we also formulate a treatment plan for your teeth and mouth as well as providing you with a break down of fees for treatment in addition to information sheets on amalgam removal and nutritional support programs you may wish to implement.

Dental Amalgam

Dental amalgam is a mixture of silver and tin plus other metals mixed with 50% mercury. Once combined as amalgam the mercury is supposedly bound within the filling material. However research shows that the mercury escapes and can accumulate in your system.

Mercury is known to be an extremely toxic heavy metal and can reduce kidney, liver and thyroid function, be related to depression and mood swings, can suppress the immune system and is implicated in many nervous system disorders just to mention a few of the health implications.

Please note we are not claiming that dental amalgam makes you sick however there is enough scientific evidence to link mercury exposure to reduced health and that the link between mercury vapour release from amalgam fillings is thus heavily implicated. Many of the patients who seek amalgam removal treatment with Evolve Dental Healing do so due to medical reasons and health concerns.

It is our recommendation that:

  1. patient’s avoid having further amalgam fillings placed as there are many other filling materials available that are equally durable making the need to use amalgam obsolete. and
  2. if amalgam needs to be removed, for example because there is decay or a problem with the filling, that it is done following our safe amalgam removal guidelines.
Safe Mercury Amalgam Removal Technique – SMART

Whenever an amalgam filling is drilled or replaced mercury vapour is released which without special measures you would normally inhale and absorb into your body.

The amalgam turns into fine particles, fragments and a sludge that splatters over the insides of your mouth. The mouth tissues are highly absorbent and will take up mercury from the sludge; plus it is very easy for you to swallow and ingest the amalgam fragments.

In order to minimise your exposure to the mercury vapour all amalgams are replaced following strict protocols that involves the use of rubber dam and air filtration with IQair dental air mercury filtration and flex vac device.

Rubber dam

Rubber dam is a sheet of rubber which is stretched around the teeth being treated. Holes are punched which allow only the teeth to be worked on to be exposed. It acts as a physical barrier that prevents you inhaling mercury vapour through your mouth. Rubber dam also acts as a shield stopping amalgam particles, water and dental decay contacting your mouth tissues thus preventing ingestion and absorption of particles.

It is an incredibly simple way to prevent either inhalation of vapour or ingestion of amalgam particles. The use of rubber dam is one of the most important parts of the amalgam removal protocol. It also allows for more rapid removal of amalgam. Most patients feel more comfortable with rubber dam as they do not end up with a mouth full of amalgam particles and water.

Air Filtration

It involves the use of a filtration machine with flexible vacuum arm or suction duct which captures the aerosol and vapours from the drilling process.

At Evolve Dental Healing by using the Dental Hg FlexVac machine which is a mobile air cleaning system with a flexible suction duct designed to capture drill aerosols, abrasion powder and mercury vapours during dental procedures, we can greatly minimise exposure to mercury vapour.

The flexible suction duct is typically placed above the patient’s chest, next to the chin from where it directly captures drill aerosols and mercury vapours before they can spread and be inhaled by the patient or members of the dental team.

The best way to prevent inhalation of mercury and amalgam particles is to have the air flow directed away from the patient and use high volume suction in the mouth with a rubber dam applied to the teeth to be worked on.

Air Supply

We provide a separate air supply for patients to breath though a nose piece to reduce any risk of accidental mercury inhalation. The dentist and dental team wear protective mercury filtering respirator mask to ensure their own safety during the process.

Special Burs

The dental drill uses a variety of tips for differing purposes. Diamond burs grind the tooth. They are smoother and take longer to cut than tungsten carbide burs. They will therefore produce far greater levels of mercury when drilling. It is essential to use carbide burs which shatter the amalgam into large lumps when drilling. We always use tungsten carbide burs when removing amalgam for exactly this reason.


It has been demonstrated numerous times that massive water flow onto the tip of the cutting bur is essential to reduce the level of mercury vapour created in the cutting process. All water used in the Evolve Dental Healing surgery is demineralized and filtered to be fluoride free and sterile.

Air Filtration and Extractors

Each surgery and room within the practice is equipped with air filtration and high volume extractor fans that vent the air out from the practice quickly thus minimising inhalation and skin contact with the mercury vapour that may otherwise linger in the surgery.


Supplements such as Vitamin C, Magnesium, Zinc and B Vitamins etc may be recommended in order to support your immune function and detoxification systems during extensive amalgam removal treatments. We also work with Doctors and practitioners to support you with the mercury removal process.

Environmental Dentistry

We have an amalgam separator fitted to our dental chairs. This means that we capture 99.99% of our amalgam waste instead of it going into the water supply. Without an amalgam separator the sludge and fine particles from drilled out amalgam goes into the suction the out into the water supply polluting it with silver, tin, copper and MERCURY. Our practice is not only mercury free (as in we do not use amalgam) but we are also mercury SAFE.

Practitioner Network

We have a network of doctors and practitioners from a broad range of modalities who share our philosophy and approach to health so that we can offer you more than dental treatment alone and provide you with the care and support that you may need.

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