What to Expect: SMART® Amalgam Removal
SMART® (Safe Mercury Amalgam Removal Technique) is a carefully designed protocol used to remove existing silver (amalgam) fillings while minimizing exposure and supporting whole-body health. At Rise, SMART removal is performed with intention, safety, and biological respect.
Why SMART® Amalgam Removal May Be Recommended
Amalgam fillings contain mercury, which can release vapor when disturbed. SMART® protocols are designed to reduce exposure during removal by using specialized isolation, filtration, and protective measures. This allows existing restorations to be removed in a controlled and thoughtful way while protecting the body.
Before Your Appointment
- Medications: Pre-medication is typically not required unless discussed in advance.
- Forms & Consent: SMART®-specific consent and treatment forms must be completed prior to your visit.
- Supportive Care: Ozone therapy or other biologic support may be used to help disinfect the area and support healing.
Supportive Preparation & Safety Standards
SMART® amalgam removal at Rise follows established safety protocols aligned with professional organizations from IAOMT and IABDM. These standards focus on minimizing exposure, protecting the airway, and supporting the body throughout treatment.
- Protective protocols: Specialized isolation, high-volume evacuation, and air filtration are used during removal.
- Optional supportive preparation: Some patients choose nutritional or lifestyle support before and after treatment based on individual health goals and medical history.
- Personalized guidance: Any supportive recommendations are discussed thoughtfully and are never one-size-fits-all.
During Your Visit
- Protective barriers and isolation are placed prior to removal
- High-volume suction and filtration reduce exposure during treatment
- Amalgam is removed in a controlled, sectioned manner
- The tooth is evaluated immediately after removal
Your SMART® Treatment & Restoration Timeline
| Stage | What Happens | Timing |
|---|---|---|
| SMART® Removal | Safe amalgam removal, site evaluation, supportive care | Day 0 |
| Tooth Restoration | Composite filling or crown placement, depending on remaining tooth structure | Same day or planned |
After SMART® Removal: What to Expect
- Mild sensitivity or tenderness near the treated tooth
- Temporary awareness as the tooth adapts to its new restoration
- Gradual improvement in comfort as healing stabilizes
Some teeth can be restored immediately, while others benefit from added protection such as a crown. Our recommendations are based on preserving tooth structure, reducing stress, and supporting long-term health.
Related Procedures
Some treatments are often connected. Explore related options if helpful.