The Mercury Problem in Dentistry
Mercury amalgam fillings — the silver-coloured fillings still placed by many dentists — contain approximately 50% mercury by weight. Mercury is classified as a potent neurotoxin by the World Health Organisation. Research has conclusively shown that these fillings release mercury vapour continuously, with significantly increased release during chewing, grinding, brushing, and exposure to hot beverages.
While regulatory bodies have varying positions on amalgam safety, the evidence base has led several countries (Norway, Sweden, Denmark) to ban or restrict amalgam use entirely. The USFDA has warned against amalgam use in certain populations including children under 6, pregnant women, and those with kidney disease.
Why the SMART Protocol Matters
Removing mercury fillings improperly can actually cause more harm than leaving them in place. During drilling, amalgam fillings release extremely high levels of mercury vapour and particulate matter. Without protection, both the patient and dental staff are exposed to dangerous concentrations.
The SMART protocol (Safe Mercury Amalgam Removal Technique) was developed by the International Academy of Oral Medicine and Toxicology (IAOMT) to minimise exposure during removal. Dr. Mehta follows this protocol rigorously for every amalgam removal.
What to Expect During SMART Removal
The SMART protocol includes multiple protective measures:
- Rubber dam isolation — prevents ingestion of amalgam particles
- High-volume evacuation — captures mercury vapour at the source
- Sectional removal — fillings removed in large chunks to minimise vapour generation
- Patient oxygen supply — nasal mask delivers clean air throughout
- Protective barriers — full body covering, eye protection
- Room air filtration — HEPA and mercury-specific filtration systems
- Copious water irrigation — keeps temperature low to reduce vapour
After Removal: Replacement Materials
Once amalgam is safely removed, Dr. Mehta replaces with biocompatible materials: BPA-free composite resins for smaller restorations, or ceramic inlays/onlays milled with CEREC technology for larger cavities. All materials are metal-free, non-toxic, and aesthetically matched to your natural teeth.
Cost Comparison: Mumbai vs USA/UK
SMART amalgam removal in the USA typically costs $400–$800 per tooth. In the UK, £300–£600. At Dr. Mehta's Mumbai practice, the same procedure — following identical international protocols — costs a fraction of these prices, making Mumbai an attractive destination for international patients seeking safe amalgam removal.
Post-Removal Detox Support
Dr. Mehta provides guidance on post-removal detox protocols, including nutritional support, binding agents, and lifestyle modifications that support your body's natural mercury detoxification pathways. This is an integral part of the holistic approach — removal is just the first step.
Ready to Go Mercury-Free?
If you have amalgam fillings and are considering removal, the most important decision is choosing a practitioner who follows the SMART protocol. Book a consultation with Dr. Mehta to assess your current fillings and plan a safe transition to biocompatible materials.