Safe Amalgam Fillings Removal

Mercury has been shown to be released from dental exhaust systems, showing safe amalgam fillings removal is important to prevent further exposure to mercury. (9) At Luminous Dentistry, we provide the utmost safety to patients and staff. Procedures include using a rubber dam, providing oxygen supply to both the patient and staff, and using a high volume suction device in the patients’ mouth, all to prevent any excess mercury vapour being re-ingested.

The silver fillings are usually removed in quadrants, which means we remove all the amalgams in a quarter of the mouth at a time as an added safety precaution.

It’s important to remember that all dental treatments come with potential risk and that replacing amalgam fillings may result in tooth sensitivity, nerve death in the tooth, or tooth loss.

A balanced assessment is required to weigh the risks vs benefits.

Initial: Examination and assessment if amalgam fillings should and can be removed safely.

Safe Amalgam FillingS Removal Protocol

Safe Amalgam Fillings Removal

Before the procedure: Examination and assessment if amalgam fillings should and can viably be replaced.

During the Procedure:

  • A rubber dam is used to isolate the tooth with a thin piece of latex, so the particles of the toxic metals being drilled out don’t mix with your saliva and become absorbed into the gums or swallowed.
  • Alternative nasal air source with oxygen for the patient, to reduce inhalation of airborne particles.
  • Amalgam fillings are removed in chunks
  • Both low and high-speed drills to remove the last bits of amalgam from the tooth to minimize the risk of killing the tooth.
  • A vacuum to trap and remove mercury particles.
  • External ventilation with a vacuum hose to draw the mercury vapor and particles away from the patient and dental staff, with proper disposal.

The patient should be instructed to concentrate on breathing through the nose and avoid breathing through the mouth while mercury amalgam silver fillings are being removed.

Additional air filtering system that’s placed as close to the patient’s mouth as is practical. The more popular ones resemble an elephant’s trunk and have openings about 4 inches in diameter. This can be helpful, but I agree with those mercury safe dentists who believe that the patient can be adequately protected without such a system. More and more mercury safe dentists are using this type of purification system and while it’s a nice addition to the removal protocol, it is more important for the dentist and assistant than the patient.

Pre and post appointment supplementation

There are a number of supplements that can assist safe amalgam removal and exposure of the body to mercury:

  • Activated Charcoal
    Activated charcoal is created with a heating process making it extremely adsorbent. It to bind to molecules, ions, or atoms and is used in hospitals substances
    There’s some evidence that activated charcoal taken 10-15 minutes before amalgam removal can bind smaller particles of swallowed mercury, allowing them to be harmlessly passed out of the digestive system via the feces.
  • Chlorella
    Chlorella is a single-celled, green freshwater algae.
    There are over 30 different species, but two types — Chlorella vulgaris and Chlorella pyrenoidosa — are most commonly used in research.
    Animal studies indicate that it’s effective at helping remove heavy metals and other harmful compounds from the body (10)
    Chlorella has also been found to enhance the immune response in both animal and human studies, although the evidence so far is limited.
  • Vitamin C
    Pre and post-operative vitamin C supplementation to help boost the immune system.
  • Glutathione
    A powerful antioxidant, pre and post supplementation can help improve the immune resilience to mercury.

Lifestyle habits to reduce exposure to mercury

Besides safely removing amalgam fillings, and safely removing existing ones you can limit or eliminate seafood consumption as well as avoiding certain vaccinations containing mercury.

Mercury can also be present in food and beverages.

  • Tuna (canned or fresh)
  • Lobster
  • Salt water fish
  • Carrots
  • Lettuce (unless organic)
  • Grains
  • Seaweeds
  • Cosmetics (hair dyes, mascara, skin lightening creams)
  • Medications (Preparation H, contact lens solutions, recycled toilet paper, body powders)
  • Latex containing products
  • Solvent thinned paints
  • Fabric softener
  • Floor waxes
  • Air conditioner filters
  • Tattoos

To avoid the consumption of mercury exposed products, read the labels to ensure that no ingredient has the letters MER in the name.



Luminous Dentistry is a completely amalgam and mercury-free dentist office. All of our restorative treatments (including both fillings and crowns) are made of tooth coloured composite and porcelain, for the safest and most durable restoration available.

If you have tooth decay, an old filling that’s beginning to leak, or want to discuss mercury filling removal with a holistic dentist in your area, we invite you to call and schedule a consultation.

Read More From The Luminous Blog About Safe Amalgam Fillings Removal