11410 Jollyville Rd STE 3102, Austin, TX 78759
11410 Jollyville Rd STE 3102, Austin, TX 78759
SMART Mercury Filling Removal in Austin, TX
Considering replacing silver fillings? At Bruno Integrative Dentistry in North Austin, SMART-certified Dr. Candace Bruno evaluates your existing restorations and uses precautions designed to reduce mercury exposure during amalgam removal.
What Is SMART Amalgam Removal?
SMART stands for Safe Mercury Amalgam Removal Technique, a set of removal recommendations developed by the International Academy of Oral Medicine and Toxicology (IAOMT). Dr. Bruno has completed SMART certification training.
Dental amalgam, often called a silver filling, contains mercury. Removing it can release vapor and particles. Our approach combines isolation, suction, cooling, filtration, and protective equipment to limit exposure during treatment. These precautions reduce exposure; they do not guarantee that it is eliminated.
SMART removal is part of our biological dentistry approach. Your evaluation considers the filling, the remaining tooth structure, your medical history, and suitable replacement materials.
Should You Replace Your Silver Fillings?
We begin with an examination rather than assuming every amalgam filling needs removal. Dr. Bruno checks for decay, damage, and the condition of the surrounding tooth, then explains your options.
When Replacement May Be Needed
Decay around a filling, a fractured restoration, or a damaged tooth may require treatment. Material sensitivities and other health considerations can also be discussed with your dentist and physician.
When a Filling Is Intact
The FDA advises against removing sound amalgam fillings solely to prevent disease unless medically necessary. Removal can temporarily increase mercury exposure and sacrifice healthy tooth structure.
For new fillings, the FDA recommends considering alternatives to amalgam where appropriate for pregnant or nursing patients, those planning pregnancy, children—especially under six—and people with neurological disease, impaired kidney function, or an allergy to amalgam components. This guidance does not mean existing fillings automatically require removal.
Read the FDA's patient guidance on dental amalgam.
Our Mercury Amalgam Removal Process
If replacement is appropriate and you choose to proceed, our team explains the sequence of care and prepares a plan for restoring your teeth.
- Plan your treatment. Review your history, examine the teeth, and discuss replacement restorations. Diagnostic testing may be considered when clinically useful.
- Prepare protection. Patient coverings, a nasal oxygen mask, and a nitrile dental dam are used; the team wears protective gowns and masks.
- Manage vapor and particles. In-mouth suction, a nearby DentAir vacuum, and room filtration help capture material released during removal.
- Remove the filling in sections. Cutting with water cooling and high-volume suction allows removal in larger pieces while limiting heat.
- Clean the treatment area. Contaminated barriers are removed and instruments and surfaces are handled using the practice's mercury-control procedures.
- Restore the tooth. Dr. Bruno places a suitable biocompatible filling or crown based on the remaining tooth structure.
Learn more about the IAOMT SMART recommendations.
Preparation, Aftercare, and Replacement Materials
Individual Preparation
Bring a current medication and supplement list to your consultation. Dr. Bruno may discuss additional supportive products as part of your individual plan. Any recommendations should account for your medical history and possible interactions.
Supplements and IV therapies are separate from the dental removal procedure and should not be presented as guaranteed mercury detoxification or treatment for mercury poisoning.
A Restoration That Fits Your Tooth
After removal, the amount of remaining healthy tooth helps determine whether a tooth-colored filling or crown is appropriate. Dr. Bruno explains the material options, expected care, and treatment estimate before proceeding.
Follow your personalized aftercare instructions and contact our team with questions about your recovery.
Mercury Filling Removal FAQs
What is the difference between SMART and routine filling removal?
SMART adds a defined set of exposure-control precautions to amalgam removal. At Bruno Integrative Dentistry, these include isolation, protective coverings, suction, water cooling, and filtration.
Is Dr. Bruno SMART-certified?
Yes. Dr. Candace Bruno has completed SMART certification training for mercury amalgam removal. Learn more about her approach on our biological dentistry page.
Does removing amalgam fillings cure health symptoms?
We do not promise that replacing fillings will resolve fatigue, neurological symptoms, or other systemic concerns. Persistent symptoms require appropriate medical evaluation. The dental decision focuses on your teeth, restoration needs, and individual health considerations.
Can I have amalgam fillings removed while pregnant or breastfeeding?
IAOMT advises against elective removal during pregnancy or breastfeeding. Tell our team if you are pregnant, nursing, or planning pregnancy so treatment timing can be discussed with your healthcare providers.
How much does SMART mercury removal cost in Austin?
Cost varies with the number and size of fillings, the condition of each tooth, and the replacement restorations needed. After evaluating your teeth, our team provides an individualized estimate and explains the recommended treatment sequence.
Can all my silver fillings be replaced in one visit?
The schedule depends on how many teeth need care and the complexity of the restorations. Your treatment plan will explain whether one appointment or a series of visits is appropriate.
Explore Your Options With Dr. Bruno
Get a clear explanation of your existing fillings, the precautions involved in removal, and the restoration options for your teeth at Bruno Integrative Dentistry in North Austin.
Schedule an Amalgam Evaluation