Mercury Fillings: How to Have Them Replaced

TLDR;

Mercury fillings are replaced by dentists through safe removal techniques that prevent mercury exposure, followed by placement of tooth-colored alternatives such as composite or porcelain. Choosing a SMART-trained, mercury-safe dentist ensures the process is safe, effective, and improves both oral health and aesthetics.

What Are Mercury Fillings and Why They Were Used

Mercury fillings, also called dental amalgam, are a mixture of mercury, silver, tin, and copper. For decades, dentists used them because they were strong and lasted many years. They were cost-effective and easy to place.

Today, they are less common. The main reasons:

Concerns about mercury vapor exposure.
Aesthetic drawbacks since they are silver and darken over time.
Potential to expand and contract with temperature changes, leading to cracks.

Buford Dentist educates patients about these factors so they understand why replacement is often recommended.

Why Replace Mercury Fillings

You might replace mercury fillings for several reasons:

Health Concerns: Mercury vapor can be released during chewing or grinding. While studies differ, many patients prefer a safer option.
Aesthetic Reasons: Silver fillings stand out, while modern alternatives blend naturally with your teeth.
Structural Concerns: Amalgam expands and contracts with heat, leading to micro-fractures in teeth.
Environmental Impact: Mercury is toxic in the environment, so safe disposal matters.

Replacing them helps protect health, enhances your smile, and supports eco-friendly dentistry.

Safe Removal of Mercury Fillings: SMART Technique

Dentists trained in SMART (Safe Mercury Amalgam Removal Technique) follow strict protocols. The goal is to reduce exposure for patients, staff, and the environment.

Steps in SMART removal include:

Use of a rubber dam to isolate the tooth.
High-volume suction to capture mercury vapor.
Air filtration systems in the treatment room.
Cutting the filling into sections instead of drilling it all at once.
Using special burs to limit vapor release.

Buford Dentist follows these safe removal steps to protect patients during the procedure.

Alternatives to Mercury Fillings

After safe removal, you need a replacement material. Common options are:

Composite Resin Fillings

Match the natural tooth color.
Bond directly to the tooth.
Durable for small to medium fillings.

Porcelain or Ceramic Restorations

Long-lasting and highly aesthetic.
Resistant to staining.
Ideal for larger restorations like inlays or onlays.

Comparison Table

Option	Appearance	Durability	Best For
Composite	Natural	5–10 years	Small to medium fillings
Porcelain	Natural	10–15 years	Larger cavities, inlays

Your dentist will discuss which material fits your needs, budget, and oral health.

What to Expect During the Procedure

Patients often want to know what happens step by step. Here is the typical process:

Before the Procedure

Consultation with your dentist.
X-rays or exams to check tooth health.
Insurance and financing discussions.
Selection of replacement material.

Day of the Procedure

Local anesthesia to numb the area.
Placement of rubber dam to isolate the tooth.
Specialized tools to break and remove mercury fillings.
Suction and filtration to minimize vapor.
Removal of decay if present.
Placement of new composite or porcelain filling.
Shaping and polishing the filling.
Bite adjustment to ensure comfort.

After the Procedure

You may experience mild sensitivity.
Follow-up check if bite feels uneven.
Maintain good oral hygiene and avoid hard foods for a day.

Cost and Insurance Coverage

The cost depends on the number and size of fillings and the material chosen.

Factors that affect cost:

Size of the cavity.
Composite versus porcelain.
Number of fillings removed.

Insurance often covers part of the cost if the replacement is needed for health reasons. Financing options like CareCredit may be available. Buford Dentist helps patients review coverage and payment plans before starting treatment.

How to Choose a Mercury-Safe Dentist

Not every dentist follows SMART protocols. Look for these signs:

Membership in the International Academy of Oral Medicine and Toxicology (IAOMT).
Use of rubber dams, air filtration, and suction.
Positive patient reviews about safety and professionalism.
Experience with holistic and biological dentistry approaches.

Choosing the right professional ensures you stay safe during the replacement process. Working with an experienced general dentist also means you receive comprehensive care that addresses both the health and appearance of your teeth.

Special Considerations

Certain groups require extra care:

Pregnant Women: Removal is often delayed until after pregnancy unless urgent.
Children: Mercury-safe protocols are important due to sensitivity.
Patients with Neurological or Kidney Issues: Lower tolerance for mercury exposure, so strict safety steps are critical.

Environmental safety is also a concern. Dentists must properly collect and dispose of mercury waste to prevent contamination. Buford Dentist follows strict environmental standards.

Real-World Examples

Patients often feel relief after replacing mercury fillings. Many report improved confidence with tooth-colored restorations. Others appreciate knowing they have reduced their mercury exposure.

One patient at Buford Dentist had four amalgam fillings replaced with porcelain. The result was a natural look, improved comfort, and peace of mind about long-term safety.

Frequently Asked Questions

Is replacing mercury fillings safe?

Yes, when done by a SMART-trained dentist. Safety steps prevent mercury vapor exposure.

How long does the procedure take?

Most replacements take 30–60 minutes per tooth.

How long will the new fillings last?

Composite fillings last 5–10 years. Porcelain restorations often last 10–15 years.

Will insurance cover the replacement?

Coverage varies. Many plans cover part of the cost if medically necessary.

Can I replace all my fillings at once?

Yes, but many dentists recommend stages to manage comfort and cost.

Modern Dentistry and Long-Term Benefits

Replacing mercury fillings is more than cosmetic. It improves oral health, reduces exposure risks, and prevents cracks or fractures in teeth. Modern materials blend seamlessly with natural teeth, offering both strength and beauty.

Buford Dentist guides patients through every step, from consultation to aftercare, ensuring safe, effective, and lasting results.