SMART Protocol
Safe amalgam filling removal with IAOMT-certified SMART Protocol for maximum protection against mercury vapour exposure.
In short
The SMART Protocol (Safe Mercury Amalgam Removal Technique) is a rigorous set of safety procedures developed by the IAOMT (International Academy of Oral Medicine and Toxicology) to protect patients, clinical staff and the environment during amalgam filling removal. Amalgam fillings contain approximately 50% mercury, a neurotoxic heavy metal that continuously releases vapour. Removal without proper protocol can significantly increase mercury exposure. At our clinic, we follow all IAOMT recommendations to ensure safe removal and replacement with biocompatible materials.
This treatment follows the published guidance of IAOMT — International Academy of Oral Medicine and Toxicology. You can check it at the official source before booking.
VerifyThe 12 Steps That Keep You Safe
Every single step exists for one reason: to protect you. Here is exactly what we do — and why it matters for your health.
- 01
We Prepare Your Body First
Days before your appointment, we start you on an antioxidant protocol — vitamin C, selenium and other supplements that prime your body's detoxification pathways.
- 02
You Are Fully Covered
Protective gown, safety goggles and a nasal mask delivering clean oxygen — so you breathe pure air throughout, not treatment room air.
- 03
Your Mouth Is Sealed Off
A rubber dam isolates the tooth completely, creating a physical barrier so no mercury fragments or vapour reach the rest of your mouth.
- 04
Mercury Vapour Is Captured Instantly
A high-volume evacuation system sits right next to the tooth, sucking away mercury vapour the instant it is released — before it can reach you.
- 05
Cold Water Keeps Temperature Down
Continuous cold water irrigation prevents the filling from heating up during removal — heat is what causes mercury to vaporise most aggressively.
- 06
We Cut, Not Drill
Instead of grinding the entire filling, we section it into large chunks and lift them out — far less vapour than conventional drilling.
- 07
The Air Itself Is Filtered
A HEPA and activated carbon air purifier runs next to the work area, capturing any mercury particles or vapour that escape into the room.
- 08
Fresh Air Flows Through
The treatment room is fully ventilated during and after the procedure, ensuring clean air for everyone.
- 09
Every Fragment Is Contained
All amalgam waste is immediately collected and sealed in certified containers — nothing goes down the drain or into the air.
- 10
Your Tooth Is Thoroughly Cleaned
Once all amalgam is out, we clean and disinfect the cavity — often with ozone therapy for an extra layer of natural disinfection.
- 11
A Beautiful, Biocompatible Replacement
Your tooth is restored with ceramic, BPA-free resin or zirconia — materials that are safe, durable and look completely natural.
- 12
We Support Your Recovery
After the procedure, we continue your supplement protocol to help your body clear any residual mercury and recover optimally.
The Truth About Mercury in Your Fillings
These are the facts that help you make an informed decision — no fear, no pressure, just honest information.
50% of Your Filling Is Mercury
Despite being called 'silver fillings', amalgam is roughly half mercury by weight — mixed with silver, tin and copper.
It Never Stops Releasing
Mercury vapour is released continuously from amalgam fillings, and increases every time you chew, drink something hot, grind your teeth or brush.
Mercury Targets Your Nervous System
The WHO recognises mercury as one of the most toxic heavy metals. It has a particular affinity for nerve tissue, kidneys and the brain.
Decades of Low-Level Exposure Add Up
A filling placed 20 years ago has been releasing mercury every single day since. The effects are cumulative — your body stores it over time.
The Equipment That Makes It Safe
Safe amalgam removal requires specialised equipment that most dental clinics do not have. We invested in every piece because your protection is non-negotiable.
High-Volume Evacuation
Industrial-strength suction positioned right at the tooth to capture mercury vapour and particles the instant they are released.
HEPA + Activated Carbon Filtration
Medical-grade air purifiers that remove mercury particles and vapour from the treatment room air in real time.
Complete Isolation System
Rubber dam and additional barriers that create a sealed zone around the tooth — nothing escapes into your mouth.
Certified Amalgam Separator
All mercury waste is captured by a certified separation system — protecting the water supply and the environment.
Is SMART Amalgam Removal Right for You?
You should consider this if...
- You have old amalgam fillings and want to replace them with safe, modern materials
- You are concerned about having mercury in your mouth and its long-term health effects
- Your amalgam fillings are cracked, dark or deteriorating and need replacing anyway
- You believe in a biological, integrative approach to health and want your dental materials to match
- You are planning a pregnancy and want to reduce your toxic burden beforehand
- You experience unexplained fatigue, headaches or neurological symptoms and want to rule out mercury as a factor
Important to Know
- If you are pregnant or breastfeeding, we recommend waiting — even with the SMART protocol, this is not the right time for removal
- If you have many fillings, we remove them in phases over several weeks to avoid overwhelming your body
- We never pressure you to remove stable fillings — this is always your informed, personal decision
Your Amalgam Removal Consultation
Every case is different. We take time to understand your situation and create a safe, personalised plan.
Step 01
We Assess Your Fillings and Health
We examine each amalgam filling, check its condition and review your medical history to understand the full picture.
Step 02
A Phased, Safe Removal Plan
We plan the number of sessions and the order of removal — prioritising the fillings releasing the most mercury, and spacing sessions to let your body recover.
Step 03
Your Personal Supplement Protocol
A tailored antioxidant and detoxification support plan for before and after each session — so your body is prepared and protected.
This treatment is performed at our partner clinic in Lisbon.
Clínica Dentária Ferreira Borges
Rua Ferreira Borges 173C
1350-130 LisboaVisit website
Frequently asked questions
- Is an evaluation consultation necessary before treatment?
- Yes, the evaluation consultation is essential to analyze your case, explain available treatment options, and develop a personalized plan adapted to your needs.
- Is the treatment painful?
- We use modern techniques and appropriate anesthesia to ensure maximum comfort during all procedures. Most patients report little to no discomfort.
- How long does the treatment take?
- Duration varies according to case complexity. During the evaluation consultation, we present an estimate of the time needed to complete your treatment.
- What payment options are available?
- We accept various payment methods including cash, debit/credit cards, and bank transfer. We also offer installment payment plans for more extensive treatments.
- Are treatments covered by health insurance?
- We work with most health insurance providers. We recommend checking with your insurer which treatments are covered by your policy.
- Is any special care needed after treatment?
- After each procedure, we provide detailed instructions on necessary care. It is important to follow these recommendations to ensure the best results.
- How often should I have maintenance appointments?
- We recommend maintenance appointments every 6 months to ensure oral health and early detection of any problems. Frequency may vary according to individual needs.
- Can I eat normally after treatment?
- Depending on the procedure, there may be some temporary dietary restrictions. We explain all specific guidelines for your case after each treatment.
- Are treatments suitable for children?
- Many of our treatments are suitable for children, adapted to their specific needs. Our team has experience in pediatric dentistry and creates a comfortable environment for little ones.
- How can I book an appointment?
- You can book an appointment through our website, by phone, or in person at the clinic. Our team will be happy to help you find the most convenient time.
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Take the First Step Toward a Cleaner, Healthier Mouth
Book a consultation and let us show you how we can safely remove your amalgam fillings — protecting your health at every step with the IAOMT-certified SMART Protocol.