Many people search for whether it’s worth removing mercury fillings. Concerns range from possible health effects to cosmetic reasons. While not everyone needs removal, there are clear situations where it may be recommended:
- Fillings are cracked or leaking.
- You’re pregnant, planning pregnancy, or have children with multiple fillings.
- You have autoimmune, kidney, or neurological conditions and want to minimize mercury exposure.
- You want a more natural, tooth-colored alternative.
According to the U.S. Food and Drug Administration (FDA), certain groups — including pregnant women, breastfeeding mothers, and people with pre-existing health conditions — may be at higher risk from mercury exposure (FDA guidance).
What Happens During Safe Mercury Fillings Removal?
A trained dentist follows strict protocols to limit mercury vapor release. This often includes:
- A rubber dam to protect your mouth.
- High-powered suction and special air filters.
- Cool water spray to prevent overheating.
- Protective masks and barriers for you and the dental team.
This method is often called SMART removal (Safe Mercury Amalgam Removal Technique), recommended by the International Academy of Oral Medicine and Toxicology (IAOMT) (SMART protocol).
Alternatives to Mercury Fillings
If you choose removal, dentists usually replace fillings with safer, modern materials:
- Composite resin – tooth-colored, affordable, and durable.
- Porcelain – strong and natural-looking for larger fillings.
- Gold – long-lasting, though more costly.
Should You Remove Them Just in Case?
Dentists caution against unnecessary removal. If your fillings are stable and you’re healthy, you may not need to rush. But if you have multiple mercury fillings, are pregnant, or have related health concerns, it’s worth a conversation with a mercury-safe dentist.
Bottom Line
Mercury fillings don’t always need to be removed — but if they’re damaged or if you’re in a sensitive group, safe removal can give peace of mind and protect your health.
Read next: Health Risks of Mercury Fillings
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