The traditional amalgam fillings contain approximately 50% mercury by weight, which can have toxic effects on the human body. At DentMax Dental Clinic in Istanbul, we perform amalgam removal procedures in a safe, sterile, and controlled environment using the internationally recognized SMART Protocol, which minimizes mercury vapor exposure. This protocol includes specialized vacuum systems, oxygen support, mercury-absorbing barriers, and patient protection measures. A safe filling replacement for a healthier mouth and body awaits you at DentMax.
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Safe Mercury Amalgam Filling Removal Technique (SMART)
Safe Mercury Amalgam Filling Removal Technique (SMART)
Treatment Summaries
Number of Sessions
1
Interval Between Sessions
-
Duration of Each Session
1 hour
Anesthesia
May not be needed, Local
Pain (During Procedure)
none
Sensitivity (After)
none
Eating / Drinking
Immediately
Return to Work
Immediately
Full Recovery
Immediately
Permanent?
Years with Maintenance
Follow-up
Annual
Price
++
Contents
Safe Mercury Amalgam Filling Removal – SMART Protocol – Istanbul, Turkey | DentMax
Since 1991, the World Health Organization (WHO) has identified amalgam as one of the most significant sources of mercury exposure.
Old-generation amalgam fillings may threaten your health and rob you of that sense of freedom. Research shows that up to 50% of amalgam fillings are made of mercury, which can release vapor over time, potentially harming the nervous and immune systems. So, is there a safe way to eliminate this risk?
At DentMax Oral and Dental Health Clinic in Istanbul and Balıkesir, we prioritize your well-being through the SMART Protocol (Safe Mercury Amalgam Removal Technique). Learn how safely removing your amalgam fillings and replacing them with modern alternatives can significantly benefit your overall health.
Safe Amalgam Filling Removal – What Is the SMART Protocol?
Safe amalgam filling removal is a critical practice in dentistry, especially since amalgam contains mercury. The SMART Protocol offers a secure, evidence-based approach to minimize mercury vapor exposure. Dentists apply various protective measures—such as rubber dams—to prevent mercury from spreading in the mouth. Special masks are also used to protect against mercury vapor inhalation. During this process, alternative materials such as composite or ceramic fillings may be selected.
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Dangers and Risks of Amalgam Fillings
Long-term use of amalgam fillings can cause mercury vapor to seep into your body, potentially resulting in:
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Nervous System Damage: Memory loss and poor concentration
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Weakened Immune Function
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Chronic Fatigue and Toxic Load
The only safe way to eliminate these risks is to remove your amalgam fillings using the SMART Protocol.
Risks of Silver/Mercury Dental Amalgam Fillings
Toxic mercury is continuously released from amalgam fillings and absorbed by vital organs like the brain, kidneys, liver, lungs, and digestive system. According to the International Academy of Oral Medicine and Toxicology (IAOMT), mercury vapor from dental amalgam is scientifically associated with:
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Alzheimer’s Disease
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Anxiety
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Autoimmune Disorders
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Cardiovascular Problems
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Chronic Fatigue Syndrome
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Depression
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Kidney Disease
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Parkinson’s Disease
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Reproductive Dysfunction
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Thyroiditis
What Is the SMART Protocol? istanbul / Turkey
The SMART Protocol, developed by the IAOMT, is a scientifically validated method that protects both patients and dental professionals by minimizing exposure to mercury vapor.
SMART Protocol Components:
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HEPA Air Filtration Systems: Eliminate mercury particles from the environment.
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High-Speed Suction Devices: Capture mercury vapor at the source.
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Protective Masks & Gear: Ensure complete protection for the patient, dentist, and staff.
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Oxygen Supply: Pure oxygen is delivered via a mask to prevent inhalation of mercury vapor.
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Dental Barriers: Rubber dams (nitrile-based) seal the treatment area to prevent contamination.
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Activated Charcoal & Zeolite: Special mouth rinse used before and after the procedure to bind heavy metals.
These measures dramatically reduce mercury exposure and ensure a fully safe removal process.
Who Should Consider SMART Amalgam Removal?
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Those experiencing headaches, fatigue, or trouble concentrating
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Individuals with old amalgam fillings
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Women planning pregnancy
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Anyone seeking a healthier lifestyle
Composite & Ceramic Fillings: Modern Alternatives
After removal, patients are presented with two excellent alternatives:
Composite White Fillings
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Blend seamlessly with the natural tooth color
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Pros: Natural look, shorter treatment time, more affordable
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Cons: May discolor over time, less durable than ceramic
Ceramic Fillings
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Known for durability and aesthetics
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Pros: Highly biocompatible, resistant to discoloration, long-lasting
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Cons: Slightly more costly, but no mercury content
Comparison Chart – Types of Fillings
| Feature | Amalgam | Composite | Ceramic |
|---|---|---|---|
| Mercury Content | Yes | No | No |
| Aesthetic Appearance | No | Yes | Excellent |
| Durability | Moderate | Moderate | High |
| Risk of Discoloration | No | Yes | No |
| Longevity | High | Medium | High |
What Is Safe Amalgam Removal?
It refers to the controlled and protective removal of amalgam fillings without exposing the patient or staff to mercury vapor.
How Is It Done Using the SMART Protocol?
Through a combination of oxygen masks, specialized suction, rubber dams, barriers, and high-vacuum systems.
Safe Amalgam Removal Prices – Istanbul Dental Clinic
Prices vary based on the number of fillings and the duration of the procedure. A free initial consultation is recommended for a detailed quote.
SMART Amalgam Removal in Istanbul
DentMax stands out in Istanbul with its adherence to international safety protocols and advanced technology for mercury removal.
Why Choose DentMax for Amalgam Removal?
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Dentists certified in the SMART protocol
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Fully sterilized environments
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Patient-first approach with advanced safety measures
Alternatives to Amalgam Fillings at DentMax
Safe and aesthetic options such as composite fillings and ceramic inlay/onlay restorations are available.
Why Choose DentMax for the SMART Protocol?
Because DentMax uses all protective barriers, ensures complete mercury vapor control, and applies biocompatible, modern materials.
Frequently Asked Questions
1. Why are amalgam fillings harmful?
They contain 50% mercury, which can evaporate and impact your nervous and immune systems over time.
2. Why is the SMART Protocol essential?
It is the only internationally accepted standard that prevents mercury vapor from spreading.
3. Why choose ceramic fillings?
Because of their superior durability, biocompatibility, and aesthetic match.
4. Does amalgam removal hurt?
No. The procedure is performed under local anesthesia, so it’s completely painless.
5. Why DentMax?
Because it’s equipped with modern technology, internationally trained professionals, and a commitment to your safety.
What Is an Amalgam Filling?
A dental material composed of mercury, tin, and other metals, often used to restore decayed teeth, especially in back teeth due to its strength.
What Is a Dental Filling?
A method used to restore teeth damaged by decay or trauma. Fillings can be made from various materials, including amalgam, composite, or ceramic.
Is Mercury Vapor Harmful?
Yes. Mercury vapor can lead to significant health issues. Therefore, it’s vital to have amalgam removed safely under controlled conditions.
What Is the Amalgam Removal Protocol?
It is a step-by-step guideline to safely remove mercury-containing fillings using special equipment and protective techniques to minimize exposure.
How Is Safe Amalgam Removal Performed?
Your dentist will isolate the tooth, apply suction and filtration systems, and use protective barriers according to SMART protocol.
What to Watch for During Removal?
Follow your dentist’s instructions, avoid mercury vapor exposure, and contact your dentist if you experience pain or discomfort after the procedure.
Where Can I Learn More?
Speak to your dentist or consult trusted sources like the IAOMT for scientific data and safety guidelines.
What Happens After Removal?
Your dentist will monitor your healing and suggest further treatment if necessary, such as applying new fillings.
Why Choose DentMax Oral and Dental Health Clinic?
This is not just a filling removal—it’s a health-focused, patient-centered process. At DentMax, we protect your overall well-being, not just your teeth.
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Expertise: Founded by academically trained dental professionals
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Advanced Technology: All procedures are carried out in sterile, modern environments
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Ethical Care: No unnecessary treatments—only what you truly need
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Trust & Quality: ISO 9001 certified, award-winning dental care
Protect your health with safe, modern treatment options.
Call us at +90 212 570 0033 or reach out via WhatsApp: +90 544 375 47 66
Source
- World Health Organization. Mercury in Health Care: Policy Paper. Geneva, Switzerland; August 2005: 1. Available from: http://www.who.int/water_sanitation_health/medicalwaste/mercurypolpaper.pdf. Accessed March 14, 2019.
- Health Canada. The Safety of Dental Amalgam. Ottawa, Ontario; 1996: 4. Available from: http://www.hc-sc.gc.ca/dhp-mps/alt_formats/hpfb-dgpsa/pdf/md-im/dent_amalgam-eng.pdf. Accessed March 14, 2019.
- Kennedy D. Smoking Teeth = Poison Gas [online video]. Champion’s Gate, FL: IAOMT; Uploaded on January 30, 2007. Available from: http://www.youtube.com/watch?v=9ylnQ-T7oiA. Accessed March 14, 2019.
- Barregård L. Biological monitoring of exposure to mercury vapor. Scandinavian Journal of Work, Environment & Health. 1993:45-9. Available from: http://www.sjweh.fi/download.php?abstract_id=1532&file_nro=1. Accessed April 18, 2019.
- Gay DD, Cox RD, Reinhardt JW: Chewing releases mercury from fillings. 1979; 1(8123):985-6.
- Hahn LJ, Kloiber R, Vimy MJ, Takahashi Y, Lorscheider FL. Dental” silver” tooth fillings: a source of mercury exposure revealed by whole-body image scan and tissue analysis. The FASEB Journal. 1989; 3(14):2641-6. Abstract available from: http://www.fasebj.org/content/3/14/2641.full.pdf. Accessed April 18, 2019.
- Haley BE. Mercury toxicity: genetic susceptibility and synergistic effects. Medical Veritas. 2005; 2(2): 535-542. Abstract available from: http://www.medicalveritas.com/images/00070.pdf. Accessed April 18, 2019.
- Hanson M, Pleva J. The dental amalgam issue. A review. Experientia. 1991; 47(1):9-22. Available from: https://www.researchgate.net/profile/Jaro_Pleva/publication/21157262_The_dental_amalgam_issue._
A_review/links/00b7d513fabdda29fa000000.pdf. Accessed April 18, 2019. - Leistevuo J, Leistevuo T, Helenius H, Pyy L, Osterblad M, Huovinen P, Tenovuo J. Dental amalgam fillings and the amount of organic mercury in human saliva. Caries Res. 2001; 35(3):163-6. Abstract available from: http://www.karger.com/Article/Abstract/47450. Accessed April 18, 2019.
- Mahler DB, Adey JD, Fleming MA. Hg emission from dental amalgam as related to the amount of Sn in the Ag-Hg Phase. J Dent Res. 1994; 73(10):1663-8. Abstract available from: http://jdr.sagepub.com/content/73/10/1663.short. Accessed April 18, 2019.
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