Removal of mercury fillings

Many people are concerned about the mercury fillings in their mouths and the effect that there may be on general health.

We do not place new mercury amalgam fillings at this practice and we are very sympathetic to anyone who is worried about their existing amalgam fillings.

Our practice policy and protocol for the use and removal of amalgam (mercury) fillings.

• Our routine advice is to replace fillings only if there is clear clinical evidence that they are either broken or leaking.
• Removal of amalgam fillings is always carried out using rubber dam to isolate the tooth and high volume suction to eliminate debris and vapour.
• We do not use amalgam routinely as a filling material but in certain circumstances, when other materials will not offer satisfactory properties at an acceptable price, amalgam fillings are offered.

When a specific request is made for removal of amalgam fillings the following protocol is observed:

Request made for cosmetic reasons.

A full investigation of the tooth or teeth concerned is undertaken and the patient informed of the condition of the teeth and any potential consequences to the health of the tooth as a result of replacing the filling. As a result of this investigation a suitable white filling material and method is selected, described to the patient and written consent given before the treatment is carried out.

Request made on the grounds of systemic ill health, fatigue or local irritation:

• A full investigation of the oral health is carried out and all sources of chronic infection either removed or treated.
• A full medical history is taken with particular reference to any bouts of ill health related to dental treatment experience.
• If systemic toxic effects of mercury are suspected, urine tests for mercury and metal-specific memory t-cell tests are arranged.
• Removal of amalgam fillings can be undertaken according to the findings of the tests and also by specific request of the patient once full informed consent is given.

Procedure for removal of amalgam fillings in a mercury sensitive patient:

• Oral nutritional chelation therapy, dietary advice and nutritional supplementation to assist elimination of mercury.
• Allergy testing of materials to be used for replacement fillings.
• Homoeopathic treatment and administration of charcoal tablets to absorb any amalgam reaching the stomach.
• Placement of rubber dam and protective clothing and use of a ventilation mask with or without oxygen supply to avoid the patient breathing air from the operating site.
• Removal of amalgam with minimal use of the drill to reduce contaminated aerosol production.
• Post treatment nutritional supplement and diet planning.