
Sep
If you’re considering removing your old silver fillings, you may have come across the term SMART amalgam removal. At Dentiq in Napier, New Zealand, Dr. Sundar Jagadeesan follows the Safe Mercury Amalgam Removal Technique (SMART), a science-backed protocol designed to protect patients and dental professionals from mercury exposure. But is amalgam removal safe? What precautions are taken? And why should it be done using the SMART method? Below are some frequently asked questions to help you make an informed decision.
SMART (Safe Mercury Amalgam Removal Technique) is a protocol put into practice by the IAOMT (International Academy of Oral Medicine and Toxicology). Unlike conventional methods, SMART includes advanced safety measures to reduce mercury vapour exposure to the patient, dental team, and the environment. Dr. Jagadeesan uses protective barriers, high-volume air filtration, and suction systems to minimise risk during the procedure.
Dental amalgam is made of metals, including about 50% mercury. Over time, mercury can release low levels of vapour, especially when amalgam is drilled or disturbed during removal. Inhaling these vapours can be harmful in large or prolonged amounts. While the fillings themselves are considered stable, removal without proper precautions may increase the risk of exposure. That’s why SMART removal techniques are considered the safest approach.
SMART amalgam removal is designed to be as safe as possible for all patients. However, elective amalgam removal during pregnancy is generally not recommended unless necessary. If you are pregnant, nursing, or considering amalgam removal for a child, it’s important to speak with Dr. Jagadeesan to determine the right course of action. Each patient is assessed individually to ensure that treatment decisions prioritise long-term health and safety at our office.
Dr. Jagadeesan and his team use a comprehensive range of SMART-certified safety measures. These include a rubber dam to isolate the tooth, oxygen masks for clean air breathing, high-speed evacuation suction, protective gowns and drapes, and air purification systems. The goal is to minimise mercury vapour exposure during the removal process while protecting the patient, staff, and environment.
Most patients tolerate SMART amalgam removal very well. However, as with any dental procedure, you may experience mild, temporary sensitivity or discomfort afterwards. We also recommend detoxification support before and after the procedure to help your body eliminate any trace amounts of mercury that may have been absorbed. Dr. Jagadeesan will provide post-treatment care instructions and guidance tailored to your needs.
If you’re ready to replace old amalgam fillings and want to do so safely, SMART amalgam removal is the gold standard. Dr. Sundar Jagadeesan at Dentiq in Napier uses internationally recognised safety protocols to ensure a secure, health-conscious experience. Call 06 880 6161 to schedule a consultation and take the first step toward a mercury-free smile—with safety as the top priority.
Dr. Sundar Jagadeesan received his Bachelor of Dental Surgery (BDS) in 2002 from the TN Dr MGR Medical University, Chennai, India. He completed his Post Graduate Certificate in Advanced Oral implantology in 2007 from the Manipal University, Manipal India. In 2008 he decided to move permanently to Aotearoa, New Zealand. And since then, he has been in private practice in different parts of the country, from West Coast to Waikato and now in Hawkes Bay.