Safe Amalgam (Mercury) Removal

Why Safe Amalgam Removal Matters

Amalgam or silver fillings contain about 50% elemental mercury, which can release vapor — especially during removal. While this amount is small, international biological dentistry protocols recommend special safety measures to protect:

  • The patient from mercury vapor and particles

  • The dental team

  • The environment

At Khoury Dental Clinic, we follow a structured, evidence-based approach inspired by the SMART (Safe Mercury Amalgam Removal Technique) protocol to ensure maximum protection and scientifically grounded safety.

SAFE Amalgam Mercury Removal Beirut Lebanon

Health Concerns Associated With Amalgam / Silver Fillings

SAFE Amalgam Mercury Removal Beirut Lebanon

Even though the FDA considers amalgam safe for most people, many studies show that mercury exposure increases during drilling, which may be a concern for:

  • Patients with autoimmune diseases

  • Hormonal or thyroid issues

  • Kidney problems

  • Sensitivity to metals

  • People seeking low-toxic or “clean dentistry”

Our Scientific, Safety-Driven Removal Protocol

We ask patients to:

  • Use an activated charcoal rinse 10–15 minutes before the procedure

  • Avoid eating heavy meals before their appointment

  • Inform us about metal allergies, immune issues, or pregnancy

  • Bring any supplements prescribed by their functional medicine doctor (optional)

Charcoal binds to potential particles in the mouth and reduces absorption risk.

During the procedure, we use:

  • Rubber dam isolation to prevent debris swallowing

  • High-volume suction (HVE) + additional clean-up suction

  • External air filtration system to capture vapor

  • Room air purification before and after treatment

  • Protective barriers for skin, face, and clothing

  • Copious water coolant to reduce heat → less mercury vapor

Instead of grinding amalgam into dust, we section the filling into large chunks:

  • Less friction

  • Less temperature rise

  • Less mercury vapor release

  • Shorter exposure time

This approach is supported by multiple studies showing significant vapor reduction compared to traditional drilling.

We use:

  • HEPA-grade air purifiers

  • Dust and vapor capture systems placed close to the mouth

  • Room ventilation cycles after every case

These reduce airborne mercury by up to 95%.

Once the filling is removed:

  • We rinse thoroughly with activated charcoal or chlorella-based mouthwash

  • Patients are advised to drink water for the next few hours

  • Sensitive patients may receive post-removal nutritional support (optional)

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