Safe Amalgam Filling Removal – San Antonio, TX
Creating Healthier
Smiles Without Metal

Known for their long lifespan and high durability, traditional amalgam fillings allow individuals to embrace restored smiles that were once plagued by cavities. While these benefits might seem harmless, they come at a cost – one that has negative effects on the body. At Orbis Dental Group, our team of doctors wants to remove the harmful mercury that makes up much of these amalgam fillings and instead, replace them with biocompatible, tooth-colored versions that are healthier for patients and the environment. Call our dental office to find out how you can take the first step toward a metal-free smile today with safe amalgam filling removal in San Antonio.
What Is an Amalgam Filling and Why Should It Be Replaced?
Dental amalgam is a metal mixture containing liquid mercury and a combination of powdered silver, copper, and tin. It is nearly 50% mercury, which binds together the other materials. Unfortunately, over time the mercury can release vapors that lead to a form of mercury poisoning that causes health issues such as headaches, anxiety, digestive problems, kidney disease, and some forms of cancer. Some people opt to have their old amalgam or silver fillings replaced to avoid the potential for health issues.
Understanding Safe Amalgam Filling Removal
Removing and replacing an amalgam with a composite filling is not a simple process. You cannot simply pull out the old filling. You risk releasing large amounts of mercury vapor at once, which can contribute to more health problems if you do not follow proper removal protocols. Appropriate procedures must be followed to ensure the patient’s safety and the dental staff. At Orbis Dental Group, every team member is fully trained in the proper removal and disposal of amalgam fillings.
Here is how we approach this critical treatment process:
Keep Amalgam Fillings Cool During Removal
Drilling into a filling creates heat, which creates mercury vapor in an amalgam filling. Mercury vapor can be inhaled by the patient, the dentist, and the staff and is dangerous. To keep everyone safe and prevent the formation of mercury vapor, we use water and dry air to maintain a low temperature throughout the drilling process.
Cut the Filling into Pieces
Removing amalgam is safer if the filling is cut into pieces because less drilling is needed. While this requires a bit more work, it also releases less mercury vapor. Taking the time to do more work upfront protects everyone from mercury contamination, which is our goal throughout the removal process.
Use an Evacuator
Once the amalgam filling is loosened, it must be removed quickly. An evacuator is a suction tool that quickly and efficiently sucks away all pieces of the filling and the accompanying mercury vapor. This high-volume evacuator reduces exposure to both the metal and the vapor. It eliminates the chance of any wayward particles getting caught in the oral cavity.
Isolate the Tooth
We use a rubber dam that fits in the mouth to isolate the tooth being treated. It covers the rest of the teeth and soft tissues while we remove the filling in the affected tooth to help protect the patient from mercury vapors. Used in conjunction with the evacuator and our other precautions, it makes removing an amalgam filling safe for patients and dental staff.
Why Choose Orbis Dental Group for Holistic Dentistry?
Drs. Lee and Hachem look at the whole person, not just their teeth. They are versed in the effects of amalgam fillings on the long-term health of their patients. They are dedicated to removing amalgam fillings through safe and effective techniques. Our dentists and staff are all trained in proper removal and disposal techniques using the latest technologies and understand the importance of proper preparation and aftercare for your safety.
Safe Amalgam Filling Removal FAQs
How Important Is It to Get Amalgam Fillings Removed?
If you only have a few amalgam fillings and they seem to be in good shape, there might not be any urgent need to get them removed. However, you may choose to do so if you want to replace them with a more aesthetically pleasing alternative.
Safe amalgam filling removal in San Antonio becomes more important if you are experiencing symptoms that might be related to the release of mercury vapors, such as headaches or other neurological issues. Often, the more fillings someone has, the more likely they are to experience problems. Getting old fillings replaced is also strongly recommended if they are leaking or otherwise damaged.
After a thorough examination and consultation, our holistic dental team can help you determine if you should undergo amalgam filling removal.
What Materials Will Be Used to Replace My Amalgam Fillings?
A biocompatible, tooth-colored resin or porcelain is now the standard material used to fill cavities. Not only does it blend in beautifully with the surrounding dentition, but it is also completely free of mercury and other metals. The resin also forms a strong bond with the teeth and does not react to temperature changes as readily as metal fillings. Therefore, it is less likely to damage the surrounding enamel.
Is There Any Downtime Required After the Filling Removal Process?
The amalgam filling removal process is minimally invasive; most patients are able to return to normal activities immediately after their appointment. Keep in mind, though, that your teeth might be a bit extra sensitive for a few days to a few weeks.
How Much Does It Cost to Get Amalgam Fillings Removed?
The cost of amalgam filling removal depends on how many fillings are getting removed and a number of other factors. Our team can provide an estimate during your consultation.
Often, dental insurance companies cover amalgam removal if it is deemed necessary. For example, you may be eligible for coverage if an old filling shows signs of damage. If you choose to get the fillings removed for aesthetic reasons, coverage is less likely. Our team can help you navigate the insurance process and file claims with your PPO provider.
What if My Symptoms Do Not Go Away After My Fillings Are Removed?
Many patients who experience symptoms related to their fillings notice an improvement in just a few weeks or months, as their body processes and eliminates leftover mercury. However, if your symptoms persist, it might mean that the mercury has accumulated in certain tissues, such as your brain, kidney, or liver. You might need to ask your doctor about detoxification strategies.
Also, keep in mind that while mercury exposure is certainly not desirable, it is not the sole cause of certain symptoms. Ongoing problems might indicate an underlying medical condition that needs to be addressed.
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