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Amalgam Removal & Mercury Filling Removal

At The Bespoke Dentist, we have a special interest in the removal of dental amalgam fillings. Dental amalgams, commonly known as silver fillings, have served patients for over a century. Comprising a mix of mercury, silver, tin, and copper, they have been a staple in dental care.

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before and after of analgram removal

Why Consider Amalgam Removal?

  • Mercury Concerns: Some patients express unease about mercury content and electrical nature from their fillings.
  • Aesthetic Preferences: Desire for a more natural-looking smile without the metallic glint of amalgams.
  • Allergic Reactions: Though rare, a few individuals might have sensitivities or allergies to the metals in the amalgam.

No matter what the reason for getting mercury fillings removed Dr. Sutcliffe and his staff at The Bespoke Dentist can help.

Our Expertise in Safe Amalgam Removal

Safety and patient comfort are our foremost priorities. We employ stringent measures, including rubber dams, high-speed suction, external air sources, ensuring minimising exposure. At The Bespoke Dentist we believe if amalgam removal needs to be done, it needs to be done in the safest possible environment.

Amalgam fillings are about 50% mercury. The fillings also contain 20% silver, 14% tin, and 8% copper, with other metals making up the balance.

We know mercury vapour comes off these fillings during normal function and in grinding. We therefore know a vapour of mercury is created in the mouth. We however don’t have enough research to know exactly the affect this vapour has on our bodies. This is where the problem arises. If they are to be removed it needs to be done as safely as possible.

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dentist performing amalgam removal

What Replaces Amalgam?

After safely removing the amalgam filling, it is crucial to replace it with biocompatible alternatives such as BPA-free composites and ceramics for a healthier choice.

Choosing the Right Filling Material

  • Composite Resins (Tooth-coloured Fillings):The first purely ceramic-based restorative material. Contains no classic monomers. Thanks to the most innovative ORMOCER technology by far the lowest polymerisation shrinkage. Inert, so excellently biocompatible and extremely resistant to discolouration.
  • Ceramics: Inlays/Onlays are computer designed and made for a precision fit! They are stronger than composites, lasting longer and are used when the cavity is too big for a composite.
  • Other Options: Depending on your dental needs and preferences, we also offer other advanced filling materials, tailored to ensure longevity, functionality, and aesthetics.

Post-removal and refilling, regular check-ups are advised to monitor the new filling's adaptation and to ensure ongoing oral health. We are dedicated to ensuring that, regardless of your choice, your smile remains both functional and visually pleasing.

BPA Free Composite

The first purely ceramic-based restorative material. Contains no classic monomers. Thanks to the most innovative ORMOCER technology by far the lowest polymerisation shrinkage.

Inert, so excellently biocompatible and extremely resistant to discolouration.

Biocompatable Ceramic Inlays/Onlays

Inlays/Onlays are computer designed and made for a precision fit! They are stronger than composites, lasting longer and are used when the cavity is too big for a composite.

Tungsten Carbide Burs

When removing amalgam restorations, it is important to use Tungsten Carbide Burs as they section the amalgam restoration into large pieces that can be easily removed as opposed to Diamond Burs. Diamond Burs make a slurry that is very difficult to remove easily and is more uncomfortable to aspirate.

amalgam removal before and after

Overview Of Our Safe Amalgam Removal Process

  • An amalgam separator to collect mercury amalgam waste so that it is not released into the effluent from the clinic.
  • High-volume air filtration system capable of removing mercury vapour and amalgam particles generated during the removal of one or more mercury fillings.
  • The patient will be given charcoal, chlorella, or similar adsorbent to rinse and swallow before the procedure.
  • Protective gowns including full body if required for the patient and staff.
  • Non-latex nitrile gloves used by the dentist and all dental personnel in the room.
  • External air nasal mask for the patient also needs to be utilised to assure the patient does not inhale any mercury vapour or amalgam particulate during the procedure.
  • A dental dam that is made with non-latex nitrile material used.
  • A saliva ejector must be placed under the dental dam to reduce mercury exposure to the patient.
  • During amalgam filling removal, we use a at source oral aerosol vacuum in close proximity to the filling being removed (i.e., two to four inches from the patient’s mouth) to mitigate mercury exposure.
  • Copious amounts of water to reduce heat and a conventional high speed evacuation device to capture mercury discharges are used to reduce ambient mercury levels.
  • The amalgam will be sectioned into chunks and removed in as large of pieces as possible using a small diameter tungsten carbide drill.
  • Once the removal process is complete, the patient’s mouth is thoroughly flushed with water and then rinsed out with charcoal, chlorella or similar adsorbent.

Over 18 Years Experience and Lecturer

Dr. Sutcliffe has dedicated over 18 years to lecturing on Amalgam Removal and Holistic Dentistry to fellow dentists and health professionals. His experience and expertise make him the ideal choice for your amalgam removal needs. Recently, Dr. Sutcliffe has taken on a mentoring role with the International Academy of Oral Medicine and Toxicology (IAOMT) to guide other dentists in the proper techniques of amalgam removal. He has also initiated a series of podcasts focusing on amalgam removal and holistic dentistry. Furthermore, Dr. Sutcliffe proudly holds certification from the IAOMT and is an active member of the British Society for Mercury Free Dentistry.

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Here's What Other People Are Saying

Frequently Asked Questions

How is the amalgam removal procedure performed?

The procedure involves safely drilling out the amalgam under protective measures, such as using a rubber dam and high-speed suction, to minimise mercury vapour exposure.

Is the removal procedure painful?

Just like when getting a filling, local anaesthesia is used to numb the area, making the process comfortable for the patient.

How long does the amalgam removal procedure take?

The duration depends on the size and number of fillings being removed. A single filling might take about 30 minutes, but multiple fillings could require separate visits.

Are there any side effects post removal?

Some patients may experience temporary sensitivity in the treated tooth. It's essential to follow post-care instructions provided by the dentist.

Do you see patients from other countries?

Yes! We are located in London but we commonly see patients from all over the UK and places such as Dubai, Germany and other countries in Europe

Contact Us

At The Bespoke Dentist, we pride ourselves on providing personalised dental care tailored to your needs. Please fill out the contact form below to get in touch. Whether you have a question or want to book an appointment, we're here to help.

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