SMART/PROTECT Protocol
Safe Amalgam Removal Protocol
Silver fillings are 50% mercury. Our office practices safe amalgam removal using the SMART/PROTECT protocol.
Benefits at a Glance
SMART Certified
IAOMT-certified safe mercury removal protocol.
Full Protection
Patient, doctor, and staff protected from mercury vapor.
PROTECT Protocol
IABDM-developed protocol exceeding standard of care.
Biocompatible Replace
Mercury replaced with body-safe composite or ceramic.
Safe amalgam removal is the careful, protocol-driven process of removing mercury-containing dental fillings using specialized safety measures — such as the SMART and PROTECT protocols — to protect patients, dental staff, and the environment from mercury vapor exposure.
Why Choose Safe Amalgam Removal Protocol at Holistic Dental Associates
At Holistic Dental Associates in Spring, TX, our doctors are SMART-certified by the IAOMT and follow the IABDM's PROTECT Protocol — the two most rigorous safety standards for amalgam removal in the world. We don't take chances with mercury exposure.
Our protocol includes high-volume suction, rubber dam isolation, protective barriers, supplemental air filtration, and charcoal to minimize mercury vapor exposure. We use SMART/PROTECT whenever there is metal present on the tooth being worked on — even when we can't confirm amalgam under a crown.
We also prepare patients for removal by recommending work with functional medicine practitioners to support the body's detoxification pathways before and after the procedure.
Benefits of Safe Amalgam Removal Protocol
- IAOMT SMART-certified mercury removal protocol
- IABDM PROTECT Protocol adherence exceeding standard of care
- High-volume suction and rubber dam isolation
- Supplemental air filtration and protective coverings
- Biocompatible replacement materials matched to your body chemistry
- Detoxification support guidance before and after removal
Who Is a Good Candidate for Safe Amalgam Removal Protocol
Safe amalgam removal may be right for you if you:
- Have mercury amalgam (silver) fillings you want safely removed
- Are experiencing health symptoms potentially linked to mercury exposure
- Want to replace metal crowns that may contain hidden amalgam
- Are committed to a toxin-free, biocompatible dental approach
How Safe Amalgam Removal Protocol Fits Into Holistic Dentistry
Safe amalgam removal is one of the cornerstones of biological dentistry at Holistic Dental Associates. We believe there is NO safe level of mercury, and removing mercury fillings is often a critical step in a patient's journey toward whole-body health. Our rigorous SMART/PROTECT protocols ensure that removal is done as safely as possible, and we coordinate with functional medicine practitioners to support your body through the detoxification process.
Learn More About Safe Amalgam Removal Protocol
SMART means Safe Mercury Amalgam Removal Technique. It was developed by the IAOMT to help protect anyone present in the room when mercury amalgams are being removed. So the SMART Protocol is a series of steps that we take that have been set and approved by the IAOMT to protect the dentist, the team member and the patient from breathing in any mercury vapors that might be released from a mercury amalgam during removal.
The "PROTECT Protocol" is an evolving protocol developed by the IABDM that adheres to OSHA guidelines and is above the standard of care in most states for amalgam removal. As new information is available, or laws change, the IABDM will update the PROTECT Protocol. The IABDM is not a governing agency, thus the responsibility falls on the practitioner to properly follow the protocol. PROTECT Protocol Providers pledge to adhere to the protocol as stringently as possible.
We use SMART/PROTECT protocol whenever there is amalgam on a tooth or a crown that has metal in it that we can't see under on an xray due to its radiopacity. If we have ANY doubt about there being mercury on the tooth we are working on, we don't take chances. Even removing amalgams with SMART/PROTECT, the body is exposed to minute amounts of mercury. And there is NO SAFE LEVEL of mercury. So we use SMART/PROTECT when there is metal present on the tooth we are working on.
The SMART/PROTECT protocol is used whenever a patient has a metal filling or a crown that has metal in it. We don't take chances with our patients. If we think there is a chance of potential exposure to mercury, we will use the SMART protocol to protect everyone in the treatment room.
There are many people in the conventional world who believe that this is overkill. They poke fun and ridicule doctors who do this kind of protocol. We acknowledge that it does initially feel like it's a bit much. But most of the dentists we know who became biological in their approach got sick from the mercury toxicity that practicing conventional dentistry did to them. We are PROUD of the protocol we have developed to protect ourselves, our patients and our team members. If you are looking to have your amalgams removed, you deserve to have them removed SAFELY. And there is NO SAFE LEVEL OF MERCURY.
Even removing amalgams with SMART, the body is exposed to minute amounts of mercury. And there is NO SAFE LEVEL of mercury. For some patients, even that tiny amount is enough to cause their bodies to crash. Therefore, we ask our patients to work with their functional medicine practitioners to prepare their bodies for amalgam removal, so that they can minimize the potential side effects of mercury exposure.
If you have amalgams in your mouth and are looking for a SAFE way to remove them, call our office today at (281) 655-9175 and one of our friendly team members will be happy to help.
Biological Dentistry Note
Mercury amalgam fillings are approximately 50% mercury by weight — a known neurotoxin. There is NO safe level of mercury exposure. At Holistic Dental Associates, safe amalgam removal using the SMART/PROTECT protocol is one of the most important services we offer, because removing mercury from your mouth can be a critical step toward resolving chronic health issues including fatigue, brain fog, autoimmune flares, and neurological symptoms.
Learn about mercury-safe removal →Biological Dentistry Note
After amalgam removal, we replace mercury fillings with biocompatible composites or ceramics that have been individually screened through biocompatibility testing. We also coordinate with functional medicine practitioners to support your body's detoxification pathways before and after removal — because biological dentistry is about treating the whole person, not just the tooth.
Learn about biocompatibility testing →Watch
The SMART Protocol in Action
See how we safely remove mercury amalgam fillings using the IAOMT SMART protocol.
Patient Experience
What to Expect During Safe Amalgam Removal
What to Expect During Your Safe Amalgam Removal Protocol Visit
Preparation
Work with your functional medicine practitioner to prepare your body.
Protection Setup
Rubber dam, protective barriers, and air filtration activated.
Safe Removal
Mercury amalgam carefully removed under SMART/PROTECT protocol.
Replacement
Biocompatible composite or ceramic restoration placed.
Recovery Support
Detoxification guidance for post-removal care.
Why Choose Holistic Dental Associates
- IAOMT SMART-certified doctors for mercury removal
- IABDM PROTECT Protocol adherence — exceeds standard of care
- High-volume suction, rubber dam, and supplemental air filtration
- Biocompatibility testing for replacement materials
- Functional medicine coordination for detoxification support
"Having my mercury fillings removed at HDA was the best health decision I've made. The SMART protocol made me feel completely safe, and my replacement fillings are beautiful and biocompatible."
— Patient at Holistic Dental Associates
Frequently Asked Questions
Proudly Serving Greater Houston
Schedule Your Safe Amalgam Removal Protocol Consultation
Experience the difference of holistic, whole-body dental care at Holistic Dental Associates in Spring, TX.
