Safe mercury filling removal in Brighton using recognised SMART protocols
We provide a calm, experienced approach to safe mercury filling removal, with patients travelling from across the UK for consultation and care.
Dental amalgam fillings contain mercury and other metals. Over time, they can deteriorate, crack, or leak.
When removal is required, it is important that it is carried out using controlled techniques designed to reduce exposure to mercury vapour and particulate matter.
A structured, precautionary approach designed to minimise mercury exposure during removal.
No obligation consultation
SMART (Safe Mercury Amalgam Removal Technique) is a structured protocol designed to minimise exposure to mercury vapour and particulate matter during treatment.
It uses protective isolation, specialised suction, and controlled removal techniques to reduce exposure for both the patient and clinical team.
At The Clinic – Mercury Removal Centre in Brighton, all amalgam removal is carried out using the SMART protocol.
Although our practice is based in Brighton, we regularly see patients from all parts of the UK who are seeking advice regarding safe mercury filling replacement and mercury-free dentistry.
If you are considering whether to proceed with treatment, it can be helpful to understand the wider context. You may wish to read more about the risks of mercury fillings, common mercury filling symptoms, and the typical cost of mercury filling removal in the UK.
For those travelling from outside the area, we also provide practical guidance on travelling for treatment
to help you plan your visit with confidence.
What happens during SMART amalgam removal?
Treatment is carried out using the recognised SMART protocol in order to minimise mercury exposure during removal.
This includes:
• rubber dam isolation
• high-volume suction and air filtration
• sectioning of amalgam restorations to reduce vapour release
• protective barriers and masks for both patient and clinical team
• careful restoration of the tooth following removal
Each case is planned individually following consultation.
Our approach to SMART amalgam removal
Patients choose our practice because we provide:
• IAOMT-accredited SMART amalgam removal
• careful consultation and treatment planning
• modern mercury-free restorative materials
• a calm, methodical clinical approach
Each case is assessed individually to ensure the most appropriate treatment plan.
How long does amalgam removal take?
The duration depends on the number and size of fillings, but a single appointment typically takes around one hour, including restoration.
Demonstration of the SMART technique
The short video below shows part of the technique used during SMART amalgam removal at The Clinic.
You can see the placement of the rubber dam, the oxygen mask used to provide a clean air supply to the patient, and the high-volume suction used to capture mercury vapour and particulate material during treatment.
These measures form part of the recognised SMART protocol for safe mercury amalgam removal used at The Clinic.
Demonstration of SMART amalgam removal preparation at The Clinic – Mercury Removal Centre in Brighton.
Why controlled amalgam removal protocols matter
The objective of the SMART protocol is risk reduction through controlled, protocol-based technique.
Protective measures are used to minimise vapour and particulate exposure during removal.
Is mercury filling removal safe?
Mercury filling removal can be carried out safely when appropriate protocols are followed.
SMART is designed to reduce exposure through structured technique and protective measures.
The aim is not to create alarm, but to ensure that when removal is required, it is carried out safely.
We take a measured and precautionary approach, with the aim of making treatment as controlled and comfortable as possible.
Consultation and assessment
We assess medical history, oral health, existing restorations, and patient priorities.
Protective preparation
Isolation, suction, oxygen supply, and protective barriers are established before treatment.
Controlled sectioning
Fillings are removed in sections to reduce particle dispersion.
Air and environmental management
Air filtration and suction systems reduce airborne contaminants.
Replacement restorations
Teeth are restored using appropriate modern materials based on structure and function.
Should I remove my mercury fillings?
Not all mercury fillings require removal. Decisions are based on factors such as the condition of the restoration, patient preference, and overall treatment planning, and should be assessed individually.
Nation-wide patients and travelling for treatment
Although we are based in Brighton, we regularly see patients from London and across the UK.
Patients often travel to Brighton because they are seeking:
- A practice that follows recognised SMART protocols
- Experience in mercury filling replacement
- A consultation-led treatment pathway
- Integration with broader biological dentistry principles
Brighton is easily accessible by rail from London and other major cities, allowing appointments to be planned efficiently.
If you are travelling, our team can advise on scheduling and treatment sequencing.
Before and After amalgam replacement
Amalgam removal is not solely about replacing a filling. Long-term tooth strength and function are equally important.
Before treatment, we assess:
- Remaining tooth structure
- Presence of cracks or fractures
- Previous endodontic (root canal) treatment
- Periodontal (gum) health
After removal, focus is placed on:
- Secure marginal sealing of the new filling
- Functional bite balance
- Restoration durability
- Ongoing monitoring
In some cases, indirect ceramic restorations may provide improved strength where substantial tooth structure has been lost.
Costs and restorative options are discussed transparently during consultation.
Clinical oversight
This page has been written and reviewed by Dr Jeff Amos (GDC 53638), clinical lead at The Clinic – Mercury Removal Centre in Brighton.
Dr Amos qualified from the University of Manchester in 1979 and has many years of experience in biological dentistry and mercury-safe amalgam replacement. He is IAOMT-Accredited and follows recognised SMART protocols for the safe removal of dental amalgam restorations.
Treatment decisions are always made on an individual basis following consultation and clinical assessment.
All clinical information on this page is provided for general guidance and does not replace professional dental advice following examination.
What patients say
Patients travel to The Clinic – Mercury Removal Centre from Brighton, London and across the UK. Many value the careful consultation process and structured clinical approach provided by Dr Jeff Amos and the team.
Many patients tell us they feel reassured by the structured and careful approach we take.
★★★★★ 4.9 rating from Google reviews
Testimonials
“I travelled from outside Brighton specifically for SMART amalgam removal and felt very well cared for.”
— Patient review
Why patients travel to Brighton
Discuss Your Situation in Confidence
Every case is assessed individually. We can advise whether SMART removal is appropriate for you and explain the process clearly.
No obligation consultation
Every case is assessed individually. We can advise whether SMART removal is appropriate for you and explain the process clearly.
If you are unsure, we are happy to talk things through without obligation.
Related Information
Risks of Mercury Fillings
Travelling to Brighton for Treatment
Frequently Asked Questions
Is SMART amalgam removal safe?
When performed using recognised protocols and appropriate equipment, mercury amalgam removal can be carried out safely.
Do I need to remove all my amalgam fillings?
Not necessarily. Treatment is individual. Some patients choose staged replacement over time depending on dental condition and preference.
How long does SMART removal take?
Duration depends on the size and number of restorations being replaced. A single filling appointment typically lasts an hour, including restoration.
What materials replace amalgam?
High-quality, non-toxic composite restorations and ceramic inlays are commonly used. The appropriate option usually depends on restoration size and occlusal load (bite strength).
Can I travel from outside Brighton?
Yes. We regularly treat patients from London and other parts of the UK and can help coordinate appointments accordingly.