The IAOMT is very concerned about excess exposure to mercury when amalgam fillings are removed. The process of drilling out amalgam fillings liberates quantities of mercury vapor and fine particulates that can be inhaled and absorbed through the lungs, and this is potentially harmful to patients, dentists, dental workers, and their fetuses. (In fact, the IAOMT does not recommend that pregnant women have their amalgams removed.)
Based on up-to-date scientific research, the IAOMT has developed rigorous recommendations for removing existing dental mercury amalgam fillings to assist in reducing the potential negative health outcomes of mercury exposure to patients, dental professionals, dental students, office staff, and others. The IAOMT’s recommendations are known as the Safe Mercury Amalgam Removal Technique (SMART).