Safe Amalgam Removal in Santa Rosa, CA

When Should You Consider Amalgam Filling Removal?

Dental amalgam, commonly called a silver filling, contains mercury combined with other metals. Replacement may be appropriate when a filling is damaged, decay develops underneath it, or a documented sensitivity requires evaluation.

Is Your Existing Filling Failing?

Not every older filling needs replacement. A dentist can check for cracks, damaged margins, and recurrent decay to determine whether removal is necessary.

The FDA advises against removing intact amalgam fillings without a medical reason because removal can sacrifice healthy tooth structure and temporarily increase mercury vapor exposure. Its guidance on dental amalgam fillings explains these considerations.

Who May Need Additional Consideration?

Patients who are pregnant, planning pregnancy, breastfeeding, have a known sensitivity to amalgam components, or have certain neurological or kidney conditions should discuss their health history with their dentist before removal. These factors do not automatically mean removal is necessary, but they may influence treatment decisions.

Share any previous reactions to dental materials and concerns about mercury exposure. The dentist can help weigh the potential benefits and risks and determine whether additional medical consultation is appropriate.

What Happens During the Removal Procedure?

The process depends on the filling's condition, the affected tooth, and the planned replacement. Before treatment, the dentist should explain the procedure, potential risks, benefits, and alternatives.

Patients can also explore Stunning Smiles' holistic dentistry approach to learn more about the practice's broader treatment philosophy.

Protective Measures During Removal

Amalgam removal can temporarily increase mercury vapor exposure. Protective measures may help reduce exposure and limit contact with debris, including:

Isolation and Airway Protection: Barriers and suction help prevent patients from swallowing debris.
Water Cooling: Helps control heat and may reduce vapor generation.
High-Volume Evacuation: Captures debris and airborne material near the treatment area.
Controlled Removal: Sectioning the filling into pieces may reduce unnecessary grinding and material dispersal.

Ask your dentist which precautions are used. These measures can reduce exposure but cannot eliminate all mercury vapor or particles.

What is SMART Amalgam Removal?

The Safe Mercury Amalgam Removal Technique (SMART), developed by the International Academy of Oral Medicine and Toxicology (IAOMT), outlines protective measures designed to reduce mercury exposure during amalgam removal. Stunning Smiles is SMART certified and uses this approach to help minimize patient exposure during the procedure.

Protective measures may include appropriate isolation, high-volume suction, water cooling, and controlled filling removal. While these precautions can help limit exposure to mercury vapor and particles, they cannot eliminate all exposure. Patients can discuss the procedure, safety measures, and replacement materials with the dental team before treatment.

Which Filling Material Can Replace Amalgam?

After removal, the tooth may be restored using a suitable alternative based on the remaining tooth structure, the location of the filling, chewing forces, and individual material considerations.

Replacement Material	What To Consider
Composite Resin	Tooth-colored and bonded to the tooth; suitability depends on moisture control, cavity size, and biting forces.
Glass Ionomer	Releases fluoride and may suit selected restorations, but its strength and wear resistance can limit its use in some areas.
Other Restorative Options	Larger or more extensively damaged teeth may require a different restoration, depending on the clinical findings.

Discuss the recommended material’s durability, appearance, and maintenance with your dentist. If you have material sensitivities, ask whether compatibility testing is appropriate.

You can also explore Stunning Smiles’ ozone dentistry services to learn about this separate treatment option.

How Much Does Safe Amalgam Removal Cost?

The cost of SMART safe mercury amalgam removal at Stunning Smiles is treatment-dependent. The final estimate may vary based on the number of fillings being removed, their condition, and the replacement restorations needed.

Contact the practice for a personalized cost estimate and to confirm available insurance and payment options.

Discuss Safe Amalgam Removal at Stunning Smiles

Discuss your concerns about existing amalgam fillings with Stunning Smiles to determine whether replacement is appropriate and which protective measures may be used.

Visit the practice at 2345 4th St, Suite A, Santa Rosa, CA 95404, Monday through Thursday, 8:00 AM–5:00 PM; the office is closed Friday through Sunday.

Request an appointment to discuss your options.

Frequently Asked Questions

Can I replace my amalgam filling with a tooth-colored filling in one appointment?

Depending on the filling's condition and the tooth's needs, replacement may be completed in one visit. Your dentist can explain the expected appointment length after an examination.

Will my dental insurance cover safe amalgam removal?

Coverage varies by insurance plan and the clinical reason for replacement. Contact your provider and insurer to confirm benefits, exclusions, and any out-of-pocket costs.

Can I eat normally after amalgam removal?

Your eating instructions depend on the replacement material and whether local anesthesia was used. Follow your dentist's guidance, particularly while your mouth is still numb.

Can an amalgam filling be replaced if the tooth has a large cavity?

Possibly. The dentist will assess how much healthy tooth structure remains and whether a filling, crown, or another restoration would provide appropriate support.

Should I bring my medical records to an amalgam removal consultation?

Yes. Bring a list of medications, relevant medical conditions, and any history of reactions to dental materials. This information helps your dentist assess your individual needs and plan treatment.

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Our Reviews

What Our Patients Say

From first visit to lasting results, our patients share what it's like to receive personalized, holistic dental care at Stunning Smiles in Santa Rosa.

      EXCELLENT  
   Based on 136 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   Deck Julio 
 
 
 
 Trustindex verifies that the original source of the review is Google. The experience of getting dental implants with Dr. Attri was life changing. he was very informative and didn't upset me at all during the treatment and afterwards checked on my healing progress. The implants are so similar to my own teeth that I can eat and smile with confidence once again. Thanks to his well-thought-out strategy.
  
 
      Posted on Google  
   
   Vickie Miles 
 
 
 
 Trustindex verifies that the original source of the review is Google. I was treated for a gum disease and was treated well during the entire treatment. The dentist informed me the reason for the problem and provided me with very clear instructions on how to take better care of my gums at home. It was done with great care and I have seen a definite difference since then.
  
 
      Posted on Google  
   
   Patti Barrett 
 
 
 
 Trustindex verifies that the original source of the review is Google. Excellent dentist! On vacation & had the bonded plug over the screw head of my implant come out, after having it installed by my dentist less than a month ago. I arrived as a walk-in when they opened & the dentist fixed it right away. The office staff was super nice & chill. The dentist was gentle & caring. The office was clean & welcoming. Not the vacation excursion I was expecting but still a pleasant experience. I was so appreciative of them fitting me in for the repair.
  
 
      Posted on Google  
   
   Alyssa 
 
 
 
 Trustindex verifies that the original source of the review is Google. I’ve been coming here since last year when I moved to the area, and wanted to find a holistic dentist. Dr. Attri is amazing! He fixed a lot of dental issues I’d been having and truly changed my smile. He’s also incredibly kind and caring. All of the staff are so wonderful too. I couldn’t recommend enough
  
 
      Posted on Google  
   
   Don Weaver 
 
 
 
 Trustindex verifies that the original source of the review is Google. I was referred to Dr. Attri from my naturopathic doctor friends in Santa Rosa, and in my few interactions with him so far, I’ve found him to be very friendly and knowledgeable. I recently had my first “major” work done with him, which was getting a precise impression for a crown to place over an implant, then having him fit the crown. As far as I can tell, he did it all perfectly, and my chronic jaw pain (from not having a matching back molar on the left side) has subsided greatly. I chose Dr. Attri for this work both because I think he is very trustworthy and competent, and also because his price for a crown was very helpfully lower than what my other outstanding dentist in Berkeley was going to charge. I am grateful to have found Dr. Attri and his Stunning Smiles practice in Santa Rosa and, from experience to date, I recommend him.
  
 
      Posted on Google  
   
   Amy Breckenridge 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Attri and his staff are professional, kind and knowledgeable.  Best care in Santa Rosa, Ca.  If you have any fears , Dr. Attri and staff will put your mind to rest!
  
 
      Posted on Google  
   
   Nancy Lazark 
 
 
 
 Trustindex verifies that the original source of the review is Google. I am happy to write a review for Dr. Attri. I find him to be very gentle and thorough. I have had quite a lot of work done in the past year and he is satisfied when everything is perfect. I have had caps replaced a night guard made and several other procedures done. I can highly recommend him
  
 
      Posted on Google  
   
   Haakon Williams 
 
 
 
 Trustindex verifies that the original source of the review is Google. Happy to have a good dentist in Dr. Attri! I have always felt in good hands with him and his team. The few times I have had questions or concerns, he has been very able to talk with me, adjust as needed, and make sure I leave the office satisfied. Look no further for your local holistic dentist!
  
 
      Posted on Google  
   
   Andrew Harrison 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Attri is the real deal. He explains everything very well, is very patient and kind, and has a gentle hand compared to dentists I've had in the past. You won't regret coming here for dental care

Write a review

Deck Julio

The experience of getting dental implants with Dr. Attri was life changing. he was very informative and didn't upset me at all during the treatment and afterwards checked on my healing progress. The implants are so similar to my own teeth that I can eat and smile with confidence once again. Thanks to his well-thought-out strategy.

Vickie Miles

I was treated for a gum disease and was treated well during the entire treatment. The dentist informed me the reason for the problem and provided me with very clear instructions on how to take better care of my gums at home. It was done with great care and I have seen a definite difference since then.

Patti Barrett

Excellent dentist! On vacation & had the bonded plug over the screw head of my implant come out, after having it installed by my dentist less than a month ago. I arrived as a walk-in when they opened & the dentist fixed it right away. The office staff was super nice & chill. The dentist was gentle & caring. The office was clean & welcoming. Not the vacation excursion I was expecting but still a pleasant experience. I was so appreciative of them fitting me in for the repair.

Alyssa

I’ve been coming here since last year when I moved to the area, and wanted to find a holistic dentist. Dr. Attri is amazing! He fixed a lot of dental issues I’d been having and truly changed my smile. He’s also incredibly kind and caring. All of the staff are so wonderful too. I couldn’t recommend enough

Don Weaver

I was referred to Dr. Attri from my naturopathic doctor friends in Santa Rosa, and in my few interactions with him so far, I’ve found him to be very friendly and knowledgeable. I recently had my first “major” work done with him, which was getting a precise impression for a crown to place over an implant, then having him fit the crown. As far as I can tell, he did it all perfectly, and my chronic jaw pain (from not having a matching back molar on the left side) has subsided greatly. I chose Dr. Attri for this work both because I think he is very trustworthy and competent, and also because his price for a crown was very helpfully lower than what my other outstanding dentist in Berkeley was going to charge. I am grateful to have found Dr. Attri and his Stunning Smiles practice in Santa Rosa and, from experience to date, I recommend him.

Amy Breckenridge

Dr. Attri and his staff are professional, kind and knowledgeable. Best care in Santa Rosa, Ca. If you have any fears , Dr. Attri and staff will put your mind to rest!

Nancy Lazark

I am happy to write a review for Dr. Attri. I find him to be very gentle and thorough. I have had quite a lot of work done in the past year and he is satisfied when everything is perfect. I have had caps replaced a night guard made and several other procedures done. I can highly recommend him

Haakon Williams

Happy to have a good dentist in Dr. Attri! I have always felt in good hands with him and his team. The few times I have had questions or concerns, he has been very able to talk with me, adjust as needed, and make sure I leave the office satisfied. Look no further for your local holistic dentist!

Andrew Harrison

Dr. Attri is the real deal. He explains everything very well, is very patient and kind, and has a gentle hand compared to dentists I've had in the past. You won't regret coming here for dental care