If you’ve ever looked at your old silver fillings and wondered what’s actually in them, you’re not alone. Many patients ask us the same thing:
What is a mercury-safe dentist?
A mercury-safe dentist is a dentist who uses strict safety protocols to reduce mercury exposure when placing, removing, or replacing mercury amalgam (“silver”) fillings. The goal is simple: protect you, the dental team, and the environment—while supporting your whole-body health.
At Natural and Cosmetic Dentistry in Clearwater, FL, Dr. Beata A. Carlson, Dr. Michael Thomas (“Dr. Mikey”), and Dr. Lewis Luo take a biological, health-centered approach to dentistry. That includes careful planning and protective steps when patients choose to remove old amalgam fillings.
What are “silver” fillings made of?
“Silver” fillings are often called amalgam fillings. While they look silver, amalgam is typically a blend of metals that includes mercury mixed with other metals. Mercury helps bind the material together.
For many patients, the concern isn’t just the filling sitting there—it’s what can happen during removal, when heat and friction may increase exposure to mercury vapor and particles if safety steps aren’t in place.
What does a mercury-safe dentist do differently?
A mercury-safe dentist doesn’t “drill it out like normal.” Instead, they follow a protective process designed to lower the amount of mercury you breathe in or swallow during removal.
Here are the key elements patients should look for.
1) Advanced isolation and barriers
Mercury-safe dentists commonly use protective barriers to keep particles out of your mouth and throat.
Often includes:
- A dental dam or isolation method to reduce ingestion
- Protective coverings around the treatment area
- Extra attention to sealing and suction positioning
2) High-volume suction and vapor control
Strong suction helps capture particles and reduce what becomes airborne.
Often includes:
- High-volume evacuation (HVE)
- Specialized mercury vapor filtration or air purification systems (office-dependent)
3) Coolant and sectioning technique
Instead of grinding a filling into dust, a mercury-safe dentist typically removes it in chunks.
Often includes:
- Copious water cooling to reduce heat and vapor
- Cutting the filling into sections to limit aerosol
4) Protective equipment for you and the team
A mercury-safe office takes protection seriously for everyone in the room.
Often includes:
- High-quality masks/respiratory protection (team)
- Protective eyewear and coverings (you and team)
- Separate handling and safe disposal procedures
5) Thoughtful, phased treatment planning
For some patients, “doing everything at once” isn’t ideal. A mercury-safe dentist considers your comfort, medical history, and how your body handles longer appointments.
This can mean:
- Removing fillings in stages
- Supporting gentle recovery between visits
- Coordinating with your medical provider if needed
“Mercury-safe” vs. “biological dentist”: are they the same?
They can overlap, but they’re not identical.
- A mercury-safe dentist focuses specifically on safer mercury filling protocols.
- A biological (holistic) dentist looks at materials, inflammation, airway, bite, and whole-body connections—including how dental choices may affect overall wellness.
At Natural and Cosmetic Dentistry, our approach is rooted in whole-person care, which is why many patients come to Dr. Carlson, Dr. Mikey, and Dr. Luo for guidance that’s both science-minded and health-conscious.
Who might consider seeing a mercury-safe dentist?
Not everyone with amalgam fillings needs removal. But many patients choose a mercury-safe approach if they:
- Want to replace old or failing amalgam fillings
- Have cracks, decay, or leakage around older restorations
- Prefer a more biocompatible, metal-free plan
- Have sensitivities or simply want extra precautions during removal
The best next step is an exam and a personalized conversation—because the “right” answer depends on your mouth, your fillings, and your goals.
What materials replace amalgam fillings?
Most patients choose tooth-colored restorations. A mercury-safe dentist will also talk through material options based on durability, aesthetics, bite forces, and biocompatibility preferences.
At our office, we focus on:
- Conservative, tooth-preserving techniques when possible
- Strong, natural-looking restorative options
- A plan that supports long-term stability—not just a quick swap
Aftercare: supporting a healthier oral environment at home
If you’re upgrading your dentistry, it’s also a great time to upgrade your daily routine—especially with products that align with a cleaner, gentler approach.
Many patients prefer:
- Fluoride-free toothpaste that supports enamel
- Alcohol-free mouthwash to avoid drying tissues
- Products made without harsh ingredients like Sodium Lauryl Sulfate (SLS)
Our office carries Natural Smile Essentials options that fit this philosophy—like a fluoride-free whitening toothpaste and alcohol-free mouthwash—designed to support a balanced oral microbiome and comfortable daily care.
Quick FAQs about mercury-safe dentists
Is mercury filling removal always necessary?
Not always. If a filling is stable and you have no concerns, it may be reasonable to monitor. If a filling is breaking down, leaking, or you want it replaced, mercury-safe protocols are worth discussing.
Does removal hurt?
Most patients do well with modern numbing techniques. Comfort depends on the tooth, the depth of the filling, and your overall sensitivity—your dentist should walk you through what to expect.
Can I remove all my fillings in one appointment?
Sometimes, but not always ideal. A mercury-safe dentist will consider appointment length, your comfort, and your overall health when planning the safest approach.
The bottom line: What is a mercury-safe dentist?
A mercury-safe dentist is a dentist who takes extra, specific precautions to reduce mercury exposure during amalgam filling removal—using isolation, high-volume suction, careful technique, protective equipment, and thoughtful treatment planning.
If you’re considering replacing older silver fillings, you deserve a team that treats it as more than routine drilling.
Want a mercury-safe consultation in Clearwater, FL?
At Natural and Cosmetic Dentistry, Dr. Beata A. Carlson, Dr. Michael Thomas (“Dr. Mikey”), and Dr. Lewis Luo can evaluate your fillings, explain your options clearly, and create a step-by-step plan that supports both your smile and your overall wellness.
Call our office:727-888-6523
Visit us: 1825 Sunset Point Road, Clearwater, FL
If your question is “What is a mercury-safe dentist?” — we’re happy to help you feel informed, confident, and cared for.

