All about amalgam, why we only offer mercury free fillings

If you're a patient with us you are familiar with the fact that we strive to provide the best care possible. One of the many ways we do that is by refusing to use amalgam (a.k.a silver fillings).

Aside from containing mercury, which has at least 116 side affects on the human body, they also have many other negative affects.

Here's a few just for you:

• Not visually pleasing to have silver colored fillings

• Made out of metal which expands and contracts when it comes in contact with hot and cold temperatures.

• Is prone to micro leakage that causes bacteria growth and may lead to a root canal.

• Causes extreme sensitivity

• Doesn't bond to your tooth as the body see's it as a foreign object

• Mercury poisoning. Learn all about it and how amalgam fillings can cause it at

So what do we use instead of amalgam?

Only the best composite material that is:

• BPA free

• Visually pleasing as the material matches your natural tooth color

• Bondable to the tooth as the physical properties are closer to the tooth structure

• Restorative unlike a "filling" of the tooth

We practice safe removal of existing or damaged amalgam filling. The EPA tells us that U.S. dental offices are the number one contributor of mercury to our local waste and water treatment facilities. With about 3.7 tons of mercury going into our facilities a year it often ends up poisoning our drinking, irrigation and fishing waters which is a large health concern. To safely discard of mercury when patients ask to get their old silver fillings replaced we follow strict guidelines set forth by the International Academy of Oral Medicine and Toxicology to ensure our world is no longer polluted with this harmful material.

See our safe removal protocol:

1. All removal is done under cold water spray with copious amounts of water. 

2. An Isolite is placed in the patient’s mouth which creates a negative pressure to both remove the amalgam aerosol as well as the amalgam particles. A high volume evacuator tip is used as needed to remove the larger particles of amalgam.

3. All patients are fitted with a nasal source of pure oxygen to assure that the mercury vapors are not being inhaled through the nose.

4. After the fillings have been removed the isolite is removed and rinsed.

5. After fillings have been removed the patient’s face is wiped with gauze to remove any stray amalgam dust.

6. We have activated charcoal in the office for patients to take before the procedure has begun.  The activated charcoal will absorb any small particles in the event that they are inadvertently ingested.

7. Our facility has been built with 10% fresh air replacement at all times to insure the quality of the internal air for the inhabitants (patients and team).

8. The mercury is then captured in a Mercury filter before the effluent is allowed to leave the building and enter the municipal treatment system.

9. All left over amalgam is placed in a container and shipped to an amalgam and mercury safe disposal facility.


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344 South Yellowstone Drive

Madison, WI, 53705

Monday - Friday

7am - 3pm

 © 2020 Madison No Fear Dentistry 

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