By Jonathan 
For decades, silver-coloured amalgam fillings were the go-to solution for treating cavities. While they’ve served their purpose, more and more Australians are now choosing to remove and replace these old fillings with safer, more aesthetic alternatives. If you’re considering amalgam filling removal, it’s important to have the procedure done properly—preferably by Sydney’s best dentist for safe handling and long-term results.
This guide explains what amalgam fillings are, why they’re being replaced, the risks of improper removal, and how to choose a top-rated dental professional in Sydney.
What Are Amalgam Fillings?
Amalgam fillings are a mixture of metals, including:
- Mercury
- Silver
- Tin
- Copper
They were widely used for decades because they were durable, affordable, and easy to place. However, their metallic colour makes them noticeable—especially when laughing or speaking—and some patients have growing concerns about their mercury content.
While health authorities, including the TGA and ADA, maintain that amalgam fillings are safe, many people are choosing to have them removed for cosmetic or precautionary reasons.
Why Are People Choosing Amalgam Filling Removal?
Patients seek amalgam filling removal in Sydney for various reasons, including:
1. Aesthetic Concerns
Silver-coloured fillings are highly visible, especially on molars and premolars. Tooth-coloured alternatives like composite resin or ceramic provide a more natural appearance.
2. Potential Mercury Exposure
Amalgam contains elemental mercury, which may release small amounts of vapour when chewing. While levels are considered safe by regulatory bodies, some patients prefer removal due to personal health beliefs or sensitivities.
3. Cracks or Leaks
Over time, amalgam fillings can expand or contract with temperature changes, leading to cracks in the tooth or marginal leakage.
4. Allergies or Sensitivities
Some individuals may have allergies to metals used in amalgam, prompting the need for replacement with biocompatible materials.
5. Preventive Dentistry
Holistic and preventive dentists often recommend removing amalgam as part of a more natural or mercury-free approach to dental care.
If you’re ready to replace your metal fillings, it’s essential to work with Sydney’s best dentist who has the experience and proper tools to do it safely.
Is Amalgam Removal Safe?
When performed correctly, yes. However, improper amalgam removal can expose you to mercury vapour, particulate matter, or cross-contamination. That’s why many patients turn to dentists who follow SMART protocols (Safe Mercury Amalgam Removal Technique), which include:
- Using a rubber dam to isolate the tooth
- High-volume suction to remove particles
- Clean air sources for the patient
- Water cooling during drilling to reduce vapour
- Protective barriers for patient and staff
- Air filtration in the operatory
This level of care is what separates a general dentist from Sydney’s best dentist when it comes to amalgam removal.
What Can I Expect During Amalgam Filling Removal?
Here’s a step-by-step overview of what typically happens during the procedure:
- Consultation and Planning
Your dentist will evaluate the condition of your amalgam fillings and take X-rays if needed. They’ll also discuss your medical history and explain the benefits and risks of removal. - Isolation and Protection
A rubber dam is placed to isolate the tooth and prevent debris from entering the mouth. Protective eyewear and clothing may also be provided. - Removal Process
Using specialised tools, the dentist removes the amalgam in chunks (not dust) to minimise vapour release. High-speed suction and water spray are used throughout the process. - Replacement with Modern Fillings
Once removed, the cavity is cleaned and restored using a safer, more aesthetic material such as composite resin, ceramic, or porcelain. - Post-Procedure Care
Your dentist may recommend supplements or detox support (in holistic practices) and provide instructions for eating and oral care following the procedure.
The entire process is typically completed in one visit per filling, though multiple appointments may be needed if several fillings are being replaced.
Alternatives to Amalgam Fillings
Once the old amalgam is removed, your dentist may offer:
- Composite Resin – Tooth-coloured, durable, and suitable for small to medium fillings
- Ceramic (Porcelain) – Strong and stain-resistant; often used for larger restorations
- Glass Ionomer – Releases fluoride but is less durable than resin or ceramic
- Gold – Rarely used today but still available in specialised clinics
Your choice depends on the location of the filling, cost, and personal preferences. Sydney’s best dentist will help you decide based on what suits your smile and dental health best.
Choosing Sydney’s Best Dentist for Amalgam Filling Removal
There are many dental clinics in Sydney, but not all are equipped for safe amalgam removal. Here’s what to look for when choosing a dentist:
SMART-Certified or Holistic Focus
Dentists who follow mercury-safe protocols offer peace of mind and enhanced protection during the procedure.
Experience with Cosmetic Restorations
Look for a provider skilled in both removal and replacement, so your final result is both healthy and visually appealing.
Quality Equipment and Materials
From air filters to digital X-rays, the right tools ensure patient safety and comfort.
Transparent Communication
Sydney’s top dental clinics will walk you through the process, explain your options, and offer a clear breakdown of costs.
Gentle, Patient-Centred Approach
Dental anxiety is real, especially when dealing with old fillings. Choose a team known for compassionate care and pain-free treatments.
What Does Amalgam Filling Removal Cost in Sydney?
The cost of amalgam filling removal in Sydney varies based on the number of fillings, their size, and the type of replacement material. You can expect:
- Single filling removal: $200–$450
- Replacement with composite: $150–$300 per tooth
- Porcelain inlays/onlays: $600–$1,200 per tooth
- Consultation and diagnostics: $80–$200
Health fund rebates may apply, depending on your level of cover. Ask your clinic for item codes and a personalised quote during the consultation.
Final Thoughts
If you’re unhappy with your old silver fillings or concerned about their impact on your health, now is the perfect time to consider safe, modern alternatives. Whether it’s for cosmetic reasons, preventive care, or peace of mind, amalgam filling removal can refresh your smile and protect your long-term wellbeing.
Choosing Sydney’s best dentist ensures the procedure is done with care, safety, and expertise. From first consultation to final polish, you’ll be in the hands of professionals committed to quality and comfort.