Full isolation
A nitrile dam seals the tooth so nothing gets swallowed or inhaled during removal.
- Nitrile dam isolation
- Dedicated SMART isolation room
- Full provider-side PPE
- IAOMT SMART certified
IAOMT SMART Certified in St. Petersburg, Florida
Safe mercury removal in
Safe mercury removal in
St. Petersburg, FL.
Dr. Carlo Litano, DMD removes mercury amalgam fillings under the full IAOMT SMART protocol: nitrile dam isolation, HEPA suction with activated carbon capture, and supplemental oxygen for every patient. Natural Smiles is an IAOMT SMART certified practice with a dedicated mercury isolation room.
Why SMART Removal
Amalgam removal under the SMART protocol.
Silver amalgam fillings are roughly 50% mercury and release vapor as you chew. Removal without isolation exposes you and the clinical team to vapor and particulate. The IAOMT SMART protocol captures mercury at the source with dam isolation, HEPA suction, activated carbon, and supplemental oxygen.
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Capture at the source
HEPA suction and activated carbon pull vapor and particulate out of the air before either reaches you.
- HEPA filtration suction
- Activated carbon capture
- HEPA-filtered operatory air
- Clean-air private rooms
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Oxygen and clean materials
Supplemental oxygen runs for the length of the procedure, and the tooth is restored with a BPA-free ceramic composite.
- Supplemental oxygen throughout
- Ozone site disinfection
- BPA-free replacement fillings
- Biocompatibility testing available
SMART vs Standard
SMART removal vs standard removal.
Any dentist can drill out an amalgam filling. The difference sits in what happens to the mercury on its way out: isolation, capture, and oxygen are the reasons the IAOMT wrote the SMART protocol.
Swipe left or right to see the full table
| Property | SMART removal | Standard removal |
|---|---|---|
| Isolation | Nitrile dam seals the tooth | Varies by practice |
| Air capture | HEPA suction with activated carbon | Standard suction |
| Patient oxygen | Supplemental oxygen throughout | Room air |
| Certification | IAOMT SMART certified | No protocol certification |
| Replacement | BPA-free ceramic composite | Material varies |
Trained in Switzerland
Trained by the pioneer of ceramic implants.
Dr. Ulrich Volz developed the first FDA-cleared ceramic dental implant and founded Swiss BioHealth in Kreuzlingen, Switzerland. Dr. Carlo Litano, DMD studied under him directly and is the only dentist in the Tampa Bay area trained in the Swiss BioHealth protocol. Every biological case at Natural Smiles is planned, placed, and finished to the same standard.
- DMD
- IAOMT SMART certified
- SDS Swiss BioHealth Protocol
- Holistic Dental Association board of directors
- International Academy of Ceramic Implantology
The Process
Mercury filling removal, step by step.
Most amalgam removals finish in one visit. Patients replacing several fillings can plan removal in stages or in a single longer appointment.
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Consultation and assessment
Dr. Litano reviews your amalgams alongside your dental and health history, then writes a treatment plan with a cost estimate before any work begins.
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Isolation setup
The tooth is sealed with a nitrile dam in the dedicated SMART room, protective draping goes on, and supplemental oxygen starts before the first cut.
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Removal and capture
The filling comes out under HEPA suction with activated carbon capture, and the site is cleaned with medical-grade ozone.
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Biocompatible restoration
A BPA-free ceramic composite, color-matched to your enamel, restores the tooth in the same visit.
Biocompatibility testing is available before replacement materials are chosen.
Patient Reviews
Mercury removal reviews from Natural Smiles patients.
Patients drive in from across Florida and fly in from across the U.S. A few in their own words, from 700+ verified 5-star reviews on Google and Birdeye.
- ★★★★★Birdeye
"Took both kids here after years of fighting about fluoride at our old office. Nobody lectured us, everything was explained, and my daughter actually asks when the next visit is."
Megan T. St. Petersburg, FL - ★★★★★Google
"Found Dr. Carlo Litano, DMD through a functional medicine forum. Came in from Orlando for a single zirconia implant and walked out with a full plan for the rest of my mouth."
Thomas B. Orlando, FL - ★★★★★Google
"I flew in from Chicago for my cavitation surgery. Staying in the apartment above the clinic made the whole experience effortless. I left feeling better than I had in years."
Sarah M. Chicago, IL
Mercury Removal FAQ
Questions about mercury removal in St. Petersburg.
The questions patients ask most before amalgam removal, on the SMART protocol, replacement materials, and scheduling.
Silver amalgam fillings are roughly 50% mercury and release vapor as you chew. Our IAOMT-certified SMART protocol isolates the tooth with a dam, captures particulate with HEPA suction and activated carbon, and supplies supplemental oxygen, so neither you nor the team is exposed during removal.
Dental amalgam is a metal mixture that is roughly half mercury by weight. The mercury stays chemically active for the life of the filling and releases vapor under chewing pressure and heat.
A BPA-free ceramic composite, color-matched to your enamel and bonded in the same visit. Biocompatibility testing is available for patients with material sensitivities. Biocompatible fillings.
The treatment plan sets the pace. Some patients complete several removals in a single longer appointment; others stage the work across visits. Dr. Litano maps the sequence at your consultation.
Yes. Materials are matched to each patient, and biocompatibility testing is available before replacement materials are chosen. Biocompatibility testing.
Costs depend on the number of fillings and the restoration plan. You receive a written estimate after the consultation, before any work begins, and the team walks you through payment and insurance reimbursement options.
Schedule
SMART mercury removal consultations in downtown St. Petersburg.
A consultation with a low-radiation 3D scan gives you a written treatment plan and cost estimate before any decisions. Call (727) 300-0044 or request a visit online.