Dr. Tyler Koupal follows SMART protocol guidelines to safely remove mercury fillings and replace them with biocompatible, tooth-colored materials.
Many older "silver" fillings, also known as dental amalgam fillings, contain approximately 50% mercury. Research has shown that measurable amounts of mercury vapor are continuously released from amalgam fillings, with higher levels occurring during activities such as chewing and brushing.
While amalgam remains approved for use in the United States, the FDA recommends non-mercury alternatives for certain groups, including pregnant women, nursing mothers, young children, and individuals with certain neurological or kidney conditions. Concerns about mercury exposure have also prompted regulatory action abroad. In 2025, the European Union banned the use of dental amalgam as part of broader efforts to reduce the harmful effects of mercury on human health and the environment.
For patients concerned about mercury exposure, Kairos Holistic Dental offers one of the most thorough and safety-conscious mercury filling removal processes in the Kansas City area.
Beyond mercury, many patients are concerned about the broader health implications of metal-based dental materials.
From mercury filling removal to ceramic implants, Dr. Tyler Koupal offers metal-free alternatives at every stage of care for patients who want dentistry that works with their body, not against it.
In addition to health concerns, many patients choose to replace their older mercury fillings because they prefer a more natural-looking smile. Amalgam fillings are dark, can become more noticeable over time, and may contribute to cracks or fractures in the surrounding tooth structure.
Tooth-colored restorations blend in with your natural enamel without compromising durability or function.
Removing a mercury filling incorrectly, or without proper protective protocols, can expose you to significantly more mercury vapor than the filling would have released over years of normal use. That's why how the filling is removed matters just as much as the decision to replace it.
IAOMT SMART Protocol
Dr. Tyler Koupal follows the Safe Mercury Amalgam Removal Technique (SMART) developed by the International Academy of Oral Medicine and Toxicology (IAOMT). This comprehensive safety process combines protective barriers, high-volume suction, and specialized removal techniques to protect patients, our team, and the environment throughout the procedure.
Learn more about the IAOMT and its SMART guidelines.We begin with a thorough assessment of your oral health, including digital imaging when appropriate, to evaluate each amalgam filling and determine the safest approach to removal and restoration.
As an IAOMT member, we follow SMART principles designed to reduce mercury exposure during the removal process.
Both patients and team members wear protective equipment throughout treatment. Depending on the procedure, this may include protective gowns, respiratory masks, face shields, and gloves.
A series of protective barriers help isolate the treatment area during removal. This may include a dental dam along with protective coverings for the patient's head, face, neck, skin, and clothing.
Specialized suction systems are positioned close to the treatment area to capture mercury particles as they are generated. Advanced air filtration systems help remove airborne particles from the treatment environment, while continuous water cooling helps minimize heat and reduce mercury vapor release.
Rather than grinding out the filling, which can generate significant mercury vapor, we use a specialized sectioning or "chunking" technique to remove the amalgam in large pieces with minimal heat and friction, helping reduce vapor release during treatment.
After removing the amalgam filling, we apply ozone therapy to the prepared tooth surface to disinfect the area before placing your new restoration.
Once the mercury filling has been removed, we restore your tooth with a biocompatible, metal-free material selected for your specific needs, whether that's a composite filling, inlay, onlay, or ceramic crown.
Many patients seeking mercury filling removal want more than a one-time procedure. They're looking for a dental partner who understands their long-term health goals. Following treatment, we remain available to provide guidance, answer questions, and support your ongoing dental health journey.
At Kairos Dental, the materials we use to replace mercury fillings are chosen for their biocompatibility, durability, and how naturally they blend with your existing teeth.
In many cases, mercury fillings can be replaced with BPA-free composite restorations. These tooth-colored materials blend naturally with your smile, bond directly to the tooth structure, and provide a metal-free alternative to traditional amalgam fillings.
For larger restorations where a standard filling isn't sufficient, inlays and onlays offer exceptional strength and aesthetics. These custom restorations provide additional support while preserving more natural tooth structure than a traditional crown.
When a tooth requires more support than a filling, inlay, or onlay can provide, a ceramic crown may be the most appropriate solution. Our ceramic crowns are metal-free, highly durable, and designed to look and function just like a natural tooth.
Your Safe Metal Removal Dentist
Dr. Tyler Koupal founded Kairos Dental to bring a truly holistic care philosophy to patients in the Overland Park area. Whether you're exploring mercury filling removal or seeking a long-term dental home, you'll find a team that considers the connection between oral health and overall wellness at every step.
MEET DR. KOUPALFor many patients, mercury filling removal is just one part of a broader journey toward holistic dentistry. At Kairos Dental, we offer a range of treatments to support you along the way.
Ceramic Dental Implants
Metal-free zirconia implants designed for patients seeking a biocompatible alternative to traditional titanium implants.
Ozone Therapy
Ozone therapy offers a natural, non-invasive way to help reduce harmful bacteria and support healing.
Platelet-Rich Fibrin (PRF)
A natural healing therapy created from your own blood and used to support recovery after treatment.
Biological Surgery
A holistic approach to oral surgery that prioritizes healing, biocompatibility, and long-term wellness.
CBCT Diagnostic Imaging
3D imaging that gives us a complete view of your oral health before any treatment begins.
Holistic Healing Modalities
Red light therapy, targeted supplements, ozone, and homeopathics to support your recovery.
The cost of mercury filling removal depends on the number of fillings being removed, the size and location of each filling, and the type of biocompatible restoration used to replace it. After your initial visit, we will provide a personalized treatment plan so you understand your recommended next steps and associated costs.
Kairos Holistic Dental is an out-of-network provider. However, we can submit claims on your behalf, and you may be eligible for reimbursement depending on your plan.
To help make treatment more manageable, we also offer third-party financing options through partners like Cherry, allowing you to break treatment costs into smaller payments.
To get started, call us at (913) 777-5230 to schedule your initial visit.
Yes. When performed using SMART guidelines and proper protective measures, mercury filling removal is considered a safe procedure. To keep everyone protected, Dr. Tyler Koupal uses specialized techniques including rubber dam isolation, high-volume suction, air filtration, and controlled amalgam removal.
The number of fillings that can be safely removed in a single visit depends on their size, location, and your individual health goals. During your initial visit, Dr. Koupal will create a personalized plan that spaces treatment appropriately to support recovery and overall wellness.
Dr. Koupal will provide personalized guidance during your initial visit based on your individual needs and treatment plan. Depending on your situation, this may include coordination with other healthcare providers. We'll walk you through everything you need to know well before your appointment.
Located at 127th & Metcalf in Overland Park, we're easy to reach from Leawood, Prairie Village, Mission Hills, and the greater Kansas City area.
12701 Metcalf Ave Suite 104
Overland Park, KS 66213
Monday – Thursday: 8:00am – 4:00pm