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Bio-consulting at The Clinic

There are many practitioners describing themselves as Holistic nowadays, and an increasing number that purport to use the SMART technique when removing mercury amalgams.  However, to be IAOMT Holistically Accredited and SMART-Certified requires much time and study and the undertaking of IAOMT examinations – hard work. As one of very few UK dentists to have gone through this, patients can rest assured that Jeff is officially qualified.

Jeff accepts Accreditation award in Las Vegas

Jeff accepts Accreditation award in Las Vegas

After having absorbed over 130 oral medicine and toxicology papers and taken numerous interim exams, I underwent a final Zoom viva examination by five Florida health professionals in September 2023. Despite the stress of five-second time lag, I was delighted to pass and become one of only three IAOMT-Accredited dentists in the UK.  My reward was a trip to Las Vegas to receive the award from very friendly bunch of people.

Scavenger employed

Scavenger employed

Jeff uses the state-of-the-art IQAir FlexVac scavenger to ensure that your mercury amalgams are removed in a completely safe and non-toxic environment.

Practice installs oxygen mask

Practice installs oxygen mask

Inhaling mercury amalgam dust is even more hazardous than ingesting it, because mercury is absorbed quickly into the bloodstream from the lungs.  That is why we never remove these fillings at The Clinic without first placing an oxygen nose mask for your protection.

2002 New surgery opens

2002 New surgery opens

The new surgery opened at the turn of the year 2002.  I was the first occupant and this meant that I could set up the surgery exactly how I wanted.  I bought the best equipment on the market, including an Erbium Yag laser and full digital X-ray equipment (the first in Brighton).  Naturally, I vowed that the only mercury entering the surgery would be that in patients’ existing amalgam fillings.

New purpose-built surgery

New purpose-built surgery

By chance, I came across a newbuild live-work development in the North Laine area of Brighton.  Most dental surgeries are located on older houses – not purpose-built and hard to clean.  The streamlined property in Gloucester Yard was ideal in terms of functionality, hygiene and location.

Leaves NHS to become a private practitioner

I had now realised that going mercury-free entailed becoming a Private practitioner.  The NHS did not allow composite fillings to be placed in back teeth and this was problematic in that I had therefore to mix NHS and Private treatment to be mercury-free.  I duly terminated my NHS contract and began to look for new surgery premises in Brighton.

Plans a mercury-safe practice

It was becoming clear to me that it was going to be impossible (ideologically and practically) to continue mercury-free in the mixed, multi-surgery practice in which I was a partner.  None of the other dentists in the building shared my concerns, and I encountered the usual justifications (cost-effectiveness, ease of use, insignificance of mercury danger) when I raised the subject.

Rubber dam

Rubber dam

I started using rubber dam routinely in 1995.  This was partly because composite fillings require perfect moisture isolation to work but, also, I felt instinctively that isolating the oropharynx from mercury amalgam particles from old fillings was a good idea.  This was many years before the SMART protocol was formulated by the IAOMT.

Dr Jeff Amos goes mercury-free

Dr Jeff Amos goes mercury-free

I stopped using mercury amalgam in 1992 – not because I had read the scientific papers on its dangers that were starting to be published, but because I had never forgotten my physics teacher telling me not to mess about with the stuff in class. Which was exactly what I felt we dentists were doing. When placing or removing a mercury filling, globules of the liquid metal and airborne dust particles seemed to end up everywhere – down the patient’s throat, up the suction tubing, sometimes on the floor. This was the first step towards opening Brighton’s first mercury-safe, Holistic dental practice.
Dr Jeff Amos

Case examples

Spot the filling

Before
After

I think even another dentist would struggle to identify the filling in this premolar.

Mercury vapour

Before
After

Another amalgam giving off mercury vapour and weakening the tooth.  The new composite filling is both safe and remedial.

Typical stress cracks

Before
After

Years of driving this mercury amalgam into the tooth through chewing had resulted in typical stress-cracks.  These were repaired with non-toxic composite when the filling was replaced, creating a much stronger unit.

Cracked mercury amalgam

Before
After

Though I say it myself, this tooth is beautifully restored after replacement of the large, cracked mercury amalgam with a Venus Pearl composite filling.

Beautiful ceramic work

Before
After

Sometimes a tooth is so dilapidated that only a crown will restore it properly.  Beautiful ceramic work here from our technician John Donno.

Conservative dentistry

Before
After

It is not essential to run out every stained fissure in a tooth – doing so might weaken it unnecessarily.  Irrespective, it was good to see these teeth brighten up considerably after their mercury amalgams had been removed safely.

Less than an hour to replace these mercury amalgams

Before
After

It took less than an hour to replace these mercury amalgams – even using the SMART technique. The Venus Pearl fillings are not only non-toxic and great looking, but they will also prevent further cracking.

Two compromised teeth

Before
After

Two compromised teeth, one with a large mercury amalgam that was removed using the SMART protocol, beautifully restored. Both the patient and I were delighted with the result.

Two mercury amalgams in a row

Before
After
Before
After

There is something very satisfying about replacing two mercury amalgams in a row.

Beautiful biomorphic Venus Pearl composite

Before
After

Another old mercury amalgam that is breaking down at the edges, cracking the tooth and releasing mercury vapour.  Replaced using the SMART technique with a beautiful, biomorphic Venus Pearl composite.

Amalgam replacement using the SMART technique

Before
After

Another mercury amalgam replacement using the SMART technique.  As well as emitting mercury vapour, this old filling is leaking at the margins, thereby creating an uncleanable ditch around it.  The replacement Venus Pearl composite is not only non-toxic and sealed to the tooth, it looks infinitely better.

Mercury amalgam in tooth with multiple cracks

Before
After

This tooth shows the multiple cracks that invariably appear when mercury amalgam is used as a restorative material.  As you might imagine, it does not bond to the tooth in any way and therefore acts as a stress-wedge.  Contrast with our replacement composite filling , which combines beautifully with the remaining tooth structure and is non-toxic, supportive and aesthetic.

Composite filling shaped by hand

Before
After

Not so long ago, I would have used porcelain to restore this fractured premolar containing a mercury amalgam.  Thanks to recent technical advances, however, I was able to restore the tooth using a simple, less expensive, composite filling shaped by hand.

The Clinic - Gloucester Yard, 121-123 Gloucester Rd, Brighton and Hove, Brighton BN1 4AF

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