Unless the amalgam has taken over the tooth and there is more amalgam than tooth, i would tend towards saving the teeth and being patient and going through the amalgam removal procedure.

If you have more amalgam than tooth? Then removing certain teeth maybe an option. But it is not quite so cut and dry. There is the risk for cavitations to develop when a tooth has been removed. Most dentists use vaso-constrictors in anaesthetics (which cuts much of the blood supply to the area to lengthen time of numbing, though personally I never found it helped much). Because of this, it can frustrate healing/circulation to the area, due to the prolonged and increased deadening of the area. This may hamper healthy healing and bone growth over the empty cavity, and leave instead a cavitation which is a breeding ground for potent bacteria. This bacteria, particularly in someone immune compromised can become systemic in some cases. And cause worse toxicity than mercury! Even Hal Huggins talks about the toxicity of cavitations and root canals and how they can be worse than mercury.

One should always request a non vaso constrictor and non epinerphrine anaesthetic.

The next major contributor or cause of cavitations is the fact most dentists do not remove the periodontal ligament after they've removed the tooth. This is a BIG problem. The ligament, if left behind will sit and pretty much rot. This prevents healthy bone growth over the area, so once again a cavitation will be left and bacteria will thrive.

If you are going to have any teeth removed, you must go to a biologic dentist who acknowledges cavitations and understands the need to do these things to prevent them as much as possible. Though many people have cavitations and maybe "ok", others can be chronically ill from them and remain so - unless they are lucky enough that surgery to open them up and clean them out properly will heal them back up. Surgery is not always successful.

So please consider this before rushing into tooth removal. Dentistry can have a huge impact on overall health and it's not just amalgams that are a concern. I hear though that the most common cause of cavitations are wisdom tooth removal.

I know and understand you're wishes to get this over and done with. If you really cannot wait anymore, you might take your chances with a good biologic dentist who has some pretty biologic replacement materials that suit most patients and simply get the job done. As long as you are not allergic to plastic, you maybe ok.

I never did testing originally and was lucky enough to get away with it at the time, but I do believe it's a wise move to get tested because some materials maybe more reactive to you than others. You can find out what materials the dentist has and they maybe ones that have a pretty good overall reputation and others on here may have them.