Our office utilizes the International Academy of Oral Medicine and Toxicology’s (IAOMT) Safe Mercury Amalgam Removal Technique (SMART) and have implemented the following protocols to maximize your safety and full removal of mercury:

 

• Our amalgam separator has been properly installed, utilized, and maintained to safely collect mercury amalgam waste so that it is not released into the wastewater from the dental office;

 

• Each mercury removal room has state of the art filtration in place, with a high-volume air filtration system capable of removing mercury vapor and amalgam particles generated during the removal of one or more mercury fillings.  We use the top-of-the-line Swiss-made IQAir purifier; the IQAir purifier removes and retains 99.5% of all particulate. This filter has a special tube attached that is placed 4 inches from the patients mouth;

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• Patients are given chlorella, an adsorbent to rinse and swallow before the procedure;

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• Protective wear, including gowns, face shields, head and hair coverings, are worn by all Dental staff and the Patient to prevent any contamination on the skin or clothing;

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• Respiratory grade masks, rated to capture mercury, are worn by the dentist and all dental personnel in the room;

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• The Patient receives external oxygen delivered via a nasal mask preventing the inhalation of any mercury vapor or amalgam particulate during the procedure;

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• To prevent swallowing of mercury particulate, a dental dam appliance, with additional suction, is placed in the patient’s mouth;

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• To reduce the amount of mercury vapor and particulate released, the amalgam is sectioned into chunks and removed in as large of pieces as possible, with copious amounts of water.  An electric drill hand-piece is turned to a much lower speed than traditional hand-pieces allowing us to reduce heat and keep ambient mercury levels as low as possible;

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• Once the removal process is complete, the patient’s mouth is thoroughly flushed with water and then rinsed out with chlorella again;

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• Patients are enrolled in a multi-phase regime of liposomal vitamins. Liposomal vitamins have a higher absorbency than traditional vitamins, second only to IV vitamin delivery. This is an additional layer of protection and helps allow any micro-particle mercury to be excreted instead of being absorbed by your cells.