Safe Metal Removal
We offer safe removal of metals, including amalgams and replace it with biocompatible material. Because heavy metals, including mercury is so toxic to life, strict safety procedures must be followed to protect your health, as well as that of our team and our environment. Our doctors have advanced training, are certified in the safe removal of mercury amalgam fillings, and are accredited by the International Academy of Oral Medicine and Toxicology. If you’re immunocompromised, we are happy to work with your healthcare providers in facilitating your care.
Safe Mercury Amalgam Removal Technique (SMART)
- We have an amalgam separator installed and maintain it properly. This device keeps amalgam waste from entering the wastewater and polluting the environment.
- High-volume air filters are in our operatories to remove mercury vapor and particles cast into the air during amalgam removal.
- The patient is given a slurry of charcoal or chlorella to rinse and swallow before the procedure to protect against any mercury that may enter the circulation during the procedure.
- The dental team wears protective gowns and head coverings, as well as non-latex nitrile gloves and properly sealed respiratory-grade masks rated to capture mercury.
- The patient is provided with a full body and head covering, as well as a head, face, or mask barrier. They are also given air or oxygen through a nasal mask to prevent inhalation of mercury vapor and amalgam particles.
- A Rubber dam/isolite/clean-up suction is placed to prevent amalgam from entering the throat.
- An at-source oral aerosol vacuum is placed 2 to 4 inches from the patient’s mouth to further minimize mercury exposure.
- The amalgam is sectioned into chunks with a small-diameter carbide drill and removed as large pieces as possible.
- Copious amounts of water are used during cutting to reduce heat, and a high-speed evacuation device is used to capture mercury discharges.
- After removal, the patient’s mouth is thoroughly flushed with water, then rinsed with a slurry of charcoal or chlorella.
- The dental team safely disposes of all mercury-contaminated components and cleans all instruments, equipment, and the operatory as a whole in accordance with federal, state, and local regulations governing the handling of mercury.
For more on this protocol, including scientific references supporting these safety measures, visit the IAOMT’s website.
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