Our Safe Amalgam Removal Protocol

The IAOMT protocol recommendations for amalgam removal are known as the Safe Mercury Amalgam Removal Technique (SMART).

Each room where mercury fillings are removed has adequate filtration in place, capable of removing mercury vapor and amalgam particles generated during the removal of one or more mercury fillings. An amalgam separator is properly installed, utilized, and maintained to collect mercury amalgam waste so that it is not released into the effluent from the dental office.

The patient is given a slurry of chlorella to swallow before the procedure (unless the patient declines or there are other contraindications making this clinically inappropriate). Protective gowns and covers for the Ottawa dentist, dental personnel, and the patient are used. All present in the room are protected, as substantial quantities of particles generated during the procedure will elude collection by suction devices. It has been demonstrated that these particles can be spread from the patient’s mouth to the patient’s knee, and to the chest, shoulder, and neck of the dentist and dental assistant.

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Ottawa Mercury-Free Dentistry Procedure

Once the removal process is complete, the patient’s mouth is thoroughly flushed with water and then rinsed out with a slurry of chlorella. The dental office complies with federal and local regulations addressing the proper handling, cleaning, and/or disposal of mercury-contaminated components, clothing, equipment, surfaces of the room, and flooring in the dental office. During the opening and maintenance of suction traps in operations or on the main suction unit, dental staff uses the appropriate personal protection equipment described above.

It is important to note that as a safety precaution, the IAOMT does not recommend amalgam filling removal for women who are pregnant or breast-feeding and the IAOMT does not recommend dental personnel who are pregnant or breast-feeding conduct work that disrupts amalgam fillings (including their removal).

Contact the Triadent Dental Bells Corners team today for any questions about mercury-free dentistry or to book your appointment today.

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Our Safety Precautions

Non-latex nitrile gloves are used by the dentist and all dental personnel in the room. Face shields and hair/head coverings are used by the dentist and all dental personnel in the room. A properly-sealed, respiratory grade mask rated to capture mercury is worn by the dentist and all dental personnel in the room. In order to protect the patient’s skin and clothing, a full body, impermeable barrier, as well as a full head/face/neck barrier under/around the dam, is used. External air or oxygen delivered via a nasal mask for the patient also is used to assure the patient does not inhale any mercury vapor or amalgam particulate during the procedure.

A dental dam that is made with non-latex nitrile material is placed and properly sealed in the patient’s mouth. During the amalgam filling removal, the dentist uses an at source oral aerosol vacuum in close proximity to the operating field to mitigate mercury exposure. Copious amounts of water are used to reduce heat and a conventional high speed evacuation device to capture mercury discharges is used to reduce ambient mercury levels. The amalgam is sectioned into chunks and removed in the largest pieces possible, using a small diameter carbide drill.

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Contact Us For Our Mercury-Free Dentistry Options