Safe Amalgam Removal
When dentally necessary or for cosmetic concerns, we offer the safe removal of silver amalgam fillings and biocompatible replacement fillings. Because 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. Dr. Shields has advanced training in the safe removal of mercury amalgam fillings and is accredited through the International Academy of Oral Medicine and Toxicology. If you’re immune-compromised, she is happy to work with your healthcare providers in facilitating your care.
At Smiles by Shields, we see regular dental appointments – every 6 months, or more if needed – as an opportunity to contribute to your total wellness. We make it our priority to ensure your mouth is in excellent shape.
Dental cleanings are important for stopping the growth of harmful bacteria and stemming the progression of gingivitis and periodontal disease – aka gum disease.
Both gingivitis and periodontal disease have been scientifically linked to a wide range of other inflammatory conditions. These include heart disease, stroke, diabetes, arthritis, Alzheimer’s, and even some cancers.
At your scheduled hygiene appointment, we look for any signs of developing oral disease or other dental problems. We then discuss options for addressing them, whether through home care, dietary changes, lifestyle changes, or corrective dental treatment.
The other component of these visits is cleaning – or, to use the clinical term, prophylaxis. There are three big benefits to a professional cleaning.
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 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 mercury vapor and amalgam particulate from being inhaled.
- 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 in the largest pieces 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 charcoal or chlorella slurry.
- The dental team safely disposes of all mercury-contaminated components and clean all instruments and equipment, as well as the operatory as a whole, according to federal, state, and local regulations on 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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