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IAOMT Removal Protocol

METHODS TO REDUCE MERCURY VAPOR EXPOSURE
TO BOTH PATIENT AND OPERATIONS DURING AMALGAM REMOVAL

1. Shaded eye protection for patient. Full transparent facial protection for operators.
2. Provide alternate source of air (oxygen) to patient via nasal mask and operators via N0N-Rebreather Mask.
3. Isolate quadrant to be treated with a well-fitting rubber dam. If unable to use rubber dam, rinse and evacuate mouth immediately after amalgam removal to remove mercury vapor and chunks of amalgam.
4. Use new long shank carbide cutting burs and section amalgams attempting to remove in large sections.
5. Use copious amounts of water spray via air water syringe directed on tip of cutting bur.
6. Use ‘surround’ type high volume suction tip.
7. Consider appropriate ventilation systems and room air purifiers to reduce ambient mercury vapor.
8. Consider appropriate suction waste water separation system.
9. Consider appropriate nutritional and physical support peri-operatively (e.g. homeopathy, acupressure and massage therapy).
10. Select appropriate biocompatible restorative materials via specific testing systems (e.g. Serum Compatibility or Skin Galvanic Response Tests) or published research.

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