Amalgam Removal Precautions

Protecting the Patient


(2). Amalgam removal precautions include being aware of the functional body systems, assessing each patient for potential problems with these systems, and helping support these systems before, during, and after the dental removal of mercury dental fillings. Additionally, there are a number of precautions a dentist should take.

A.) The first, and maybe most important of the amalgam removal precautions, is for the dentist to be aware of the patients functional systems and any problems with their clearing and detoxification pathways. If a dentist removes too many mercury fillings or too fast removal without precautions, these compromised patients may become sick with long term health problems. With some very compromised patients, dental work should not be started until the patient works with their health practitioner to enhance detoxification pathways.

B.) A stress reduction system should be incorporated into the dental environment to help reduce the stimulus to the sympathetic nervous system and tightness of the blood supply to the teeth and bone, the constriction of the lymphatic drainage system, as well as the reduction in the efficiency of the detoxification clearing pathways.

C.) A vibrating mat on the dental chair keeps the lymphatic system moving to assist the body’s detoxification and clearing system.

D.) A “rubber” dental dam that isolates the teeth and mercury fillings and collects any particles. Rubber and latex style dams should not be used as mercury vapor may penetrate this barrier. Nitrile style dams provide much greater protection.

E.) Many have advocated an isolation room with controlled ventilation. However the most important space is around the patient’s mouth and nose as well as the breathing space of the dental personnel. As such close proximity vapor control is vitally important. Several amalgam removal precautions may be utilized to help with vapor control:

1.) The mercury amalgam filling should be sectioned or “chunked” out to avoid as much potential mercury vapor as possible caused by the dental drilling heat and vaporization of mercury.

2.) A special electronically controlled electric handpiece should be used rather that the traditional air turbine dental drill. These rotate at less than half the speed of an air turbine drill which substantially reduces the mercury vapor created. Electronically controlled drills produce much less heat, friction and vibration, which in turn reduces trauma and mercury vapor; and most of the energy goes into torque for more efficient removal of the mercury filling instead of the unwanted energy of heat, friction, and vibration.

3.) Special vacuum and vapor control systems should be used. These would consist of a vacuum suction under the dental dam collecting potential mercury vapor; a high velocity vacuum directly on the tooth where the mercury filling is being removed; a directional flow high powered air delivery system and high powered large vacuum system. This consists of an oxygen or air delivery system for the patient’s nasal area. This creates a positive flow of air to keep potential mercury vapor away; a fan placed at the top of the patient’s head blowing air directed away from the patient’s breathing; a large vacuum air collection system placed under the patient’s chin to collect the air driven by the fan away from the patients breathing; and a charcoal filtration purification system in the air vacuum systems to neutralize the collected mercury vapors so that they cannot be released back into the treatment room. This is also one of the most important of the amalgam removal precautions.


F.) After treatment, aggressive nutritional support with Vitamin C, N-Acetyl-Cysteine, Glutathione spray, Alpha Lipoic Acid, and homeopathics may be used. Electromagnetic healing and clearing support may also be utilized.

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