IAOMT SMART (Safe Mercury Amalgam Filling Removal Technique) Protocols
Patient Protection
Slurry of charcoal or chlorella for patient to rinse and swallow before procedure
– Binds heavy metals (mercury)
Full body, impermeable barrier
– Protection from aerosols and particulates
Full head/face and neck barrier under and around rubber dam
– Protection from aerosols and particulates
External oxygen via nasal mask
– Protection from inhalation of mercury vapor
– Supports immune system
Non-latex rubber dam properly placed and sealed
– Physical barrier to protect against swallowing or ingesting amalgam filling debris
Mercury vapor vacuum placed in close proximity to patient mouth
– Assists in mercury vapor removal
Copious amounts of water to reduce heat
– Assists in reduction of mercury vapor released from fillings
High speed evacuation
– Assists in mercury vapor, aerosol and particulate removal
Section mercury amalgam filling into “chunks”
– Decreases mercury vapor release from filling
Post procedure thorough rinse and swallow slurry of charcoal or chlorella
– Binds heavy metals (mercury) for elimination
Dentist/Assistant Protection
Protective gowns
– Protection from mercury aerosols, particulates and vapor
Non-latex gloves
– Protection from mercury aerosols, particulates and vapor
Face shields and hair/head coverings
– Protection from mercury aerosols, particulates and vapor
Respiratory grade mask- positive pressure
– Protection from mercury aerosols, particulates and vapor
Office and Environment
Amalgam separator
– Separates mercury amalgam out of wastewater for proper disposal
High volume air filtration system
– Removes mercury vapor, aerosols and particulates from ambient office airr
Compliance with federal, state, and local regulations
– Addresses the proper handling, cleaning and disposal of mercury-contaminated components, clothing, equipment, room surfaces in the dental office
SPECIAL ATTENTION: drink copious amounts of water, take appropriate supplements, and eat a diet high in fiber to aid in maintaining open detoxification pathways before and after the dental appointment.
DO NOT TAKE ANY ORAL VITAMIN C 48 hours prior to your dental appointments. Vitamin C has the ability to drastically reduce the effectiveness of dental local anesthetics (novocaine) making it necessary to use more, or to wait extra time before it becomes effective. If desired, oral vitamin C can be taken after the dental visit is completed, this will help dissipate the anesthetic, enabling it to wear off faster.
For more information on SMART Certification:
www.iaomt.org
www.thesmartchoice.com