Two HUGE lies there.

1. Always make sure EVERY SPECK of metal is gone.

2.Amalgam poisoning is not imaginary.

The insinulation that dentists who tell the risks is for selfish reasons is
better known as remaining in denial.

As a matter of fact laws are being made to post the risks, becuase of DISHONEST
dentist as we have just seen.

http://www.toxicteeth.net

Fawks iis of the good ole boy and girl club, which is far more important the
environmental issues.

http://www.maineenvironment.org/merc_red_act.htm

http://www.mercurypolicy.org

http://www.mercurypolicy.org/exposure/documents/model_state_leg.pdf

Correct protocol.

http://www.testfoundation.org/amalgremove.htm

http://www.zip.com.au/~rgammal/AmalRemProc.html

http://www.curezone.com/dental/dental_amalgam.asp

http://www.ccrlab.com/

http://www.holisticmed.com/dental/amalgam/iaomt.txt

http://www.holisticmed.com/dental/amalgam/

http://www.naturomedbc.com/clinchandouts/dentistprotocol.htm

http://www.envirodental.co.uk/iaomtrmv.asp

http://www.hugnet.com/protocol.html

http://www.biologicaldent.com/center_for_biological_dentistry/protocols.html

http://www.mercuryfilling.com/
(bottom of URL and click protocols)

Dentist: How To Replace Amalgam Fillings, mercury health risk
Once the removal has begun, the mercury vapor will be continuously released
from the tooth.  During the removal or placement of amalgam the patient can be
exposed to amounts which are a thousand times greater than the EPA allowable
concentration.

Protocol for Amalgam-Mercury-Silver Filling Removal

By

International Academy of Oral Medicine and Toxicology
HOME - Health Dental Risk Page - CANCER Page - Amalgam Replacement Protocol -
Disclaimer

PATIENT PROTECTION

First in every concerned doctor's mind is the protection of the patient from
additional exposure to mercury. This is especially true of the mercury toxic
patient. The mercury toxic patient may have been exposed to varying amounts of
mercury from diet, environment, employment or from mercury/silver dental
fillings. All forms are cumulative and can contribute to the body burden. The
goal of this preferred procedure is to minimize any additional exposure of the
patient, ourselves, or staff to mercury.

During chewing the patient is exposed to intraoral levels which are several
times the EPA allowable air concentration. 2 During the removal or placement of
amalgam the patient can be exposed to amounts which are a thousand times
greater than the EPA allowable concentration.3 Once the drill touches the
filling temperature increases immediately vaporizing the mercury component of
the alloy. There are 8 steps to greatly reducing everyone's exposure.

1. Keep the fillings cool

All removal must be done under cold water spray with copious amounts of water.
Once the removal has begun, the mercury vapor will be continuously released
from the tooth.

2. Use a high volume evacuator

Therefore, a high volume evacuator tip should be kept near the tooth (1/2 inch)
at all times to evacuate this vapor from the area of the patient. Polishing
amalgam can create very dangerous levels of mercury and should be avoided
especially for the mercury toxic patient.

3. Provide an alternative air source

All patients having amalgam removed or placed should be provided with an
alternative air source and instructed to not breathe through their mouth during
treatment. A nasal hood such as is used with the nitrous oxide analgesia
equipment is excellent. Air is best and oxygen is acceptable although not
required. If just air is used it should be clean and free of mercury vapor
preferably from outside the dental office.

4. Immediately dispose of the mercury alloy

Particles of mercury alloy should be washed and vacuumed away as soon as they
are generated. The filling should be sectioned and removed in large pieces to
reduce exposure.

At present the International Academy of Oral Medicine and Toxicology (IAOMT)
has approved removal both with and without the use of a rubber dam. Some
evidence exist to support both views since high levels of mercury and amalgam
particles can be found under the dam. All members are agreed that whether or
not a rubber dam is used the patient should be instructed to not breathe
through their mouth or swallow the particles. Some experts feel that it is
better to remove the amalgam first and then apply the dam if needed for
restorative procedures.

5. Lavage, and change gloves

After the fillings have been removed, take off the rubber dam if one was used
and lavage the patients mouth for at least 30 seconds with cold water and
vacuum. Remove your gloves and replace them with a new pair. If a restorative
procedure is next then reapply a new dam and proceed.

6. Immediately clean patient

Immediately change patient's protective wear and clean their face.

7. Consider nutritional support

Consider appropriate nutritional support before, during and after removal.

8. Keep room air pure

Install room air purifiers or ionizers and fans for everyone's well being.

STAFF PROTECTION

OSHA4 5 requires that employees be given written informed consent before the
use of any toxic chemicals of which mercury is one. Elemental mercury vapor is
one of the most toxic forms of mercury and should not breathed. Women of child
bearing age should be exposed to no more than 10% of the OSHA MAC6. Women who
are pregnant should be exposed to no mercury.7 If you use mercury or remove
mercury in any form the National Institute of Occupational Safety and Health
(NIOSH) has recommended that your employees be medically monitored annually.

ANY MERCURY EXPOSURE REQUIRES THAT THE EMPLOYEE WEAR AN APPROVED MERCURY FILTER
MASK.

An approved mask is appropriate for wearing during all dental procedures which
will expose you or your staff to mercury.8

The manner in which dentists operate their equipment dramatically affects the
amount of mercury released. Never drill on mercury high dry. It is hazardous to
you, your staff, and your patient. Levels as high as 4000 m g/M3 have been
measured 18" from the drill when used high dry. Levels over 1000 m g/M3 are
measurable upon opening an amalgam mixing capsule.

One out of 7 California dental offices tested over the OSHA TWA of 50 m g/M 3 .
100% of the vacuum cleaner exhaust tested over 100 m g/M 3 . Any office where
mercury is used should be tested regularly and staff should be monitored for
exposure. Testing services are available and a mercury sensor badge is
available for personnel monitoring. They should test inside storage areas and
along baseboards where mercury might have dropped. Office spills can go
undetected for years and are extremely hazardous.

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REFERENCES

1 IAOMT Standards of Care Preferred Procedure Approved 9/27/92

2 EPA United States Environmental Protection Agency Office of Health and
Environment Assessment Mercury health effects update Final Report
EPA-600/8-84-019F 1971 EPA

3 Cooley RL, Barkmeier WW: Mercury vapor emitted during ultraspeed cutting of
amalgam. J Indiana Dent Assoc 57:28-31, 1978

4 OSHA Job Health Series: Mercury.(2234)8/1975

5 Hazard Communication Program Federal Register/ Vol. 52. No. 163 / Monday,
August 24, 1987

6 OSHA MAC is Threshold Limit Value of 100 micrograms/ cubic meter or 100 PPM
This is a never to be exceeded standard.

7 Koos BJ and Lango LD , Mercury Toxicity in the pregnant woman, fetus, and
newborn infant. A review Am J Obstetrics and Gynecology 126(3):390-409, 1976

8 Mine Safety Association high levels and 3M mercury dust mask lower levels

Jan

*IF* you have an unanswered health problem,,,,,,,,CHECK THE TEETH!

NOT by a mainstream dentist, but an Alt. dentist who KNOWS the dangers of metal
in the mouth and root canals, and follows correct protocol.

I did, it saved my life.

Mercury is Poisonous.

There is NO safe form of Mercury in living tissue.

The mercury vapor from dental amalgam alone is a bigger source than all the
other sources together.

U151 identifies mercury as a toxic waste.

Mercury is also recovered from discarded products and wastes such
aschlor-alkali wastes, dental amalgams, fluorescent light tubes, electronic
devices, and others. The mercury is vaporized in a retort and collected by
condensation. Condensed mercury is then distilled to remove impurities.

***The Environmental Protection Agency is working to reduce the amount of
mercuryin the environment *****

http://www.ehs.ucsf.edu/Manuals/CSM/Csm_Chapter9.htm

17. DENTAL AMALGAM

Dental amalgams are mixtures of mercury with silver tin alloy. Cal-EPA
regulates them as ***chemical waste.*** Submit Chemical Waste Removal Form for
its disposal

If you don't mind my asking: How do you treat deep carious lesions
(proximally or buccally... the ones that are deep under the gum line)?
When I attack these, there is the inevitable bleeding. I shove my wedges
in there as tight as I can, but it's still not as dry as it should be
for composite.

I don't love placing amalgams, but, again, in these types of cases, how
in Mercury's name can you avoid it?

Cheers
SP

Are you serious? I mean, instead of post, once can just use amalgam?

Does that mean to have fillings with amalgam is dangerous?

Are you serious? I mean, instead of post, once can just use amalgam?

Does that mean to have fillings with amalgam is dangerous?

Wrong. You can't "seal off amalgam" which produces mercury in liquid
and vapor form in substatial amounts, by putting a crown over it.
Mercury moves through the tooth itself to the root gums and jawbone
and the vapor/liquid will easily pass through any microscopic openings
in any seal, assuming the seal itself can contain mercury. Remember
mercury vapor easily passes through
a rubber dam. You'd have to take the amalgam and completely entomb it
some kind of airtight mercury resistant sealant to prevent leakage.
Amalgam equals mercury exposure and keeping it is always a bad idea.
Additionally if gold is in the vicinity or used as a crown disaster
could strike due to galvanism.

Here is an interesting paper on amalgam and sealants

The paper by JP Dewald et al, Baylor College of Dentistry;
Journal of Dentistry 1992; 20: 121-127
"Evaluation of the interactions between amalgam, cement and gold
castings"

"If you read the full paper, you will learn that even though the crown
and
amalgam metals did not directly touch physically, there was corrosion
in
the amalgam core even in the controls that sat dry at room temperature
on
the shelf.  The experimental groups washed with electrolytic solution,
pH
and temperature cycled to simulate conditions of the human mouth,
produced
far worse corrosion -- even though the bonding agents in all specimens
were
meticulously applied to keep the metals completely seperated at all
times."