METHODS TO REDUCE MERCURY VAPOR EXPOSURE
TO BOTH PATIENT AND OPERATIONS DURING AMALGAM REMOVAL
- Shaded eye protection for patient. Full transparent facial protection for operators.
- Provide alternate source of air (oxygen) to patient via nasal mask and operators via N0N-Rebreather Mask.
- 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.
- Use new long shank carbide cutting burs and section amalgams attempting to remove in large sections.
- Use copious amounts of water spray via air water syringe directed on tip of cutting bur.
- Use ‘surround’ type high volume suction tip.
- Consider appropriate ventilation systems and room air purifiers to reduce ambient mercury vapor.
- Consider appropriate suction waste water separation system.
- Consider appropriate nutritional and physical support peri-operatively (e.g. homeopathy, acupressure and massage therapy).
- Select appropriate biocompatible restorative materials via specific testing systems (e.g. Serum Compatibility or Skin Galvanic Response Tests) or published research.