SAFE MERCURY AMALGAM REMOVAL TECHNIQUE (SMART)
8th November 2019
SMART was developed by the International Academy of Oral Medicine and Toxicology (IAOMT) and stands for safe Mercury Amalgam Removal.
Below is a check list for the correct protocol ensuring existing amalgam fillings are replaced safely:
Slurry of charcoal, chlorella, or similar adsorbent for patient to rinse and swallow before the procedure
Full body, impermeable barrier, as well as full head/face/neck barrier under/around the dam
External air or oxygen delivered via a nasal mask for the patient OR via nasal cannula completely covered with an impermeable barrier
Dental dam made with non-latex nitrile material placed and properly sealed in the patient’s mouth
Saliva ejector placed under the dental dam
At source oral aerosol vacuum in close proximity to patient’s mouth
Clean Up device (not essential but preferred)
Copious amounts of water to reduce heat and a conventional high speed evacuation device to capture mercury discharges
Section amalgam into chunks and remove in as large of pieces as possible, using a small diameter carbide drill
After removal, the patient’s mouth should be thoroughly flushed with water and then rinsed out with a slurry of charcoal, chlorella or similar adsorbent
£77 consultation fee including 2 x-rays Call us on 02078370773 to discuss replacing your old amalgam fillings!
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