The Dental Protocol for minimizing mercury exposure to the patient during the filling removal.
- The teeth are isolated with a rubber dam and /or special suction device (clean-up) to contain the pulverized amalgam and its harmful vapor.
- The patient (and the dental team) breathes clean air during the removal process. The patient needs to be protected from the mercury vapor, which is generated in high amounts during the drilling. The air around the nose is therefore highly contaminated, so a fresh source of air needs to be imported. A nose mask attached to oxygen or air is used.
- A high speed suction devise with charcoal filters (Denti-Vac) to filter the mercury vapor is placed in front of the patient’s mouth to direct all the mercury laden vapor from the dental removal procedures away from the patient and the dental team.
- The filling removal is performed in sections, removing large chunks, and minimizing the pulverization (drilling) of the amalgam and thus reducing the vaporization of the mercury.
- Copious water is used to cool the drill and amalgam dust and thus reduce the vaporization to the mercury and remove the mercury in the water.
- The high-speed suction is placed next to the filling being removed to remove the water and the suction the vapor.
- The saliva ejector is placed under the rubber dam next to the area where the filling is being removed. This is a protection to suction any vapor that goes through the dam and is now on the inside of the mouth. The saliva ejector and the fact that the patient is instructed to breath only from the nose are some of the precautious we recommend to counter this problem.
- After the procedure the dam is removed carefully and disposed. The mouth is rinsed with copious amounts of water and all amalgam dust and particles are suctioned out.
- The high-speed suction that conditions the air is left on during the filling procedures to clean and filter the air.
- The drills and the air/ water syringe are wiped off to remove any mercury residue.
- The patient can be covered in a disposable drape to minimize the mercury contamination on their clothes. In addition, protective eyewear is suggested. These disposable barriers are removed and into the hazardous medical wastes.
- The disposable contaminated suction and saliva ejectors are replaced.
- After the Dental procedure is finished, or sometimes during the restorative procedures, an IV of Vitamin C, glutathione and other vitamins and minerals can be administered to reduce and eliminate the mercury and aid the chelation process.
Doctor and Employee Protection
Mercury is a highly toxic substance and the high-speed drill releases considerable vapor during the removal process. The dental team is breathing the mercury vapor laden air, which is also escaping into the dental operatory. The evidence strongly suggests that the dental team is a high risk for health problems from mercury toxicity.
The following are the tools and techniques our office employs to minimize the mercury exposure for the Dental Team.
- The Denti-Vac suction is in place as close to the patient’s oral cavity during the removal. Afterwards the suction is left on during the restorative phase to filter thoroughly the operatory air.
- The Dental removal Team wears gas masks during the removal process to eliminate and potential of breathing the mercury vapor.
- The Team wears protective disposable clothing, during the removal. Mercury from the vapor will cling to clothing, which is then worn home to potentially contaminate the dental team’s homes and family.
- The high-speed suction is used to suck as much of the mercury vapor from the drill, thus containing the vapor as much as possible at the originating site.
- The gloves are removed after the removal procedure and the hand-pieces, instruments and air/water syringes are rinsed and the suction tips are replaced.
- The protective disposable gowns are removed after the removal.
- An ionizer is continually utilized to remove the mercury and other heavy metals that have escaped into the dental operatory.
- The dental operating rooms can be continually monitored for mercury contamination with a (Jerome) mercury vapor analyzer.
Protection of the environment from the dental removal of mercury.
The following is the equipment and protocols we use to prevent mercury contamination of the environment.
- An ISO certified Mercury Waste Water Separator has been installed at the end of our suction lines. Thus the most minimal amount of mercury from our dental office is dumped into the sewer lines.
- We launder all of our scrubs on site to decrease any possible cross contamination with the environment.
The Role of Vitamin C Before, During and After Mercury Amalgam Removal
“…evidence implies that vitamin C plays a role in the neutralization of toxins. Calabrese (1985) published a significant partial list of toxins that lowered vitamin C levels and whose toxicity or cancer-causing effects were modified by vitamin C….Calabrese listed the following:Some chlorinated hydrocarbon insecticides and organophosphate insecticides.
“…evidence implies that vitamin C plays a role in the neutralization of toxins. Calabrese (1985) published a significant partial list of toxins that lowered vitamin C levels and whose toxicity or cancer-causing effects were modified by vitamin C….Calabrese listed the following:
- Toxic elements: arsenic, cadmium, chromium, cobalt, copper, cyanide, fluoride, lead, mercury, selenium, silica, tellurium.
- Industrial hydrocarbons: benzanthrone, benzene, chloroform, glycerol, hydrazine, polychlorinated biphenyla, trinitrotoluene (TNT), and vinyl chloride……”. (Levy, T.,” Vitamin C, Infectious Diseases, and toxins: Curing the Incurable” Xlibris corp., 2002, pg.215.)
“….depletion of vitamin C levels in the face of toxicity indicates that toxins are being neutralized as a result of vitamin C’s metabolic breakdown in the body. A given chemical toxin can make the body’s ability to cope with other challenges all the more difficult by lowering the vitamin C level in the course of its detoxification….a large amount of evidence exists to indicate that the toxin-induced lowering of vitamin C levels actually indicates that available vitamin C is working to neutralize as much toxin as possible. The depleted vitamin C status of the body merits prompt supplementation for no reason other than the fact that it is depleted, reliably weakening the immune system and potentially exposing the body to other medical problems….”. (Levy, T.,” Vitamin C, Infectious Diseases, and toxins: Curing the Incurable”,Xlibris corp., 2002, pg.216.)
There have been hundreds of studies focused on the adaptations that animals and plants make in the production of vitamin C under stress; drugs, pollutants, psychological, etc…Generally, increased stress caused correspondingly increased internal production of vitamin C. (Conney, A., G. Bray, C. Evans, and J. Burns. (1961) Metabolic interactions between L-ascorbic acid and drugs. Annals of the New York Academy of Sciences, 92(1):115-126. & Longenecker, H., R. Musulin, R. Tully, and C. King. (1939) An acceleration of vitamin C synthesis and excretion by feeding known organic compounds to rats. The Journal of Biological Chemistry, 129:445-453. & Longenecker, H., H. Fricke, and C. King. (1940) The effect of organic compounds upon vitamin C synthesis in the rat. The Journal of Biological Chemistry, 135:492-510.)
Some toxins that vitamin C has affects in lessening their affect upon the body are: alcohol (ethanol), barbiturates, acetaminophen, certain molds, amphetamine, cyanides, cyclosporine (used to suppress organ rejection in organ transplant recipients), morphine, nicotine, nitrates/nitrites, PCBs (polychlorinated biphenyl compounds), tetracycline, mushroom poisoning, pesticides, radiation, strychnine and tetanus toxin poisonings, toxic elements (mercury, etc.), and certain venoms (spider, snake, etc.) to name a few. (Levy, T.,” Vitamin C, Infectious Diseases, and toxins: Curing the Incurable”, Xlibris corp., 2002, pg.218-317).
“…Although vitamin C is an incredibly effective single therapy for many infectious diseases, there are virtually no medical treatments for any infectious disease that are not substantially improved by the addition of vitamin C. The only absolute requirements are that vitamin C be given,
- in the right form,
- with the proper technique,
- in frequent enough doses,
- in high enough doses,
- along with certain additional agents, and
- for a long-enough period of time….”. (Levy, T.,” Vitamin C, Infectious Diseases, and toxins: Curing the Incurable”,Xlibris corp., 2002, pg.21.)