The Safe Mercury Amalgam Removal Technique (SMART)
The process of drilling silver fillings in an effort to remove them releases large amounts of vapor that could potentially endanger the life of the patient, the dentist, the medical team, and the fetus of anyone present. That’s why we at BioDental adhere to a very strict protocol that prescribes guidelines for the safe removal of amalgam fillings—a set of precautions, developed after much research.
As your dental health professionals, we want you to be confident that we are following all safety measures for patient protection, including using:
- Full head/neck/face/body barrier
- Nasal masks that delivers external air
- Non-latex nitrile dental dams
- Charcoal, chlorella, or similar absorbent
- Saliva ejectors
- Oral aerosol vacuums
- High speed evacuation devices
- Instructions for the removal of amalgam in large chunks
The IAOMT offers a set of protocol recommendations for the removal of mercury fillings. Those recommendations are known as the Safe Mercury Amalgam Removal Technique (SMART). The detailed protective measures involved in the SMART procedure include:
- Protective gowns and covers for the patient, dentist, and all staff present in the room
- Eye protection
- A dental dam in the patient’s mouth
- Respiratory-grade masks designed to capture mercury particles and vapors to be worn by dental personnel
- Special removal tools and techniques used by the dentist
- Clean up suction devices
- Saliva ejector to remove potentially contaminated saliva from the patient’s mouth
- The use of amalgam separators to capture mercury particles and reduce the amount of mercury that enter the sewage system
- Filtration systems designed to remove mercury vapor and particles released during the removal of the fillings’
- Charcoal supplements and/or chlorella rinse given to the patient to help bind and prevent mercury absorption
- Open windows in the room if possible to help reduce the mercury concentration in the air
These and other protective measures recommended by the IAOMT aim to protect the patient, the dental staff, and the environment from the dangers of mercury exposure.
Dentist and Dental Staff Protection
We also adhere strictly to all safety measures put in place to protect the dentist and dental staff. You can expect to find Dr. Trejo and his assistants wearing protective gowns and covers as well as non-latex nitrile gloves, face shields, and head/hair coverings. We use sealed, respiratory-grade masks to capture mercury and provide oxygen to the patient.
In addition to making every effort to protect our patient, dentist and his assistants from the dangerous toxins of mercury, we guarantee our office is safe as well, by opening windows and complying with all regulations pertaining to proper handling, cleaning, and disposal of mercury-contaminated items.
Dr. Trejo has completed all necessary coursework related to mercury and the removal of silver fillings. We want you to be confident, knowing that we are a team of highly trained and skilled clinicians. To give you the best possible service and results, we are committed to continual education and learning, enrolling in accreditation program annually to maintain his certification and stay up to date on all safety measures.