Amalgam Removal

IAOMT Safe Amalgam Filling Removal Protocol

Dr. Kilimitzoglou and Dr. Patrie follow a holistic approach to dental treatment and focus on safer silver mercury amalgam filling removal. Care is taken to minimize our patient’s exposure to toxic dental materials including mercury exposure during amalgam filling removal. Silver-mercury amalgam fillings consist of combined metals, including silver, mercury, tin and copper; these fillings contain 50-55% mercury, one of the most toxic nonradioactive elements on earth.

Since amalgam fillings contain mercury, Dr. Kilimitzoglou and Dr. Patrie do everything possible to reduce their patient’s exposure to mercury vapor during amalgam removal. They adhere to the International Academy of Oral Medicine and Toxicology (IAOMT) protocol (also known as the Huggins protocol).

Latex-free Rubber Dam

The teeth are isolated with a Latex-free rubber dam. (It is important to make sure the dentist uses a LATEX-FREE rubber dam, as latex allow free passage of toxic mercury vapor.) An isolation suction device may also be used to contain the amalgam debris and its harmful vapor during the removal process. A nose mask attached to 100% oxygen is used to be protect the patient from inhaling mercury vapor, which is generated in high amounts during drilling. Minimizing drilling is also important. Dr. Kilimitzoglou and Dr. Patrie section the filling in large chunks therefore minimizing the pulverization (drilling) of the amalgam and thus reducing the vaporization of the mercury.

Copious amounts of water is used to cool the drill and amalgam dust thereby reducing mercury vapor. The high-speed suction is placed next to the filling to remove the water, amalgam particles, mercury and the suction off the mercury vapor. A 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 may go under 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 precautions recommended to counter this problem.

Following the procedure the mouth is rinsed with copious amounts of cool water and all amalgam dust and particles are suctioned out. Every patient wears tinted eye protection for their safety. Each treatment room is equipped with an independent HEPA air filtration system that also has an ionizer to remove the mercury and other heavy metals that have escaped into the room and bacteria killing UV system. Each patient is covered with a full torso drape to minimize the mercury contamination on their clothes. To keep our environment safe, we have an ISO certified Mercury Waste Water Separator to keep mercury from our dental office water lines from being dumped into the sewer system.

Following the visit, patients are given various supplements to bind any mercury that may have possible snuck by the many precautions and defenses of the IOAMT Safer Amalgam Removal Protocol.

Dr. Kilimitzoglou and Dr. Patrie use Bisphenol A-free tooth colored filling materials, placed biomimetically to ensure long lasting and safe tooth restoration.