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We follow the suggested guidelines provided by the IAOMT:
- Cut and chunk
the amalgam (Mercury) filling and keep it cool. Sectioning and removing
large chunks greatly reduces the exposure Constant water spray while
cutting will keep the temperature down and reduce vapor pressure within
the mercury.
- Suction. Accomplished with high volume evacuation (HVE)
close to the area of operation.
- Rubber Dam. The rubber dam will help
contain the majority of the debris of amalgam grinding and can help
with the reduction of mercury vapors absorbed.
- Cover the Skin. Covering
the patients face with a barrier will prevent splattered amalgam particles
from landing on the skin or the eyes.
- Supplemental Air. Positive pressure
oxygen respiration device to ensure that the patient does not have
to breathe air directly over the mouth during amalgam removal is used.
- Supplemental Evacuation. Simply moving air away from the operative field can be effective in the reducing mercury exposure. The patient will hold the vacuum hose under their chin as the amalgam fillings are removed and will thus help in reducing the mercury vapor.

