It is critical to protect the dental team and the patients.
Become Informed – it may save your life.

  Copyright Robert Gammal 2021  amalgam fillings

The following quote comes from a risk assessment commissioned by the National Health & Medical Research Council of Australia (NHMRC), as part of a series of recommendations put forward by a working party, which was set up in 1998, to assess the literature about the dangers of mercury from dental amalgam:

“Amalgam removal has been shown to be effective in reducing mercury levels to the levels of those in people without amalgam fillings. Chelation treatment has also reduced levels in the short-term…”

“… in one case report, amalgam removal has reduced a very high urine mercury level to a normal level. This change was accompanied by a decline in symptoms…”

Why a Protocol

You might well wonder why there is a protocol for the simple mechanical job of removing an amalgam filling which after all is dentistry 101 for any dentist. Every dentist is taught to pick up a drill and start cutting into an amalgam filling. Very often a dentist will use their drill to cut back an amalgam filling when preparing a tooth for a crown. I know because I used to do this in my early years. The levels of mercury vapour created by doing this will immediately create mercury vapour levels that make EPA and OSHA standards look like a joke. The purpose for the protocols which follow is to minimize this vapour level and protect the patient, dentist and dental staff. After all, the reason you want your amalgams out is to reduce your body burden of mercury. You really don’t want to be poisoned further by the process.

From the IAOMT Protocols

www.iaomt.com

The manner in which dentists operate their equipment dramatically affects the amount of mercury released.

Never drill on mercury high dry. It is hazardous to you, your staff, and your patient.

Levels as high as 4000 mcg/M3 have been measured 18″ from the drill when used high dry.

Levels over 1000 mcg/M3 are measurable upon opening an amalgam mixing capsule.

One out of 7 California dental offices tested over the OSHA TWA of 50 mcg/M3 .

100% of the vacuum cleaner exhaust tested over 100 mcg/M3 .


Mercury- What To Do About It?

corroded amalgam   Copyright Robert Gammal 2021
  • Never go into a dental surgery where amalgam is used.
  • Never allow any mad hatter to place this poison in your body.
  • Have all of your mercury amalgams replaced – safely.
  • Detoxify your body.

Putting it in Perspective

many amalgams    Copyright Robert Gammal 2021

It’s important to understand that removing amalgam from your mouth is NOT the same as removing mercury from your body.  It is merely turning off the taps and removing the major source of mercury to your body. 

After the amalgams have been removed, it is possible to begin the detoxification to remove the mercury from your body.  It is almost impossible to significantly reduce the body burden of mercury, without first removing the major source of mercury into your body.

There is a great deal of research showing that removing amalgam fillings will reduce the body burden of mercury to levels found in people without amalgam fillings. This is only the first step in allowing the body to heal.

Treatment Planning

I made a long appointment for the first consultation.  Detailed medical histories should be taken and time should be available for the dentist and patient to get to know each other.  To make life easier for the patient and myself, I would send every new patient a Medical History Form and an information brochure. Most were well informed before that first appointment.

Understanding the direction you need to take is important for both patient and dentist alike.  Each person has different health issues and thus different needs.  At the end of the first appointment, you should come out with an itemized quote, a specific treatment plan that you understand, and a clear outline of the number of appointments necessary.  You should also have a clear idea about what supplements you may need to take to detoxify your body.  I always recommend that patients come in with a panoramic x-ray of their mouths and / or any x-rays that their previous dentist has taken.  I prefer to minimize radiation exposure but at least one panoramic should suffice to get started. 

One considerations is the cost of treatment.  Most often it is less than people think.  There is no harm in going shopping to check the prices.  After all you are the consumer.  I would suggest though that the price is part of the overall picture – not the only consideration. 

There are many ideas about how quickly the amalgam should be removed.  Some have great success doing it all at once.  Other people need to go much slower.  I strongly suggest you listen to your own instincts before the final decision.  There is also no point in embarking on a treatment plan which will send you broke.  You may have to go at a pace which still allows you to afford to eat.  Minimize stress!

Beware of treatment plans which replace amalgam with another metal such as gold alloy.  Unless all the amalgam is removed at once you will end up with a mixture of metal and amalgam in your mouth at the same time, which will greatly increase in the amount of mercury coming out of all of the remaining fillings.  There are now very few situations where metal need be used at all.  I have practiced metal-free dentistry for many years.

I don’t believe that we need to use metal in the mouth except for very particular crown and bridge work situations and these can now usually be done with porcelain.  All fillings can be replaced with composite resins or porcelain.  They are the least toxic of all materials.  Yes, they do wear down faster, but this is usually no big problem as they can be patched up quite successfully.  If a filling is so big that it will break down quickly under load, you may need to cover the tooth with a crown to hold it together.  I usually suggest that the patient wait about 6 – 12 months before doing the crown though.  It is extremely rare that a correctly placed composite resin filling will break down in this time.  When teeth are heavily filled there is a greater chance that the tooth may die.  I would not want to spend lots of money on a crown and then take the tooth out a few months later.  Waiting a year or so will at least give you some indication if the tooth will survive.  I would therefore also beware of treatment plans which include immediate crowns, unless of course the procedure involves replacing an old crown.  Of course, there are many other considerations when deciding to fill a tooth and with what, so please understand that this is only a rough guide. 

The only circumstance in which I would consider it important to go straight to a new crown, is if you remove an old one to get the amalgam out from under it.  Dentistry chooses to ignore the warnings from the amalgam manufacturers and still teaches that amalgam is the best material to use under a crown.  It is important to ensure that no amalgam should remain in the body and thus old crowns should be removed and the amalgam under them replaced.  Usually, the crown is damaged in this process and will need to be replaced.  Most often this can be done with porcelain rather than gold and porcelain.  The new porcelains that are available would challenge the metal crowns in strength and certainly in appearance.  It is imperative to remove amalgam from under crowns, so ensure that this is clearly discussed and quoted.

Appointment Scheduling

  Copyright Robert Gammal 2021

To gain maximum benefit, I found that amalgam removal is best completed in a four to six week period. The appointments must be organized in such a way as to avoid the 7th, 14th and 21st days after the previous appointment. The reason is that when amalgam is removed, some mercury will vaporize. Although the protocols are designed to minimize this exposure, the absorbed mercury will still act as an immune challenge. Oddly enough, the immune function is reduced on the 7th, 14th, and 21st days after a challenge. It is therefore unwise to repeat the same challenge on these days, as it will increase the chance of illness. I.e. if your first appointment is on a Monday, you should not repeat a Monday appointment for at least four weeks. Note that this information regarding the 7 day cycle, comes from Dr Hal Huggins. I don’t have any scientific reference for this statement – just years of practical experience. Note also that the same may apply for timing of vaccinations, which also create an immune challenge.

Sequential Amalgam Removal

I highly recommend reading a short paper by Bernard Windham Ed. called “Oral galvanism and Electromagnetic Fields (EMF): factors along with mercury’s high volatility and extreme toxicity in significant exposure levels and oral effects from amalgam fillings.” This excellent paper outlines almost all of the concerns and is fully referenced. Here

Rita Meter    Copyright Robert Gammal 2021

All amalgam fillings carry some electrical charge. This is readable in both micro-volts and micro-amps. It is of great importance that the amalgam be removed in the correct sequence, determined by the electrical current passing through the fillings. Those amalgams with the highest negative current must be removed first, followed in sequence to removing the fillings with the lowest positive current last. The charges are recorded at each appointment. For people in reasonably good health, it is acceptable to remove the fillings from a whole quadrant with the highest negative current. For those who are severely ill, it is important to remove the fillings one at a time, in strict electrical sequence. Again, Note that this information comes from Dr Hal Huggins. There is no scientific reference for this statement, although it is based on clinical observation of thousands of patients.

TO DENTISTS: The Rita Meter shown above is still available. To purchase it, contact Dr Blanche Grube https://hgdcoffice.com/ in the USA. There are instructions and protocol included. I consider this as Basic Essential Equipment if you are removing amalgam or any metals in the mouth.

In this short video Dr Huggins describes the electrical effects.

This video is unique, historical and critical to understand what it means to have an electric mouth. Dr Huggins is the world leader in this area of dentistry. Note that Dr Huggins’ comments comparing gold crowns to non-metallic crowns was from a time when porcelain crowns were in their infancy. The current porcelain crowns have as good a fit as did the older gold crowns.

Remove all amalgam

ALL amalgam must be removed if you wish to eliminate your mercury exposure.  Thus, all specs must be removed from the teeth and under crowns.  All amalgam should be removed from the bone of your jaw.  You would be horrified to see the sloppy dentistry that came through my door.  We often found bits of amalgam in the gum, forced down into the bone next to the tooth, dropped into the bony socket after an extraction and believe it or not at the end of a root. 

All dental nurses should be trained to keep an eye on what is happening, as it is easy for a dentist to miss a small spec in a tooth.  It is always better to have four eyes rather than two making sure this is achieved.

  Copyright Robert Gammal 2021
  Copyright Robert Gammal 2021

In the image at left there is a small piece of amalgam that was left between the gum and the bone when the teeth were extracted. The partial denture that sat above it, would push on this area every time the patient closed her mouth. It acted as a source of mercury, but also as a Neural Interference, which caused deafness in her left ear, immobility in her neck and extreme pain all over the left side of her face. It was a simple surgical procedure that only took ten minutes to remove this amalgam and clean up the bone. All symptoms disappeared immediately and did not return.

The placement of amalgam at the end of a root is called a ‘retrograde amalgam root filling’.  In an attempt to fix a recalcitrant abscess at the end of a root canal, the dentist may do a surgical procedure called an Apicectomy to clean the abscess out of the bone and then seals the end of the root with an amalgam filling.  This is equivalent to implanting mercury directly into the brain. This is common practice in dentistry even though the manufacturers recommend against it. Again dentistry ignores the contraindications which are clearly spelt out.  In this situation the tooth and the amalgam both need to be removed. The bone around the amalgam also needs to be cleaned of all amalgam particles. The image at right shows bits of amalgam spread widely around the jaw. This is a particularly sloppy job but sadly not uncommon. All of this amalgam was removed.

  Copyright Robert Gammal 2021
  Copyright Robert Gammal 2021

Amalgam Tattoos – these are caused by migration of metal ions from the amalgam filling and deposited in the soft tissue. This migration and localization into the one area is caused by electrical currents, that focus the deposits of metal ions. They form a tattoo in the gum. They also must be removed, and the bone below it cleaned and debrided back to healthy bone. This is usually a very simple procedure, but absolutely essential.

While on the subject of tattoos, you may be concerned to know that the inks used are usually NOT regulated in any countries. Many RED inks are that colour because they are made with MERCURY! Best not to have RED in your next tat.

The image is Courtesy from a great patient.

  Copyright Robert Gammal 2021

It is vital that all amalgam be removed from the teeth, under crowns and from the bone and soft tissues.  Ensure that your dentist is aware of this. Amalgam is still advocated by universities as the strongest restoration to support a crown. It isn’t. The quote should include the cost of replacing crowns that will be removed.

  Copyright Robert Gammal 2021

Amalgam is mechanically locked into the tooth with undercuts that are created when preparing the cavity. They are NOT bonded to the tooth as composites are.  When large amalgams were to be placed, they had to be supported with the equivalent of reinforced concrete.  The way this was done was to insert self-tapping screws, called PINS, into the tooth and then to wrap the filling around them.  This is common with amalgam fillings.  Over the past 17 years of doing cleaner, NON-amalgam dentistry I can only remember one tooth where I thought that the use of a pin might be appropriate.  That’s one out of thousands.  I did not use pins or posts to support the fillings.  Composites are bonded to a tooth and in fact make the tooth stronger.  There is no need to add extra hardware.  Be aware that many pins are either titanium or stainless steel.  Stainless steel releases nickel which is highly immune reactive.  The pins themselves create electrical interferences that may have dramatic effects on your health, aside from weakening the tooth structure. All pins should be removed when the amalgam is taken out. Again, this is usually a simple job. Because the pins are threaded, and the drill bit rotates in the opposite direction to the thread, all that is needed is to hold the bur parallel to, and against the pin to unscrew it. Simple.

Quite simply, if the dentist insists that pins are to be used, you might want to find a dentist who knows how to use composite correctly.  Also make sure that the dentist will remove all old pins that are in the tooth.  

  Copyright Robert Gammal 2021

Although I have not mentioned removing dead root treated teeth, Cavitations, TMJ or dentures, you should be looking at all of these aspects of your oral health as part of the treatment plan.  I see no point in replacing the amalgam in a dead tooth which would be better off extracted and out of your head.  If you do NOT want to have the extraction for whatever reason, than you would of course replace the amalgam.  You are after all doing this to improve your overall health, so a comprehensive treatment plan is essential. 

Cracks and Fractures

As mentioned above, amalgam is locked in mechanically, into a cavity prepared with undercuts in the side of the dentine and enamel. See Mechanically, Amalgam is the Worst Filling Material. This weakens the tooth structure dramatically. Over time, the amalgam filling will also expand. The net effect is to crack the tooth. Sometimes it will just be one or two cusps that are cracked, but still locked in with the amalgam. This is a common cause of pain and discomfort when biting on such a tooth. When the amalgam is removed, it’s not uncommon for these cracked cusps to go flying. This is not the result of careless drilling. It is the result of using a very poor material in the first place. Usually this just means that the filling is going to be larger and possibly a little more expensive.

  Copyright Robert Gammal 2021

Occasionally the amalgam is removed, only to disclose that the whole tooth has cracked through the roots. It is impossible to see such a crack on an x-ray prior to removing the amalgam, and no way of predicting that such a crack exists. Again not the fault of the removal. It was caused by the amalgam expanding in a weakened tooth. Unfortunately, there is nothing to be done, but to extract such a tooth. There is NO way of restoring this disaster.

Ask the professor that teaches the use of amalgam, and they will blame it on the shonky workmanship of the dentist. Never on the amalgam!

One of the reasons that amalgam is thought to be an easier material to use than composite, is that it can be packed into the cavity even when saliva is on it! The teachers forgot to read the manufacturer’s warnings!

From the MSDS for Dispersalloy;

“dispersalloy® contains zinc; the amalgam made therefrom may show excessive expansion if moisture is introduced during mixing, condensing and compacting.”

by the way – IMPLANTS are NOT a good way to replace a tooth!

Rubber Dam

  Copyright Robert Gammal 2021

The most basic protection that should be used whenever amalgam is removed, is a sheet of rubber called a rubber dam.  If you have a latex allergy, it is possible to use non-latex dams and gloves. It is important to let your dentist know about it.  I liken it to a condom for teeth.  Yes, you are about to have intimate contact with your teeth but rather than any STD’s you need to be protected from the rubbish being drilled out of your teeth.  A rubber dam forms the first physical barrier to inhaling vast quantities of microscopic amalgam particles and mercury vapour.  (see Here). Holes are punched in a sheet of rubber, so that the only teeth that protrude through the sheet, are the teeth to be worked on and also those used to stabilize the dam.  The sheet is held in place on a frame and special clamps. 

For all those who are claustrophobic or worry about breathing, I assure you that there is never a problem if the dam is properly placed.  Most people are pleasantly surprised at the resulting cleanliness and at the lack of toxic waste remaining in their mouths.  It may not be possible to completely seal the mouth, but most of the time you can achieve about a 99.9% seal.  There is a dramatic reduction in mercury vapour exposure when a rubber dam is used.  Interestingly, most of the research supporting this is from the dental journals themselves.  Microscopic particles are not inhaled.  It is safer and cleaner way to do it. If the dentist is not using a rubber dam, do not allow them near your mouth. Very occasionally there will be a filling at the gum line at the back of a back tooth. It is impossible to use a dam in this situation. There are other scavenging apparatus used by some dentists instead of using a dam. Most often it is because the dentist is incompetent or just plain lazy. None of them work as well as a rubber dam.

  Copyright Robert Gammal 2021

“The study showed that dental amalgam had a statistically significant impact on the mercury levels found in plasma and urine in the patients tested, and that the use of a rubber dam during removal of all amalgam restorations significantly reduced the peak of mercury in plasma following removal.”

Berglund A, Molin M Department of Dental Materials Science, Umea University, Sweden. Dent Mater 1997 Sep;13(5):297-304:

To the DentistsAs soon as the amalgam is removed

Gently wash down the dam with water only. Do not use air and water as this will spread the mess throughout the room. Have a suction tip in there, (two are preferable) to suck away the water and the mess. Make sure that the dam and teeth are as clean as possible. Remove the dam carefully to avoid any bits going into the patient’s mouth. Dispose of this dam in the toxic waste section of your surgery.

Then, (this is really important,) have the patient sit up and rinse. Forget those little spearmint tabs that everyone loves to use to look clean and caring. Take some real care, and add a few drops of Selenium to the water that you give to the patient to rinse with. Selenium binds quickly and strongly to mercury and will help clean up the mouth very efficiently. Let the patient take the time to swish with the whole cup full. After this, provide a new cup and perhaps then you can flavour it with what ever you wish. Some of my patients demanded whisky as the preferred flavouring.

 

Separate Air Supply

To prevent inhaling the cloud of mercury vapour that you will be sitting in, a separate air supply is necessary.  Provide special respiratory masks for the patient, dentist and nurse.  High volume air is blown over the face to prevent the inhalation of mercury vapour.  The air should be clean, sterile and not from the surgery.  Medical gasses, which are just sterile compressed air, are the ideal.  It is important to have a high enough volume that there is a wind blowing across your face. 

Dedicated Mercury Vapour Masks are ideal. They are not expensive, and the filters can be changed. Dentist and nurse should have their own and not be swapped. Write each person’s name on the mask.

If the dentist and nurse do NOT have this equipment, you might wonder about how seriously they are taking the danger that they are exposed to.

I Cannot stress enough how important this part is. Everyone needs full shielding from the mercury vapour and the micro and macroscopic particles that are produced when drilling out an old amalgam. The levels are massive.

TO DENTISTS: Paper Masks are useless. In fact, they are actually dangerous during this phase of the removal. Mercury vapour passes through a paper mask as though it isn’t there. Particulate matter will adhere to the outside of the mask. After about a minute the mask is completely splattered. The temperature of the breath will vaporize the mercury from this particulate matter, and in less than a minute, the mercury vapour levels will be higher inside the mask than in the room. Viral and most bacterial particles will also pass easily, through a paper mask. If you are one of those dentists who wears the mask all day and insists that the nurse do the same, I’d suggest you charge each patient an extra dollar and change that mask every time you finish doing any drilling. Certainly, between patients. NEVER wear a mask all day. It’s deadly!

High powered suction must be used &

vented to the outside of the building

Suction

  Copyright Robert Gammal 2021

Little saliva ejectors are not sufficient.

The dentist needs to use high volume suction to suck away as much mercury vapour and particles as possible.  I often had two high powered suction tips either side of the tooth when I was drilling. Get rid of as much as possible.

The suction must be vented to the outside of the building.  Many surgeries still have suction motors which vent into the premises.  Thus, all the mercury vapour being sucked out of the mouth will be spread throughout the premises. This will convert your beautiful healing space into a Fume Cupboard.  Everyone including the Dentist, nurses and reception staff as well as the patients will be poisoned in this situation. Patients should ask their dentist if this is the setup in the surgery. Do not enter a surgery where the suction is not vented to the outside of the building.

Drilling the filling

  Copyright Robert Gammal 2021

Water cooling is essential when cutting amalgam. As mentioned earlier there are some dentists who take ages to remove a filling.  Aside from extended suffering for the patient, it is a disaster in terms of mercury vapour production.  The longer the drill bit touches the filling, the more mercury will be released.  Do not use diamond burs to cut amalgam. They are too slow and generate too much heat.

  Copyright Robert Gammal 2021

Ensure that the dentist uses drill bits which shatter rather than grind the amalgam.  This way, large chunks of amalgam are cut from the tooth, and this can be achieved very quickly.  Do not be surprised if you feel a little vibration in your tooth, as these drill bits are fairly tough.  A new bur should be used at each appointment and if there is a large amount of material to be removed, the dentist may need to use two or more new burs.  Although these drill bits are very efficient at removing amalgam, they do go blunt fairly quickly and should be discarded as soon as this happens.  I think the most time I have ever spent drilling out a quadrant of amalgams (4 – 6 fillings), is about five minutes for all of them. 

To the Patient – Even if you are wearing protective glasses make sure that you keep your eyes closed during this part of the procedure, as it is easy for bits of amalgam to fly under the protective glasses and get in the eye. This happens with remarkable regularity.

Water

Increasing the temperature of amalgam, will increase the amount of mercury coming from the amalgam.  The best way to keep the filling cool, is to use copious amounts of water during the drilling process.  Water from the drill is basic.  Extra water should also be sprayed (without air) through the hand or triplex syringe.  The more water the better. Train the nurse to always keep the rubber dam and the whole area as clean as possible. NO AIR SPRAY.

Negative Ion Generators

Negative Ion Generators and air filters should be fitted in all surgeries.  They have a profound effect in keeping the air clean. Again, the more and the stronger, the better.  If the windows can be opened, with a good cross ventilation, all the better. For a surgery in the country, nature may provide all that is needed.  Clean air is essential.

Mobile suction units are now available, that have a large duct that can hang over the whole operating area, near the mouth of the patient. Ensure that they have filters which do capture the mercury vapour.

Filling the Tooth

The replacement fillings are another important consideration. They are NOT all the same, and there are hundreds on the market.  Some form of bio-compatibility testing should be done to assess which materials are suitable for your body.  This testing can be done relatively easily and should include all filling materials which may be used, local anaesthetics, denture materials and in fact anything which is to be implanted into the body.

  Copyright Robert Gammal 2021

To my knowledge there are no standard pathology laboratories in Australia offering this service.  A method less accepted by the dental establishment, but which nonetheless works well, is known as electrodermal screening.  Various machines are available on the market which are able to do this, such as Vega, Orion, Avitar and many others.  It is important also to have an operator who is trained to be able to test a large variety of dental materials. Preferably one who is working closely with the dentist. Another method to test materials comes from kinesiology. It is called ‘Muscle Testing’ and does require the tester to have some degree of sensitivity.

For patients who already have multiple allergies I regard this as the first step only.  Once I have a list of potentially suitable materials, I will give samples of the material to the patient to take home.  It is worth trying to keep one sample at a time in the mouth for about ten minutes a day, to see if there is an adverse reaction.  Note the materials which may be suitable and those which have caused a reaction.  You certainly do not want those that produce adverse effects, implanted in your body.

More sophisticated compatibility testing is desperately needed but dentistry does not seem interested to include this in its funding or research programs. What else would you expect though, from an industry that considers mercury safe? 

A special mention should be made here about crown and bridge work alloys.  There are over 100 alloys on the market with which to make crowns and bridges.   A few are gold and platinum only.  These are generally the least immune reactive.  Many alloys also contain palladium, which is known to be almost as immune reactive as nickel.  Then there are a huge variety of non-precious alloys. They all look and function the same, but many may potentially have a terrible effect on your immune system.  If for some reason the only material that can be used is a metal crown, (and there are technical reasons why this may be better than porcelain), insist that only gold/platinum alloys are used.  Note also that even gold can be immune reactive and create a series of reactions which may cause overt auto immune diseases. (www.melisa.org)

Shower after appointment

After you have had the amalgam fillings drilled out, it’s a good idea to shower when you get home.  Wash your hair to remove amalgam micro particles.  You really do not want this stuff on your pillow, vaporizing mercury while you sleep on it.  Wash your clothes separately so as to not contaminate the rest of the family.

All dental personnel should also protect their families and themselves.  Always wash the clothing that you wear in the surgery, separately from all other items.  Always shower and wash your hair after the day’s work.  Always remain on the supplements recommended for the patients.  Never ever use amalgam. Better alternatives are available.

A Very Hidden Source of Mercury

It is timely to mention one other most overlooked source of mercury.  It is from the amalgam which remains in your partner’s mouth. Kissing the person who you love is wonderful, unless your lover has a mouthful of amalgam.  I have had many patients where this is a major problem.  Perhaps you could suggest that your partner also benefit from having their amalgams replaced. A Kiss may not be just a Kiss!

Every dose of mercury, from whatever source, is still a dose of mercury. 

Check the page Here for other sources of mercury you may be exposed to – including medications, contact lens solutions and nasal sprays.

Supplements

The recommendations above will reduce the mercury exposure significantly while removing amalgam.  They do not eliminate it though.  You will still be exposed to a transient increase in mercury vapour, albeit substantially less than not taking the above precautions.  You therefore need to have an adequate supply of substances in your blood, which will bind this mercury and help to excrete it, before it locks onto your cells.  Mercury only stays in the blood for 12 – 24 hours after exposure.  After this it is locked onto the cells.

Removing amalgam does not remove mercury from your body.  It removes the greatest source of mercury from your body.  Until the source is removed it is impossible to remove the mercury.  It is regarded as a cumulative toxin, therefore you will always absorb more from the fillings than you will be able to excrete.  Removing the amalgam is like turning the taps off.  You still need to empty the bathtub. The first step of course is to turn of the taps.  Getting the mercury out of your body is supported by using specific supplements, which have been shown to bind to mercury in a way, that allows the body to excrete them. 

Some patients believe that removing the amalgam is enough to solve all of their health issues.  This is generally not so.  Emptying the bathtub is crucial.  If there is permanent damage in the tissues, there may not be a resolution of the disease state.  Other medical support may also be needed.  As well, other dental causes of the disease may exist.  These are usually, but not always, a dead root therapied tooth, a NICO lesion or a TMJ problem.  Often there will be a combination of these issues and they must all be addressed.  Neural interferences are common in the mouth.

Contrary to what the dental establishment claim, urine is not the best way of measuring body burdens of mercury.  Faeces is.  The reason is that most mercury is excreted via the faeces.  The main organ that filters mercury is not the kidneys but the liver.  From the liver the mercury is expelled into the gall bladder and then into the small intestine.  Unfortunately, this is NOT a direct route to the toilet.  Much of the mercury is reabsorbed through the lining of the large intestine and from here re circulates and retoxifies.  You therefore also need specific supplements in the gut, which will bind the mercury so that it can be excreted.  One of the best supplements able to do this, and act as an organic sponge for heavy metals, is a blue-green algae called Chlorella.

You will also need supplements which will chelate mercury off the cells and into the blood, so that it can be filtered out.  Many substances do this including chlorella, glutathione, garlic and selenium. 

It is advisable to include in the supplement regime, constituents which will help the recovery of damaged tissue.

A very basic list of supplements is presented below.  I intentionally leave out the dosages, as this needs to be determined on an individual basis.  I also intentionally leave out the particular brand names, as different products are available in different countries.  I am also intentionally being more general than specific at this point, as I am fully aware that this subject of detoxification is constantly changing, as new research is presented.  It will be up to the individual to try and determine which works best for you.  I would strongly recommend a few web sites, which present various ideas and products. Become familiar with the concepts and be open to new ideas.  Join some amalgam chat rooms on the web and see what has worked for others.

The sites I would recommend starting at;

You might also try searching any search engine on ‘amalgam removal’  – you will be surprised at the number of sites saying the same thing.

A basic list of supplements:

  • Vitamin C
  • Vitamin B with folic acid
  • Selenium
  • Mineral supplements
  • Electrolytes
  • Chlorella
  • Organic Garlic
  • Glutathione
  • Coriander

CORIANDER

It has been shown that coriander (also known as cilantro) is very effective in removing mercury from the cells.  It even assists in moving mercury out across the blood brain barrier.  One problem with this, is that it is capable of mobilizing so much mercury, that it can have a detrimental effect on the kidneys and liver.  For this reason it is recommended to start coriander/cilantro a month after the amalgam is removed completely.

There are other chelating agents which also work such as DMPS and DMSA.  These should be administered only under medical supervision.

Homeopathics

I would also add a cautionary warning about homeopathic amalgam and mercury.   The problem is that these particular homeopathics can work too well and mobilize massive amounts of mercury.  I have seen some people do well on these substances – and many who have become very sick due to the mercury overload of kidneys and liver.  If you plan to use homeopathic amalgam, make sure that the homeopath has a clear understanding of these protocols.

Conclusion

It is up to you the individual to become educated about treatments that are offered.  You do have a right to choose your dentist and to choose the treatments and materials that are offered.  There is nothing wrong with having a second consultation and asking more questions. No one owns you but you. 

Dentists generally are misguided about the dangers of mercury and thus need to be questioned.  There is only one person who has to live in your body.  Remember that it may have been many years that mercury has been accumulating in your body. Be patient with the recovery program, as it may take months to years before seeing a major benefit from the removal of the amalgam implants.  There is no doubt though, that removing the amalgam fillings, will lower your body burden of mercury. I hope that the information presented here will have been of some help in making decisions about your health.

This short video by Dr David Kenedy is a great introduction to the removal protocols. 

It highlights the need to have your amalgams removed by a dentist that knows how to do it.

The protocols below add a few details to this video.

Summary of Main Aspects;

  • Treatment Planning
  • Appointment Scheduling
  • Sequential Amalgam Removal
  • Remove ALL Amalgam
  • Remove pins
  • Under crowns
  • From the bone
  • Retrograde amalgam fillings
  • Amalgam tattoos
  • Rubber Dam
  • Separate Air Supplies and Masks
  • High Volume Suction
  • Carbide Burs
  • Water
  • Negative Ion Generators
  • Replacement Materials
  • Showering
  • Supplements

References

A.WerleyMS., Martin JS., Tansy F.   J. Pros. Dent. Feb 1990  Particulate Inhalation in Dentists

Buchwald H. Exposure of Dental Workers to Mercury. Am Ind Hyg Assoc J 1972;33:492-502

Batchu, H; Stone, M; Naleway, CA; Meyer, D. Comparison of Particle Size Distributions of Dental Wastewater Under
Various Clinical Procedures. J Dent Res. 74(SI): 149, A-#1 101, 1995.

Halbach S  Kremers L  Willruth H  Mehl A  Welzl G  Wack FX  Hickel R  Greim H   Systemic transfer of mercury from amalgam fillings before and after   cessation of emission. Environ Res (1998 May) 77(2):115-23

Kremers L  Halbach S  Willruth H     Mehl A  Welzl G  Wack FX  Hickel R Greim H   Effect of rubber dam on mercury exposure during amalgam removal. Eur J Oral Sci (1999 Jun) 107(3):202-7

Nimmo A., Werley M.S., Tansy M.F., and Martin J.S . Profile of respirable particulate produced during amalgam removal. J Dent Res. Mar 1989.

www.holisticmed.com/dental/amalgam/iaomt.txt

V.D.M.Stejskal, Dept. Of Clinical Chemistry, Karolinska Institute, Stockholm, Sweden LYMPHOCYTE IMMUNO-STIMULATION ASSAY – MELISA”  & VDM Stejskal et al, “MELISA: tool for the study of metal allergy”, Toxicology in Vitro, 8(5):991-1000, 1994.

Tibbling L, Stejskal VDM, et al, Immunolocial and brain MRI
changes in patients with suspected metal intoxication”, Int J Occup Med Toxicol 4(2):285-294,1995.

V.D.M.Stejskal et al, “Mercury-specific Lymphocytes: an indication of  mercury allergy in   man”, J. Of Clinical Immunology, 1996, Vol 16(1); 31-40.

Saito K.  Analysis of a genetic factor of metal allergy-polymorphism of HLA-DR-DO gene.  Kokubyo Gakkai Zasschi 1996; 63: 53-69; & Prochazkova J, Ivaskova E, Bartova J, Stejskal VDM.  Immunogentic findings in patients with altered tolerance to heavy metals.  Eur J Human Genet 1998; 6: 175.

Jenny Stejskal, Vera Stejskal. The role of metals in autoimmune diseases and the link to neuroendocrinology  Neuroendocrinology Letters, 20:345-358, 1999. see #218