Mortiboys Dental Spa | Surrey Dentist

Priority Order for Amalgam Removal

• Root canal-treated teeth with pins or screw-posts of non-precious metals and metal crowns with amalgam cores should be treated first.
• Next are amalgams in direct constant contact with gold. Often the amalgam can be removed while the gold inlays, the crown or the bridge, can be left. What to do with the gold can be decided later.
• Where there is direct intermittent biting contact between amalgam and gold in opposing teeth.
• Where there is direct contact between amalgam and other metals like partial chromium-cobalt dentures.
• Most patients have several different types of amalgam fillings, and the ones containing the newer types of amalgam high in copper (non-gamma-2 amalgam) should be removed first. The priority order between different filings can be based on the patient’s own opinions or visible signs of corrosion and discoloration.
• Amalgam fillings in contact with gum tissue. It might be necessary to remove metal-impregnated gum tissue surgically.

Protection of the patient during amalgam removal

The surgery should have good ventilation and an efficient filtration system. Where possible, rubber dam should be used in conjunction with efficient high-volume evacuation to protect the patient from the aerosol of water-coolant spray used with the high-speed cutting. When drilling, the filling should be sectioned into chunks and elevated where possible. If any metal has been used as a restorative material, then all amalgams should be removed first. Patients should wear clothes covering as much skin as possible.

For sensitive patients, when drilling out amalgam cover the eyes with wrap-around goggles and use a Relative Analgesia nosepiece with tubing attached to extend out of operating area to protect against nose inhalation of mercury vapour. Some practitioners use oxygen flow.

Scheduling of appointments depends very much on the reaction of the patient after the first treatment. Patients should be monitored and supplementation varied as necessary.

 

 

Post-treatment protocols

Removal of body mercury after removal of fillings is crucial, but often neglected. A reservoir of mercury has accumulated in the body over the years and needs to be flushed out. Methods depend on presenting symptoms, vitamin and mineral supplements such as vitamins A, C, E, B12, folic acid, selenium, zinc, manganese, magnesium, amino acids, glutathione peroxidase, reduced gluthathione, glutathione complex and glutamine, digestive enzymes, essential fatty acids and acidopholous.

Warm baths, low-heat saunas, acupuncture, massage, counselling and healing have all proved useful. Any remaining Candida, food allergies and digestive disorders usually become more amenable to treatment.

Most patients who do not feel better retain hardened faecal matter containing trapped particles of mercury/amalgam and other combination of corroded metals. Treat with high-fibre diets, added fibre, food-combining techniques where appropriate (Hay diet) and possible colonic irrigation. Green food supplements such as spirolina, chlorella, blue green algae and chlorophyll are rich in vitamins and minerals and bind to heavy metals, but provided that digestion and absorption are sound, the best source of nutrients is a good diet. Exercise and reduction of stress play their part in restoration of health.

For testing and health advice we recommend you see Dr. Shideh Pouria MB BS BSc MRCP (UK) PhD CMT at the Burghwood Clinic (34 Brighton Road [A217], Banstead, Surrey SM7 1BS). Visit their website http://www.burghwoodclinic.co.uk/ or call/email them on 01737 361177/ info@burghwoodclinic.co.uk for further information.