Make sure that you carefully read the IAOMT’s Safe Mercury Amalgam Removal Technique (SMART) protocol recommendations and complete the course required for SMART certification before purchasing equipment.

The following lists contain purchase information for the equipment needed to successfully perform IAOMT’s Safe Mercury Amalgam Removal Technique (SMART). Please note that new research and updated testing for these pieces of equipment are continually being produced, as the science of safe mercury amalgam removal progresses. Likewise, new products for amalgam removal are continually being developed. We will update these lists to the best of our ability as pertinent information becomes available. Please also note that you may choose not to purchase any of the items below and use your own sources for similar products as dentists often establish personal preferences for specific products based on their needs and experiences.

Additionally, any reference to a specific product, process, or service does not constitute or imply an endorsement by the IAOMT of the product, process, or service, or its producer or provider. At no time is the IAOMT making any representation or warranty regarding any of these products or services, nor will the IAOMT be liable for the vendor’s products or services. Note also that in some cases, we have only provided examples of products.

SMART is presented as a set of recommendations. Licensed practitioners must exercise their own judgment concerning the specific treatment options to utilize in their practices. The SMART protocol includes equipment recommendations which can be purchased from the lists below as packages or individually.

Safe Mercury Amalgam Removal Technique (SMART) Equipment List

For those members who are new, please purchase from each of the four SMART sections below.

A high-volume, at source, oral aerosol/air filtration vacuum system is an essential and mandatory component of the Safe Mercury Amalgam Removal Technique recommendations. Currently, there are three manufacturers who supply at source, oral aerosol/air filtration vacuum systems for mercury.

The IAOMT wants to make it as easy as possible for our members to get the recommended SMART items they need to practice mercury-safe dentistry. So, we are excited to announce that we have collaborated with Dental Safety Solutions to provide a collection of SMART equipment and packages for your convenience. You’ll be taken offsite for ordering and fulfillment by Dental Safety Solutions, and the IAOMT will receive a percentage of the profits from each sale.

  • Custom package can contain...
    • 25 Biflo Nasal Masks
    • 15 Disposable Mercury Resistant Hoods (covers head & neck)
    • 15 Disposable Face Drapes
    • 15 Dental Dams (6×6) Medium
    • 15 Disposable Patient Body Drapes
    • 1 Bottle of Mercury Wipes
    • 1 Diablo Safety Glasses – Blue Mirror
    • 1 Jar of HgX Hand Cream (12oz)
    • Organic Chlorella Powder (4oz)
    • Activated Charcoal Powder (4oz)
  • Items not in the Patient Protection Package may be purchased at the links below.

Here is the full list of recommended Patient Protection items with links to purchase items which are not included in the Patient Protection Package.

2. Patient Protection

A. Activated Charcoal (include in custom patient protection package)
B. Clean Chlorella (include in custom patient protection package)
C. Non-Latex Rubber Dam (include in custom patient protection package)
D. Dam sealer, Example:

OpalDam and OpalDam Green: Light-Cured Resin Barrier | Ultradent OpalDam® and OpalDam® Green

E. Complete Facial Cover (include in custom patient protection package)
F. Neck Wrap (include in custom patient protection package)
G. Oxygen/Air Nasal Mask (include in custom patient protection package)
H. Patient Drape (include in custom patient protection package)
I. Oxygen Tanks and Regulators, Example:

www.tri-medinc.com/page12.htm?

J. Clean-Up, Example:

https://iaomt.org/product-category/clean-up/

If you already have several of these items and don’t need them all in one package, but would like to order them individually click the item below.

For those members who need a larger quantity of the Biflo Nasal Mask (25 per box), Hoods (Covers Head and Neck) and Patient Drapes, please see the options below.

Protection from mercury for dental staff can be broken down into two main categories, Respiratory Protection and Personal Protection Equipment (PPE), both of which are essential components of the SMART program. Additional SMART product suggestions can be found below the packages.

WARNING: An appropriate cartridge change-out schedule must be developed by a qualified professional. The change-out schedule must take into account all factors that may influence respiratory protection including exposure levels, length of exposure, specific work practices and other conditions unique to the worker’s environment. If using against substances having poor warning properties (such as Mercury which is colorless, odorless and invisible), there is no secondary means of knowing when to replace the cartridges/canister. In such cases, take appropriate additional precautions to prevent overexposure, which may include a more conservative change-out schedule. Failure to follow this warning can result in serious personal injury or death.

RESPIRATORY PROTECTION



PERSONAL PROTECTION (DENTIST & EMPLOYEES)


Here is the full list of recommended Dentist/Staff Protection items with additional links to purchase items which are not included in the above packages.

A. Amalgam Separator

It is highly recommended that you research amalgam separators for their efficiency. When researching amalgam separators, remember that there are different ways of reporting efficiency. One valuable resource is the IAOMT SR entitled “Best Management Practices for Mercury and Mercury Amalgam Separation from Dental Office Waste Water” which you can find in the PDF file containing the supplementary sources of the “Safe Amalgam Removal” unit. Another resource is the State of New Jersey’s Amalgam Separator Recycling Page.

B. Waste and Cleaning

Dentists must comply with federal, state, and local regulations addressing the proper handling, cleaning, and/or disposal of mercury-contaminated components, clothing, equipment, surfaces of the room, and flooring in the dental office.

During the opening and maintenance of suction traps in operatories or on the main suction unit, dental staff should utilize the appropriate respiratory and personal protection equipment.

Ultrasonic and autoclave both emit large amounts of vapor, so use a high-volume, at source, oral aerosol/air filtration vacuum system (DentAirVac, Foust Series 400 Dental Mercury Vapor Air Purifier, or IQAir Dental Hg FlexVac) in the area.

Contaminated surfaces should be wiped using HgX® or Mercury Wipes (Mercury Decontaminant) at the end of each day with windows left open to allow fresh air.

1. Filtration

A. Office/Operatory

1. Foust Air Purifier

Foust Series 400 Dental Mercury Vapor Air Purifier
https://foustco.com/all-products/air-purifiers/series-400-air-purifier/

Foust Series 160R2 Room Air Purifier
https://foustco.com/all-products/air-purifiers/160r2-room-air-purifier/

Foust Series 160DT Desktop Air Purifier – Item #160DT
https://foustco.com/all-products/air-purifiers/160dt-desktop-air-purifier-item-160dt/

 2. IQAir Dental Pro

IQ Air Dental Series

(Be sure to select the “IQ Air Dental Pro” from the results on the page.)

For published research about this device, read this link:
www.iqair.com/sites/default/files/pdf/Research-Report-Improving-Indoor-Air-Quality-in-Dental-Practices_v2.pdf

B. Patient / At Source Filtration (also required!)

1.  Foust Series 400 Dental Mercury Vapor Air Purifier

https://foustco.com/all-products/air-purifiers/series-400-air-purifier/

2. DentAirVac

Mercury Vacuum – Safe Amalgam Removal with a Mercury Filling Vapor Vacuum, Kreativ Aerosol Vacuum Parts and also this link

3. IQAir Dental Hg FlexVac

IQ Air Dental Series

(Be sure to select the “Dental Hg FlexVac” from the results on the page.)

For published research about this device, read this link:
www.iqair.com/sites/default/files/pdf/Research-Report-Improving-Indoor-Air-Quality-in-Dental-Practices_v2.pdf

2. Patient Protection

A. Activated Charcoal, Example:

http://www.integrativepro.com/products/gastrointestinal/activated-charcoal

B. Clean Chlorella, Example:

https://www.healthrangerstore.com/products/clean-chlorella-powder-1300g

C. Non-Latex Rubber Dam, Example:

https://nam.coltene.com/products/treatment-auxiliaries/dental-dam/non-latex-dental-dam/standard-non-latex-dental-dam/

D. Dam sealer, Example:

OpalDam and OpalDam Green: Light-Cured Resin Barrier | Ultradent OpalDam® and OpalDam® Green

E. Face and Neck Cover, Examples:

www.practicon.com/products.asp?sku=701412&categoryid=9999

comfyconcepts.com/product/disposable-covers-for-neck-wraps/

(can also be used for a facial cover – least permeable material tested)

 F. Oxygen/Air Nasal Mask:

IAOMT Store: https://iaomt.org/product/biflo-nasal-hood/

G. Oxygen Tanks and Regulators, Example:

www.tri-medinc.com/page12.htm?

H. Patient Cape, Examples:

http://www.e-dental.com/doc/patient-drapes-0001

 https://www.henryschein.com/us-en/Shopping/ProductDetails.aspx?productid=1006167&ShowProductCompare=true

Can also be constructed from a roll:
Authorized Tyvek Master Distributor/Supplier, Paper Converting Services, CAD Supplies | Material Concepts

I. Oxygen Tanks and Regulators, Example:

www.tri-medinc.com/page12.htm?

J. Clean-Up:

www.iaomt.org/product-category/clean-up/

3. Dentist/Staff Protection

A. Respiratory Masks:

www.iaomt.org/product-category/respirator-masks/

B. Positive Pressure Oxygen Mask, Examples:

ThinkSafe Adult Non-Rebreather Oxygen Mask with 7′ Tubing 10 Pack

ThinkSafe Adult Non-Rebreather Oxygen Mask with 7′ Tubing Single

C. Mercury Vapour Proof Mask, Examples:

https://iaomt.org/product/activated-charcoal-mercury-vapor-mask/

 www.buyactivatedcharcoal.com/product/pure_non-scents/face_mask/mercury

 www.mercurysafety.com/personal-protection/mercury-vapour-proof-mask

www.dentairvac.com/HgMasks.html (for DentAirVac customers)

D. Full Length Gowns, Examples:

Disposable Tyvek® Deluxe Coverall S-13895 – Uline

 Disposable Denline Uniforms Lab Coats: Style DL3760

E. Hair Net, Examples:

Valutek Apparel – Cleanroom Bouffant Cap – Non-Linting, non-woven polypropylene – blue or white

Henry Schein Bouffant Cap: Item # 102-4151 (Box of 100, white, polypropylene)

F. Face Shield, Examples:

www.opdop.com/?page_id=491

https://www.crosstex.com/face-shield-152

https://www.fishersci.com/shop/products/mitchell-plastics-septa-shield-septa-shield-weight-255g/05723416

G. Non-Latex, Nitrile Gloves

Available from many sources.

4. Environmental Protection

A. Amalgam Separator

It is highly recommended that you research amalgam separators for their efficiency. When researching amalgam separators, remember that there are different ways of reporting efficiency. One valuable resource is the IAOMT SR entitled “Best Management Practices for Mercury and Mercury Amalgam Separation from Dental Office Waste Water” which you can find in the PDF file containing the supplementary sources of the “Safe Amalgam Removal” unit. Another resource is the State of New Jersey’s Amalgam Separator Recycling page at https://www.state.nj.us/dep/dwq/amalgam_separators.htm

Air Techniques, Inc.

www.airtechniques.com/product/amalgam-separator/

Capsule Technologies, Inc.

www.amalgamas9.com

Dental Recycling North America

http://www.drna.com/amalgam-separator.php

M.A.R.S. Bio-Med Processes, Inc.

www.marsbiomed.com

Pure Water Development, LLC

www.ecotwo.com

R&D Services, Inc.

www.theamalgamcollector.com

Rebec Solutions

http://rebecenvironmental.com/catchhg-1000-plus/

SolmeteX

www.solmetex.com

B. Waste and Cleaning

Dentists must comply with federal, state, and local regulations addressing the proper handling, cleaning, and/or disposal of mercury-contaminated components, clothing, equipment, surfaces of the room, and flooring in the dental office.

Contaminated surfaces should be wiped using HgX® (Mercury Decontaminant) from Acton Technologies, Inc. at the end of each day with windows left open to allow fresh air ventilation.

During the opening and maintenance of suction traps in operatories or on the main suction unit, dental staff should utilize the appropriate personal protection equipment.

Ultrasonic and autoclave both emit large amounts of vapor, so use a high-volume, at source, oral aerosol/air filtration vacuum system (Dent Air Vac, Foust Series 400 Dental Mercury Vapor Air Purifier, or IQ Air Dental Hg FlexVac) in the area.