SMART - Custom Patient Protection Package

SMART – CUSTOM PATIENT PROTECTION PACKAGE

Protect your dental patients from mercury exposure for under $20 per removal session (when purchasing items for 15 amalgam removal sessions.)

PATIENT PROTECTION ITEMS & INFORMATION
The IAOMT’s SMART recommendations for Patient Protection are listed below in sections A – H. The products are grouped into quantities to accommodate 15 sessions of amalgam removal. You may add as many products to your cart as you like. Clicking the green plus button to the far left of the product will display the description below the item. For more information about the science that supports the SMART recommendations please visit the IAOMT’s page for the Safe Mercury Amalgam Removal Technique.

SELECTING YOUR PRODUCTS
Please select the quantity of items for a product and then click the “ADD TO CART” button to add the item to your cart. Repeat this process for each item on the page you wish to purchase.

AT SOURCE ORAL AEROSOL VACUUM
Each room where mercury fillings are removed must have adequate filtration in place which requires a high-volume air filtration system (such as an at source oral aerosol vacuum) capable of removing mercury vapor and amalgam particles generated during the removal of one or more mercury fillings.

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SMART – Patient Protection Sections A & B: Activated Charcoal and Chlorella

The patient should be given a slurry of charcoal, chlorella, or similar adsorbent to rinse and swallow before the procedure (unless the patient declines or there are other contraindications making this clinically inappropriate).24 25 26 27

Charcoal powder can be extremely messy, which is why we offer charcoal in capsule form as the capsules can be broken open, poured and mixed into water for the patient to swish in their mouth.

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	Activated Charcoal Capsules Vegan (320 mg) 1 Bottle, 125 count	$20.00 — or subscribe and save up to 5%	Choose a REDUCED RATE subscription One time = original price of $20 one time $19.00 / month — save 5% $19.50 every 2 months — save 2.5% Activated Charcoal Capsules Vegan (320 mg) 1 Bottle, 125 count quantity	125 vegi-capsules of Activated Charcoal (320mg each). Activated Charcoal should be used both before and after amalgam removal as recommended by the IAOMT in their Safe Mercury Amalgam Removal Technique (SMART). Activated charcoal binds unwanted substances like mercury to its surface and releases them through fecal matter.
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SMART – PATIENT PROTECTION – Sections C & D: Non-Latex Rubber Dam and Dam Sealer

A dental dam (47, 48, 49, 50, 51) that is made with non-latex nitrile material (52, 53, 54) should be placed and properly sealed in the patient’s mouth.

OPTIONAL ADD-ON: Read about how some dentists smear HgX cream on the dental dam before performing an amalgam removal to provide extra protection for the patient from mercury. Dentists also use HgX cream on their hands before donning their gloves to protect their skin from absorbing mercury. HgX cream can also be used on floor cleaners (such as a swiffer) to absorb and capture the mercury particles that settle onto the floor, which will continue to off gas mercury vapor into the dental operatory if not properly cleaned.

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	Insti-Dam with a pre-punched hole, built in flexible frame and latex-free - 20pk	$49.00 — or subscribe and save up to 5%	Choose a REDUCED RATE subscription and SAVE! One time = Sale price = $49 one time $46.55 / month — save 5% $47.78 every 2 months — save 2.5% Insti-Dam with a pre-punched hole, built in flexible frame and latex-free - 20pk quantity	Save time and money with our no hassle 20 pack of Insti-Dam. The Insti-dam is ready to go with a pre-punched hole and built in flexible frame. 20 per package Built-in flexible frame saves time and is no hassle. 1/2″ offset pre-punched hole makes positioning easy Compact design fits outside patients lips, non-threatening and comfortable for patients Radiographs may be taken without removing the rubber dam by folding it to the side Single use only Comes pre-assembled Dimensions: 4-1/4″ Diameter
	HgX Hand Cream and Cleaner 12oz jar	$25.00 — or subscribe and save up to 25%	Choose a REDUCED RATE subscription and SAVE! One time = original price of $25 one time $18.75 / month — save 25% $22.50 every 2 months — save 10% $23.75 every 3 months — save 5% HgX Hand Cream and Cleaner 12oz jar quantity	HgX® Hand Cream and Cleaner is especially made for those handling metallic mercury and mercurials. HgX® hand cream and cleaner is available in convenient 12 oz. jars, and should be used as an aid in industrial mercury hygiene daily routines.
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Insti-Dam with a pre-punched hole, built in flexible frame and latex-free - 20pk

$49.00 — or subscribe and save up to 5%

Save time and money with our no hassle 20 pack of Insti-Dam. The Insti-dam is ready to go with a pre-punched hole and built in flexible frame.

20 per package
Built-in flexible frame saves time and is no hassle.
1/2″ offset pre-punched hole makes positioning easy
Compact design fits outside patients lips, non-threatening and comfortable for patients
Radiographs may be taken without removing the rubber dam by folding it to the side
Single use only
Comes pre-assembled
Dimensions: 4-1/4″ Diameter

HgX Hand Cream and Cleaner 12oz jar

$25.00 — or subscribe and save up to 25%

HgX® Hand Cream and Cleaner is especially made for those handling metallic mercury and mercurials. HgX® hand cream and cleaner is available in convenient 12 oz. jars, and should be used as an aid in industrial mercury hygiene daily routines.

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SMART PATIENT PROTECTION – Sections E and F: Complete Facial Cover and Neck Wrap

Protective gowns and covers for the dentist, dental personnel, and the patient should be in place.(28) All present in the room should be protected because substantial quantities of particles generated during the procedure will elude collection by suction devices.(29) It has been demonstrated that these particles can be spread from the patient’s mouth to the patient’s knee, and to the chest, shoulder, and neck of the dentist and dental assistant. (30)

In order to protect the patient’s skin and clothing, a full body, impermeable barrier, as well as a full head/face/neck barrier under/around the dam, should be utilized.(42 43)

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	Tyvek 400 TY657S Pullover Hood with Elastic Opening, Universal Size (15/package)	$30.00 — or subscribe and save up to 10%	Choose a REDUCED RATE subscription One Time = original price of $30 one time $27.00 / month — save 10% $27.75 every 2 months — save 7.5% $28.50 every 3 months — save 5% $29.25 every 4 months — save 2.5% Tyvek 400 TY657S Pullover Hood with Elastic Opening, Universal Size (15/package) quantity	Tyvek Pullover Hood with Elastic Opening and Serged Seams, White, Universal Size (Pack of 100). The DuPont Tyvek 400 (TY657S) pullover hood extends over shoulders to provide full head protection. One size fits most. Pullover hood design features elastic face opening. Tyvek garments are composed of flash spun high density polyethylene which creates a unique, nonwoven material available only from DuPont. Tyvek provides an ideal balance of protection, durability and comfort of any limited use fabric technology.
	Polypropylene Surgeon Hoods, Blue - 15/package	$30.00 — or subscribe and save up to 10%	Choose a REDUCED RATE subscription One Time = original price of $30 one time $27.00 / month — save 10% $27.75 every 2 months — save 7.5% $28.50 every 3 months — save 5% $29.25 every 4 months — save 2.5% Polypropylene Surgeon Hoods, Blue - 15/package quantity	Full multi layer hood, secures under chin, blue. Head and neck coverage against mercury contaminated particulate matter during amalgam removal Polypropylene material
	Disposable Face Drapes - 15 Qty	$25.00 — or subscribe and save up to 10%	Choose a REDUCED RATE subscription One Time = ~~original price of $30~~ / Sale price = $25 one time $22.50 / month — save 10% $23.13 every 2 months — save 7.5% $23.75 every 3 months — save 5% $24.38 every 4 months — save 2.5% Disposable Face Drapes - 15 Qty quantity	Disposable Face Drapes (15 qty). The upper half of this drape is a netting that allows the patient to see. The lower half is comfortable polypropylene with a 3 inch diameter fenestration. 15 pieces in an easy-to-dispense-from box. Available in blue. 5 by 13 inches with a 3 inch opening for mouth.
	Diablo Safety Glasses	$5.00	Diablo Safety Glasses quantity	Protect your patients’ eyes from mercury contaminated particulate matter by having them wear Rugged Diablo Safety Glasses. Coated for Scratch Resistance 99% Protection Against UV Rays Lightweight Polycarbonate Exceeds ANSI Z87.1
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OPTIONAL ADD-ON: While not specified in the SMART recommendations, some mercury will escape collection devices and the operatory will inevitably accumulate mercury contaminated particulate matter on surfaces and equipment. In order to decontaminate your office and equipment properly, we offer a container of 30 mercury particulate wipes per bottle.

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	Mercury Particulate Clean-up Wipes -30 per bottle	$25.00 — or subscribe and save up to 15%	Choose a REDUCED RATE subscription One Time = ~~original price of $30~~ / Sale price $25 one time $21.25 / month — save 15% $22.50 every 2 months — save 10% $23.75 every 3 months — save 5% $24.38 every 4 months — save 2.5% Mercury Particulate Clean-up Wipes -30 per bottle quantity	Mercury Clean-up Wipes eliminate dangerous mercury residue from surfaces, instruments, equipment, hands and help suppress hazardous vapors. 30 per bottle.
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SMART PATIENT PROTECTION – Section G: Oxygen / Air Nasal Mask

External air or oxygen delivered via a nasal mask for the patient also should be utilized to assure the patient does not inhale any mercury vapor or amalgam particulate during the procedure. 44 45 46 A nasal cannula is an acceptable alternative for this purpose as long as the patient’s nose is completely covered with an impermeable barrier.

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	Biflo Nasal Mask with 7 ft. Kink-Resistant Tubing - 25/Case	$63.00 — or subscribe and save up to 7.5%	Choose a REDUCED RATE subscription. One Time = Original price of $60 one time $58.28 / month — save 7.5% $58.91 every 2 months — save 6.5% $59.54 every 3 months — save 5.5% Biflo Nasal Mask with 7 ft. Kink-Resistant Tubing - 25/Case quantity	The Biflo Nasal Mask (for adults) delivers a gentle flow of oxygen. Unlike a nasal cannula, oxygen flow is not jetted into the nasal cavity. Does not require humidifiers, as the gas passes over the nasal turbinates it is being warmed and humidified naturally. A comfortable alternative for those who cannot tolerate a cannula. 25 per case. Eliminates the need for foam ear wraps Kink Resistant Oxygen Tubing Not made with DEHP or Natural Rubber Latex, eliminating risk of allergic reactions Standard Connector for Universal fit
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Biflo Nasal Mask with 7 ft. Kink-Resistant Tubing - 25/Case

$63.00 — or subscribe and save up to 7.5%

The Biflo Nasal Mask (for adults) delivers a gentle flow of oxygen. Unlike a nasal cannula, oxygen flow is not jetted into the nasal cavity. Does not require humidifiers, as the gas passes over the nasal turbinates it is being warmed and humidified naturally. A comfortable alternative for those who cannot tolerate a cannula. 25 per case.

Eliminates the need for foam ear wraps
Kink Resistant Oxygen Tubing
Not made with DEHP or Natural Rubber Latex, eliminating risk of allergic reactions
Standard Connector for Universal fit

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SMART PATIENT PROTECTION – Section H: Patient Drape

Protective gowns and covers for the dentist, dental personnel, and the patient should be in place.28 All present in the room should be protected because substantial quantities of particles generated during the procedure will elude collection by suction devices.29 It has been demonstrated that these particles can be spread from the patient’s mouth to the patient’s knee, and to the chest, shoulder, and neck of the dentist and dental assistant. 30
In order to protect the patient’s skin and clothing, a full body, impermeable barrier, as well as a full head/face/neck barrier under/around the dam, should be utilized.42 43

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	Patient Drapes with poly protection, Blue (15qty)	$30.00 — or subscribe and save up to 10%	Choose a REDUCED RATE subscription One Time = original price of $30 one time $27.00 / month — save 10% $27.75 every 2 months — save 7.5% $28.50 every 3 months — save 5% Patient Drapes with poly protection, Blue (15qty) quantity	These 40×60 protective patient drapes are made of tissue/poly laminate. The sheets are soft on the outside, with a poly barrier to help protect against fluids and particulate matter.
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SMART PATIENT PROTECTION – Section I & J: Oxygen Tanks and Clean-Up

Unfortunately, for the time being we do not offer oxygen tanks, nor clean-up devices. But these items can be acquired at the links below.

Oxygen Tanks – Clean-up Devices