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What you should know about Mercury Amalgam Removal

Hi it's Dr. Jeffrey mark here. Today I'd like to talk to you about detoxing and a specific area of detoxification. In that we recently had some people with high mercury levels, and people had concerns about sources of mercury. And one of the sources of mercury is obviously dental amalgams. And in this area, I'd like to give some specific details as why we have some concerns, even though the American Dental Association may not have had much concern in the past but in September recently they did release a position paper that or new position that states that they do recognize that certain groups do you need to have other dental amalgams perhaps removed, and we'll talk about some safety issues and how we do a little bit of a protocol beforehand. During and afterwards to maintain detoxification properly because the release of the mercury is quite significant in the GI tract does absorb a lot of the mercury, they potentially could get released as this dental amalgam gets removed. So let me share with you a few slides. There we go. Okay so today's topic is going to be on detoxification specifically mercury removal and dental amalgams or the mercury in dental amalgams when they are removed, and how we can help people. We'll talk about the things that you need to know about removing mercury in dental amalgams,  how it's safely done, and the aspects of why you'd want to do it, and the different regulatory opinions and regulations and the new position expressed by the American Dental Association. We'll also go into how we help people prepare both before and during and after in terms of detoxification and the protocols that we have in place. So, we know that in the mouth, not just with dental amalgams with metals, but there's sources of toxicity but we're going to just focus on the heavy metals, in terms of the mercury amalgams today. There's also plastics, BPA with some of the composite fillings infections, oral health products, and other areas of issues with leaky gut, which has a corresponding component of leaky mouth. So we're going to focus on the metals, and mainly just the amalgams and we are not going to talk too much about implants or other kinds of dental appliances. So, mercury amalgam, why should we be concerned?  Well, the actual composition of the mercury amalgam is about 50% mercury. The problem with mercury is that if you manipulate it, there's these vapors that can get released, and it's been determined that unsafe levels are above 1000 micrograms of mercury per cubic meter of air. And you can see that some dental procedures even dry polishing and wet polishing release quite a bit of mercury in terms of these vapors. But even if you do without dental procedures if you just grind your teeth, you'll release 350 micrograms of mercury per cubic meter of air, and then also tooth brushing 200 micrograms of mercury per cubic meter per air and chewing food as well, which is approximately 36 micrograms of mercury per cubic meter of air. So, The European Union has a certain opinion on this, they regulate the use of amalgam fillings, which began in 2011.  Four major countries, Sweden, Norway, Denmark and Germany actually began banning their use and on July 1 of 2018 other members, or almost all members started banning the use of amalgams in children under age 15, and for pregnant and breastfeeding women. And this was in all 28 member states of the European Union. In 2019, Ireland, Finland and Slovakia actually announced the timetable for phasing out amalgams and just banning it over the next few years. So what's the position of the American Dental Association (ADA)?  Well, our American Dental Association has considered amalgams with mercury to be safe, affordable and durable, and they said that when they looked at the data they thought that the mercury vapor that was released, with chewing or eating were below the toxic levels. And the reason for continuing its use is that it's a cost saving relatively easy to place, they said the durability of the amalgams was better than some of the composite materials. So the FDA website does mention that there are potential issues with mercury and dental amalgam, but that they are released in small amounts, and they, they know that they release them in the form of vapor that can be absorbed by the lungs, as they're inhaled, and there's some adverse effects on the brain in the kidneys. And also, they note that mercury like the mercury you eat in fish is bio cumulative so that the more you eat it stays in your system, and just accumulates like any other toxin. And therefore, you have to be careful because it can concentrate on vital organs such as the kidney and the brain. According to the ADA, if the fillings are in good condition they have not made any recommendations that removal should occur. In fact, removal could expose even higher amounts of mercury as it is vaporized in the drilling. So removal is not recommended unless you have a severe allergy to the amalgam, or any components such as the silver tin and copper. The World Health Organization listed mercury may have no threshold below for which some adverse effects do not occur so mercury obviously any amount is not good. They know that the tolerable intake of total mercury of two micrograms per kilogram per body weight per day is something to be looked at and of concern. However, they still haven't made specific statements saying that they should be removed. Dental offices have been regulated to actually treat their sources of water for mercury as dental amalgams are periodically removed. And it's found that they release about 5.1 tons of mercury annually. The EPA does require all dentists to use certain types of mechanisms in place to separate out the amalgam and recycle this hazardous material. In September 24 2020, the FDA made some recommendations concerning high risk groups and Mercury containing dental amalgams. So they updated their previous position of not being overly concerned except for people that were allergic to the amalgam or components of the amalgam. So they now consider these specific groups to be at higher risk.  Pregnant women and the developing fetus, and of course we would never recommend removing the amalgams while they're pregnant or breastfeeding, but the women that are planning to become pregnant now have the recommendation that perhaps the amalgams should be removed. Nursing women, children, especially those under age six were listed as well on their website, anybody with preexisting neurological diseases such as multiple sclerosis, Alzheimer's disease or Parkinson's disease as there have been some studies that link a potential linkage with amalgams and other dental type toxicities as we've listed in that first slide, and people with impaired renal or kidney function. They maintained removal recommendations for those with heightened sensitivity to amalgams or metals. We have seen people that have high mercury levels and that have other issues and we deal with people with mild cognitive decline. And we have a whole list of other people that would qualify as well under these new guidelines so we had to come up with better protocols to protect people, because even if you use a functional dentist to remove the amalgam which you should, there may still be some potential release of mercury. And if you get some exposure you want your body to be able to handle the mercury and have adequate detoxification.  So these people are at high risk and may use non mercury alternatives to amalgam such as composite.  So, if you look here at the release of inorganic Mercury, you can see that those that have had more dental procedures with amalgams and other types of mercury products, that's in the green here, their blood levels are very high usually because of the slow release of the mercury. As I told you, even with chewing and brushing teeth, it's cumulative so even though it's very small it is less than the big 1000 number for the toxic levels. You can see over decades that you can start to accumulate quite a bit in the tissues of the kidney and in the brain. So that's why a lot of the European Union has banned its use because this accumulation of toxicity does directly affect the mitochondria, which we always tried to support for which you need for your immune system for energy and your brain. The brain of course is very sensitive as we talked about in previous webinars on brain health and mild cognitive decline, and also glutathione depletion. We have found glutathione to be very useful and very helpful as one of the key antioxidants in terms of detoxification. So, we used to think that the lymph system really wasn't involved too much with the brain. But now we know through the studies from the University of Virginia health systems that they've actually found that you can see here that there's quite a bit of lymph going into the brain as well. So if you have lymphatic drainage and issues with toxic toxins such as Mercury, they can get to the brain that's why we can see neurodegenerative diseases and mild cognitive decline, or dementia such as Alzheimer's and Parkinson's. There is also a component of the autoimmune aspect of mercury that they've been found to have in elevation the antinuclear antibodies, and there's also been exposure, with all kinds of other autoimmune type inflammatory responses, kicking up your immune system quite a bit. Again, this study showed that antinuclear antibodies correlate to the mercury blood levels.  So again, if you needed more reasons why we should have mercury removed, there is not just the toxic accumulation in the brain and kidneys, or the fact that you have problems with the mitochondria and reduced available glutathione for detoxification but now there's also the possibility of autoimmunity.   So, all these things coupled together, make it so that, obviously, the amalgams, and Mercury is a bad news situation. But what we do recommend before you get the consideration for removal, you obviously should get a complete workup, making sure your kidneys are functional, that you have good white blood cell count and that you're not having other issues as well. We also discuss with people in our discussions and evaluations whether they want to do some form of detoxification beforehand. This detoxification may start a few weeks before, up to a month before, but definitely labs are done the week before. During the seven days before the actual removal of the mercury by the biological or functional dentist we have our clients drink lots of water on a daily basis and we have protocols in place, seven days before, during the dental visit as well, or the procedure and then afterwards as well. So we work with three major nutrients including the glutathione, vitamin C and B vitamins, and other supportive nutrients and specific formulations that we use.  So we have a protocol in place and we personalize it based on kidney function, and other types of toxicities. We optimize the GI and immune system and this requires an evaluation and a personalized approach.  So these are the components of safe mercury removal, that your dentist should discuss and provide for you.  You want everyone with personal protective equipment including respirators, a dam around the tooth and ample suctioning and filtered air and oxygen. Some may use frequency specific microcurrents during or we can do this after the mercury removal.  So this is a picture of what everything looks like. So this is basically respirators for the practitioners, and then here there's a dam here there's the assumption. Some people use frequency specific microphones as well which we do, and can do afterwards as well. So that's just a brief summary of what we recommend and what we tell people, in regards to detoxification in mercury amalgam. For the latest update on the most recent American Dental Association recommendations you can go to their website and also the FDA website as changes have been made as of September of 2020. So you definitely want to have a safe removal, especially if you're in the high risk groups as I have gone through above, especially any woman of childbearing age that potentially wants to get pregnant or plans to breastfeed after delivery which should be all women after delivery. Hopefully this helps in determining when or how or why to do dental mercury amalgam removal, keeping safe with removal by using a functional dentist and also taking precautions in terms of optimizing your body for this detoxification before, during, and after removal. So if you have further questions, and want more information on AFH supplements and products or frequency specific microcurrent which I briefly mentioned at the end of the talk, or how functional medicine can help you with your gut, maintaining brain health, and optimizing immune function, you can contact us by calling our office (925) 736-9828, or you can email, or you can book an appointment, through  So I hope this has been helpful as a brief overview of detoxification specifically in the area of mercury and Mercury removal. We'll have additional webinars and more information coming in the future as well. Again, we have a whole detoxification protocol in general, this was just more specific to mercury to address specific questions that people many people have had for general information on the detoxification protocols and for additional information and courses, you can contact us at or you can call us at area code 925-736-9828 or visit our website at So take care and stay healthy.


Jeffrey Mark, M.D.


Our offices are conveniently located in the Bay Area, easily accessible from the Silicon Valley, South Bay/Palo Alto, Menlo Park, Burlingame, Carmel Valley, Santa Cruz, San Francisco, Wine Country/Napa, Santa Rosa, Marin County.  Our office in the Central Valley is located in Turlock and services the entire Central Valley region, including the UC Merced area, Modesto, Tracy, Oakdale, Fresno.  We have patients that travel as far as the Los Angeles area, San Diego, Montecito, and from the Tahoe, Incline Villiage and Reno, Nevada areas, and even as far as from New York.  Now with telemedicine/telehealth services, our services are essentially available wherever you have internet or phone service, even when you're traveling and on the go.

Jeffrey Mark, M.D. Helping clients with compassionate and comprehensive medical care for over 25 years with 4 board certifications in functional medicine, gastroenterology, internal medicine, and anti-aging/ regenerative medicine . IFMCP, ABIM Gastroenterology, NPAS Internal Medicine, ABAARM.

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