Michael C. Goldman, DDS


INTRODUCTION IAOMT is an organization of dental and medical professionals focusing on toxicity. It is the International Academy of Oral Medicine and Toxicology. Rather than jumping on the bandwagon of every new and trendy idea that comes along in the zeal to be the newest of the New Age, this is a group of well-grounded scientifically oriented professionals that insist on seeing reasonable scientific evidence to back up any claims to which they lend their support.

Mercury (Hg) from dental fillings (as well as from environmental and food sources) is thought to have a cumulative effect on the body. There are many other sources of information on the wide range of symptoms that are suspected to result from mercury toxicity. Since "silver" fillings are about one-half composed of mercury, it is thought by many that these fillings are a major source of mercury in sensitive individuals. You should know that organized dentistry in the US has taken the position that this is not so.

There is another brochure on DETOXIFICATION PROTOCOL... which is a more complex protocol created by a couple of members of IAOMT (Michael and Sam Ziff). Their work is highly respected by IAOMT. That protocol might be best for those who are highly sensitive and also highly motivated, because it is so very complicated. For most of us, the simpler recommendations that follow would be much easier to follow and would hopefully be all the help we need. This protocol is officially recommended  by IAOMT as the way to go for most of us.

It is only fair to point out that at this point in time we are all trying to learn as much and as fast as we can about this toxicity issue and it doesn't look like anybody has the last word on it yet. This information has been put together by sincere, conscientious, scientifically oriented, well-grounded individuals. The protocol is relatively simple and inexpensive.


The following is the recommended protocol for scavenging free mercury from the body during routine removal of silver-mercury fillings. The theory is that the mercury from your old fillings has leaked out of the fillings in many ways and has become deposited in various body tissues. Mercury cannot be easily removed from inside body tissues. But it will automatically come out of tissues when the equilibrium is changed. It is as though it has reached a happy balance between the levels of mercury in the mouth, in the blood and in the tissues. Change any of these and balance is upset.

When fillings are removed, the equilibrium is upset and mercury is thought to come out of the tissues and circulate in the bloodstream from where it can be re-deposited in new places to create a new "balance". By the use of antioxidant scavengers it is hoped that the freely circulating mercury can be grabbed up and chemically bound before it an go back into other tissues. Once chemically bound the mercury is harmless and can be excreted from the body. When all the mercury "stores" (mercury fillings) are removed, the body will continue to work to get rid of residual mercury in the tissues. Scavenger supplements as well as sulfur-containing foods can help this process.

Possible Contraindications to Mega dose Vitamin-C Use

While mega dose Vit-C has been used widely, there are rare individuals who may be harmed by it. Predictably the high risk individual will have impaired kidney function or a deficiency of enzyme G-6-PD, which causes chronic anemia, red cell fragility and a slightly jaundiced appearance. If these conditions figure in your history or if you have kidney stones, you should consult with a physician before taking Vit-C !

You should consume foods high in Vitamin-C and supplement with 3 grams of C daily, beginning a week or so before silver-mercury fillings replacement and continuing for at least a month afterward. To minimize the potential for kidney stones, total calcium intake should be maintained within a narrow range (800 to 1,000 mg daily), magnesium intake should be increased to 500 mg per day and Vit-B6 should be increased to 30 mg per day. This amount of calcium and magnesium is ideally obtained from 3 servings of cultured dairy foods per day, but to obtain the desired dosage of Vit-B6 a supplement will be required. Additionally, since mega dose Vit-C may enhance the excretion of Zinc, a 15 mg supplement of chelated zinc per day is recommended.

For those with serious health problems, a consult with a physician is recommended. Increased dosages may be in order such as Vit-C up to 10 grams daily and chelated zinc to 25 mg. Note: It is important to taper off mega dose Vitamin-C rather than stopping suddenly! Decrease at a rate of one gram less per week. If you stop more abruptly, maintain at least 250 mg per day for three weeks before quitting to guard against the risk of "rebound scurvy".

Take the Vit-C in 500 mg increments throughout the day. This allows the free radicals scavenging activity of Vit-C to be available at the moment the free radicals appear. Ascorbic acid, sodium ascorbate, and naturally occurring Vit-C are the preferred sources of C.

Acute or other diagnosed cases of mercury toxicity are treated by a physician/toxicologist by using FDA approved metal binding drugs and that is beyond the scope of this pamphlet, but information is available!

There is a lot of information about mercury and possible problems with it and a lot of controversy also. You need to be the judge of what you think is important to you. It does appear that some people are very much affected by mercury while others appear not to be affected. Organized dentistry in the US would have you believe that those that are significantly affected comprise only a minute fraction of the population. Others feel up to 90% or more of us are affected adversely. If you feel you could be adversely affected by the mercury in your fillings now, and by the mercury which would likely be temporarily increased during replacement of your fillings with non-mercury materials, these are things you can do to help take back some control in your own health and well-being. Done carefully and especially with medical guidance, it can do no harm and just might turn around symptoms that have been a problem for a long time...or prevent the appearance of new ones.

Note: You should be well aware by now that organized dentistry in the USA as well as NIH and US Dept. of Health have taken the position that there is no danger from the mercury in dental fillings and therefore nothing needs to be done during filling removal. They also feel there is no danger in having new mercury-containing fillings put in your teeth. I have made the above information available for the growing number of patients that are concerned about the possible adverse effects from dental mercury.

    To paraphrase an eloquent fellow IAOMT member:

I'm just not comfortable somehow with a material (mercury-fillings) that I cannot legally throw in the trash, bury in the ground, send to a landfill for disposal, [or legally handle with my bare hands], but which, they say, I can safely put in your mouth....


Testing for Mercury Levels in the Body

Various tests, blood, urine, hair analysis have been used to test for mercury and other heavy metals.  I think the most reliable test   is done with a  fecal sample.  Not the most esthetic approach, but hey, there are no needles and you don't have to cut off lumps of hair close to  the scalp... Every cloud has a silver lining, they say.  Anyway,  it's a take home thing (you probably don't want your dentist helping you with it anyway, right?) that you can put  a sample in and mail it away to  the lab.  The results come back   with literature to help interpret them.  For info on where to get the test done if you are not near my office  call:

Doctors Data Inc.                         800-323-2784
PO Box 111                                  Fax 630-587-7860
Chicago Illinois 60186-9986        

email: inquiries@doctorsdata.com


Here are some thoughts regarding other methods of testing

  • Intra-oral Vapor Testing      An interesting test  to demonstrate the fact that mercury is present in your mouth from your mercury fillings.  It's a motivator and can be a scare tactic but it doesn't show you  how much mercury your body tissues are storing.

  • Blood and Urine Testing     Again, interesting,  but both high and low  urine mercury levels could be a problem.  It won't necessarily tell you the level of stored mercury.  It only shows you what is presently being excreted.  Blood levels can indicate  recent exposure, recent excretion, or  high levels. 

  • DMPS Challenge Test     A urine mercury test before and after  a chelation "challenge" with DMPS  that liberates  mercury  stored in body tissues. This is much more  accurate and meaningful than plain blood or urine testing.

  • Hair Testing   Indicates levels of mercury  and other metals stored by your body over a period of time.  hair closest to the scalp [newer, more recent growth] gives the most   recent indication.  Apparently there are  many variables with hair - possibly including the  kind of shampoos and conditioners etc. used - so that the alternative "experts" mostly seem to have little faith in hair analysis.  I trust them since they are closer to the scientific research that checks these things out.

  • Skin Patch Testing - Hypersensitivity    This is controversial.  There are concerns that it could "sensitize" a person  and make things worse.  It should only be done by a medically trained professional like a dermatologist or medical allergist and should be done with ammoniated  mercury [not mercury chloride].

  • Electrical Galvanic Testing  Interesting in that it shows how the  amalgam fillings have created a "battery" in your mouth and actually  produces an electrical current that can speed the  release of mercury and maybe even create havoc with acupuncture meridians.  But it  does not tell you  how much of a problem you have with   mercury toxicity or stored mercury levels.

This pamphlet was written in the hope that it will increase understanding about a topic that seems important from time to time. Obviously it is only part of the whole story, so if you have questions after reading this please do not hesitate to ask or call. Also, if there is a topic that you think would be helpful, please suggest it.

Michael C. Goldman, DDS

General and Cosmetic Dentistry
3815 East-West Highway Fax (301) 656-4350
Chevy Chase, Maryland 20815 Phone (301) 656-6171



Holism in dentistry is an approach to dental treatment, primarily  caring for  patients' health and safety from both a conventional as well as  "alternative healthcare" point of view.   It is sometimes called "biological" dentistry or "biocompatible" dentistry.  In it's fullest sense, I believe it   acknowledges and deals with  the mind, body and spirit of the patient, not just his or her "teeth".  See Topics / Info.....

Cosmetic dentistry is about doing   quality , esthetic dentistry in a way that looks natural to begin with, and furthermore,   can even  improve  one's  attractiveness through techniques such as bonding, bleaching, veneers, caps, implants and more.  It can   be like "instant orthodontics" in correcting  crooked, twisted or misplaced teeth in many instances.  Dark or misshapen teeth can be restored.   Smiles that lack youthful vigor or beauty can be revitalized! See Topics / Info..

Bleaching, veneers, bonding, caps, bridges, and implants  are cosmetic dentistry treatments that are also  discussed in  Cosmetic Dentistry, and more...