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Safe Amalgam Removal Protocol includes: Full disposable gown and blankets shielding the patient from head to toe Protective eyewear for the patient Hair coverings for the patient Skin covering for the patient Alternative air source for the patient (oxygen/med gas from another area of the office) External exhaust no more than 2.5 meters away with at least 400 cfm per 1600 cubic feet of dental operatory, with a closed, sealed door Specialty air evacuation filtration equipment that is at least 600 cfm and no more than 3 inches from the patient’s open mouth High-volume suction in the patient’s mouth Special large-size burs to “cut and chunk” the amalgam filling to prevent vaporization Respirators with double filters for the staff, full face shields, hair coverings, eye wear and disposable full body gowns for the staff Cold water for reducing friction-driven temperature between the bur and metal filling Biocompatible filling material or biocompatible crown/onlay material for restorations Full air turnover for all cubic feet in closed operator room where treatment is taking place every 3 minutes Dr

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We found that pretreating with α-tocopherol (50 mM) did not significantly alleviate antibiotic lethality (Fig

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