A. PATIENT PROTECTION

*Very healthy patients: Proceed with standard protection with minimal risk

*Patients with mild health problems: Proceed with caution: (biological support and all protections).

*Acutely or chronically ill patients: Danger: Do not proceed – Refer to M.D. for prior treatment – Ensure excretory organs are functional.

• Biological Support
• Activated charcoal slurry rinse and swallow
• Alternate air source with nasal bond
• Isolation: rubber dam and/or Clean-Up
• Use powerful high volume evacuation (suction)
• Use copious amounts of water
• Use of saliva ejector
• Cut out large 'chunks' vs pulverizing
• Protect eyes, hair, skin and clothing
• Thoroughly rinse out mouth 45 seconds

DENTAL PERSONNEL PROTECTION:

• Alternate air source or respirator
• Nitrile gloves or sulfur powder in latex gloves
• Eye and face protection
• Clothing precautions
• Clinic air filtering/ionizing
• Nutrition and supplementation
• Instrument decontamination