Nkwado usoro iwu nke IAOMT maka iwepụ amalgam bụ ihe a maara dị ka Usoro Ọfụma Mwepu nke Amalgam (Smart) Rịba ama na SMART gosipụtara dị ka usoro nke akwadoro. Ndị dọkịta nyere ikikere ga-eme mkpebi nke aka ha banyere usoro ọgwụgwọ a kapịrị ọnụ iji tinye n'ọrụ ha. Usoro nkwado SMART gụnyere usoro ndị a, nke edepụtara ebe a na nyocha sayensị:
A kwadoro emelitere usoro iwu iwepụ amalgam IAOMT na nso nso a na July 19, 2019. Ọzọkwa, na July 1, 2016, a kwadoro aha usoro iwu nke IAOMT ka ọ bụrụ Safe Mercury Amalgam Removal Technique (SMART), na usoro ọzụzụ maka ndị dọkịta ezé IAOMT. iji bụrụ ndị gbaara na SMART bidoro.
All eze amalgam mweghachi nwere ihe dị ka 50% mercury,1 na akụkọ na nyocha na-agbanwe agbanwe na ihe ndị a na-enye vapors mercury.2-16
Nnyocha sayensị gosipụtara na amalgam eze eze na-ekpughe ndị ọkachamara eze, ndị ọrụ ezé, ndị ọrịa eze, na / ma ọ bụ ụmụaka ebu n'afọ na mbupute nke anwụrụ ọkụ, ihe ndị nwere mercury, na / ma ọ bụ ụdị ọgwụ ndị ọzọ.4-48
Ọzọkwa, a na-amịpụta na alụlụ mercury na ezé mercury amalgam fillings na ọnụego dị elu n'oge ịchacha, nhicha, ịta ikikere ezé, ịta nri, wdg.5, 14, 15, 24, 30, 49-54 na Mercury makwaara na a ga-ewepụta ya n'oge ntinye, nnọchi, na mwepụ nke eze mercury amalgam fillings.2, 25, 28, 29, 32, 36, 41, 45, 46, 55-60
N'iji ihe omumu sayensi di, IAOMT emeputala nkwuputa nchebe di nma iji wepu ihe ndi mejuputara onu ogugu ndi ozo, tinyere usoro nchebe zuru oke nke a gha eji tinye ya. Nkwado nke IAOMT na-ewulite usoro mwepụ nke amalgam dị mma dị ka ojiji nke nkpuchi, mmiri mmiri, na mmiri dị elu site na ịgbakwunye usoro ndị a na ọtụtụ usoro nchebe ọzọ, nke achọpụtara n'oge na-adịbeghị anya na nyocha sayensị.
- A ghaghị itinye onye na-ekekọrịta amalgam n'ụzọ kwesịrị ekwesị, tinye ya n'ọrụ, ma jigide ya iji kpokọta mkpofu amalgam mebiri ka ọ ghara ịpụta n'ime nsị site na ụlọ ọrụ eze.25, 61-73
- Roomlọ ọ bụla ebe ewepụrụ ihe mkpuchi Mercury ga-enwerịrị filtration zuru oke,29, 74-76 nke chọrọ sistemụ ikuku ikuku dị elu (dị ka isi ikuku aerosol agụụ) nwere ike iwepu alụlụ mercury na ngwakọta amalgam eme n'oge mwepụ nke otu ma ọ bụ karịa mercury ndochi.45, 77
- Ọ bụrụ na ọ ga-ekwe omume, windo kwesịrị imeghe iji belata ikuku Mercury na ikuku.29, 77-79
- A ga-enye onye ọrịa ahụ unyi, chlorella, ma ọ bụ adsorbent yiri ya ka ọ sachaa ma ilo tupu usoro ahụ (belụsọ na onye ọrịa ahụ jụrụ ma ọ bụ enwere mmegide ndị ọzọ na-eme nke a na-ekwesịghị ekwesị).77, 80, 81
- Uwe mkpuchi na mkpuchi maka eze,25, 45 ndị eze,25, 45 na onye ọrịa45 ga-anọrịrị. A ghaghị ichebe ndị niile nọ n'ime ụlọ ahụ n'ihi na ọnụ ọgụgụ dị ukwuu nke ihe ndị mepụtara n'oge usoro ahụ agaghị egbochi nchịkọta site na ngwaọrụ ndị na-amịkọrọ mmiri.36, 45 Egosiputala na ihe ndia gha agbasa site na onu onye aka rue aka, aka, iru, obi na akuku ozo nke ndi eze na ndi oriental.45
- Ndị dọkịta ezé na ndị eze ezé niile nọ n'ime ụlọ ahụ ekwesịghị iji aka mee ihe na-adịghị mkpa.45, 46, 77, 82-83
- Ọta ihu na ntutu / isi mkpuchi na-ga-tinye n'ọrụ site dọkịta ezé na niile eze pesonel n'ime ụlọ.45, 77, 80
- Ma ọ bụ ihe ekwesiri ike, mkpuchi nkpuchi iku ume ka ewepụtara mercury ma ọ bụ nrụgide dị mma, ihe nkpuchi kpuchiri nke ọma na-enye ikuku ma ọ bụ ikuku oxygen ga-eyi dọkịta ezé na ndị eze niile n'ime ụlọ ahụ.36, 45, 76, 77
- Iji kpuchido akpụkpọ anụ na uwe ya, ọ dị mkpa iji ahụ zuru oke, ihe mgbochi na-enweghị ike igbochi ya, yana akwa / ihu / olu mgbochi n'okpuru / gburugburu mmiri ahụ.45, 77, 80
- Ikuku ma ọ bụ ikuku oxygen nke a na-enyefe site na nkpuchi imi maka onye ọrịa ahụ kwesịkwara iji mee ihe iji jide n'aka na onye ọrịa ahụ anaghị ekpo ọkụ vaịn ọ bụla ma ọ bụ ngwakọta amalgam n'oge usoro ahụ.45, 77, 80 A na-anabata cannula imi maka nzube a ma ọ bụrụhaala na imi nke onye ọrịa ejiri mgbochi na-enweghị ike igbochi ya.
- A eze dam74-76, 84-87 ejiri ihe na-abụghị nke latex mee ihe45, 77, 83 Ekwesịrị itinye ya ma mechie ya nke ọma n'ọnụ onye ọrịa ahụ.
- A ghaghị ịtọba onye na-ahụ maka mmiri mmiri n'okpuru mmiri ezé iji belata ikpughe Mercury na onye ọrịa.45, 77
- N'oge iwepu ihe na-ejuputa ya, dọkịta ezé ga-eji ihe mgbapụta nke ikuku aerosol dị nso na mpaghara ọrụ (ntụgharị, sentimita abụọ ma ọ bụ anọ site n'ọnụ onye ọrịa) iji belata ikpughe Mercury.45, 88
- Evacugbapu ọsọ ọsọ ọsọ na-ewepụta njide ka mma mgbe ejiri ngwaọrụ Clean Up dabara,45, 87 nke abughi iwu ma obu ihe kariri.
- Copious ichekwa mmiri iji belata okpomọkụ45, 74, 76, 77, 86, 89-91 na ihe eji eme ihe ngwa ngwa iji wepu mercury discharges25, 29, 45, 74-77, 86, 90, 91 achọrọ iji belata ọkwa Mercury gburugburu.46
- Ngwakọta amalgam chọrọ ka e kee ya ụzọ ma wepụ ya iberibe iberibe o kwere mee,45, 74, 77, 80 iji obere dayameta carbide akuakuzinwo.29, 86
- Ozugbo usoro mwepụ ahụ zuru, ọnụ nke onye ọrịa kwesịrị ịmịchaa mmiri77, 80 wee jiri ihicha unyi, chlorella ma o bu adsorbent sachaa.81
- Lọ na eze ga-ekwenye na iwu gọọmentị etiti, steeti, na mpaghara na-ekwu banyere njikwa kwesịrị ekwesị, nhicha, na / ma ọ bụ mkpofu nke ihe ndị merụrụ emerụ, uwe, akụrụngwa, ihu nke ụlọ ahụ, na ụlọ elu ụlọ ọrụ eze.
- N'oge oghere na mmezi nke ọnyà mmịnye na operatories ma ọ bụ na isi mmiri unit, eze mkpara kwesịrị ahu nagide ihe kwesịrị ekwesị nchedo ngwá kọwara n'elu.
Ọ dị mkpa iburu n'uche na dịka nchekwa, IAOMT anaghị atụ aro iwepụ iwepụ maka ụmụ nwanyị dị ime ma ọ bụ na-enye ara ara na IAOMT anaghị atụ aro ka ndị ọrụ eze dị ime ma ọ bụ na-enye nwa ara na-arụ ọrụ nke na-emebi amalgam ndochi (tinyere iwepu ha).