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Scientific research demonstrates that dental mercury amalgam exposes dental professionals, dental staff, dental patients, and/or fetuses to releases of mercury vapor, mercury-containing particulate, and/or other forms of mercury contamination. Furthermore, mercury vapor is known to be released from dental mercury amalgam fillings at higher rates during brushing, cleaning, clenching of teeth, chewing, etc., and mercury is also known to be released during the placement, replacement, and removal of dental mercury amalgam fillings. Utilizing the available scientific evidence, the IAOMT has developed extensive safety recommendations for removal of existing dental mercury amalgam fillings, including detailed protective measures that are to be utilized for the procedure. The IAOMT’s recommendations build upon traditional safe amalgam removal techniques such as the use of masks, water irrigation, and high volume suction by supplementing these conventional strategies with a number of additional protective measures, the need for which have only recently been identified in scientific research.