Unit 3 Test

POST-TEST FOR UNIT 3:
SAFE REMOVAL OF AMALGAM FILLINGS
This is a printable version of the Unit 3 Test for IAOMT Accreditation.

It is for your records only.
To achieve credit, you MUST TAKE THIS TEST ONLINE AT
https://www.cvent.com/d/9vq546
“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

1. Mercury exposure created by removing old amalgams is a hazard for __________.
A. dental patients
B. dentists and dental staff
C. the environment
D. all of the above

2. Drilling on amalgam under UV light in front of a fluorescent screen reveals clouds of
__________ released.
A. mercury vapor
B. water vapor
C. dust
D. nothing

3. The potential for the greatest mercury exposure when drilling out old fillings comes
from __________.
A. skin transmission
B. mercury vapor
C. fully inhalable amalgam micro-particles
D. gray sludge

4. Routes of mercury exposure for patients when removing old fillings include
__________.
A. skin transmission
B. inhalable mercury vapor and particulate
C. swallowed amalgam debris
D. all of the above
SMART Module 2 Test; Page 1

5. When a workplace is faced with a toxic exposure in the course of a process (such as
drilling out old fillings), the methods used to mitigate that exposure are referred to as
__________.
A. engineering controls
B. biomimetics
C. on-site mitigation
D. separation

6. Evidence from the dental literature demonstrates that a patient's blood mercury goes up
after removing amalgam fillings and the effect is greatly reduced by using a rubber dam.
A. True
B. False

7. Beyond the rubber dam, methods that are recommended for protecting patients from
breathing, swallowing, and skin exposure to mercury when removing old fillings are
__________.
A. draping and a saliva ejector
B. water spray, high speed suction, and "Clean-Up"
C. room air filtering
D. all of the above

8. Drilling out old fillings with water spray and high-volume evacuation alone, without
supplemental room air-filtering results in a workplace mercury exposure that is
__________.
A. lower than the safe level
B. about the level of workplace safety levels
C. too high for anyone
D. undetectable

9. Protection from mercury exposure for the dental staff is just as important as protection
for the patient. While we know that workplace protection is not perfect, we currently use
personal protection garb for dental staff. Such garb includes a mercury resistant gown
and __________.
A. a paper mask
B. a mercury-rated respirator or positive pressure system
C. a moist paper towel
D. a robotic manipulator

10. We know that there is no low exposure to mercury that is truly safe, and we know that
all amalgam fillings can expose us to mercury. Therefore, we use our protective methods
when drilling out __________.
A. only the small amalgam fillings
B. only the big amalgam fillings
C. all amalgam fillings
D. gold inlays
“Position Statement against Dental Mercury Amalgam Fillings for Medical and Dental
Practitioners, Dental Students, and Patients” by the IAOMT:
11. Employee exposure to mercury is regulated in the United States by the 1970
Occupational Health and Safety Act and Workers’ Rights Handbooks which require
employers to train employees to avoid or minimize exposures.
A. True
B. False
12. Even though dentists, dental professionals, dental staff, and dental students are
occupationally and chronically exposed to mercury released from dental mercury
amalgam, researchers and clinicians have not raised any concerns whatsoever about the
safety of dental personnel who work with dental mercury amalgam.
A. True
B. False
13. By minimizing mercury exposure from dental mercury amalgam fillings or
completely avoiding the use of dental mercury amalgam fillings, an individual’s total
body burden of mercury can be beneficially reduced.
A. True
B. False

14. According to the IAOMT position statement, minimizing or eliminating mercury
exposure can potentially result in improvement and/or decreased risk of
disease/illness/health impairments for __________.
A. dental workers, children, patients with Alzheimer’s disease
B. pregnant women, patients with multiple sclerosis, patients who are detoxing
C. dental workers, patients with reproductive dysfunction, breast-fed children
D. A & B
E. all of the above
15. The room where mercury removal is to take place needs to have adequate filtration,
which requires __________.
A. a small fan
B. closing and locking the doors
C. a high volume, air filtration system
D. all of the above
16. Copious amounts of water to reduce heat and a conventional high speed evacuation
device to capture mercury discharges are required to reduce ambient mercury levels.
A. True
B. False
17. The velocity of the particles generated by high speed drilling can be overcome by
using suction devices during amalgam removal.
A. True
B. False
18. The dentist and the assistant should wear __________ during amalgam removal.
A. face shields
B. hair coverings
C. a properly-sealed, respiratory grade mask rated to capture mercury OR a
positive pressure, properly-sealed mask providing air or oxygen
D. A & C only
E. all of the above and more

19. The patient should be given __________ for amalgam removal.
A. barriers to protect skin and clothing
B. an adsorbent drink before amalgam removal (unless contraindicated)
C. external air or oxygen via a nasal mask or a nasal cannula completely covered
with an impermeable barrier
D. A & C only
E. all of the above and more
20. A study published in 2016 and conducted on over 76,000 patients for over ten years
found that posterior amalgam fillings had a higher annual failure rate than composites.
A. True
B. False
“What Alternatives Exist for Tooth Restorations Other than Dental Amalgam Fillings?”
excerpt from Sam and Michael Ziff’s book Dentistry without Mercury:
21. Current high-strength ceramics are much more durable than those made with the old
porcelain technology.
A. True
B. False
“Mercury Vapour Exposure during Dental Student Training in Amalgam Removal”

study by Warwick, O Connor, and Lamey:
22. A 2013 study by Warwick et al. measured mercury vapor levels in ambient air during
amalgam removal as typically performed in dental training.
A. True
B. False
“Mercury Vapour Exposure during Dental Student Training in Amalgam Removal” study
by Warwick, O Connor, and Lamey:
23. According to the abstract of the Warwick et al. study, “When suction without water
spray was used, mercury vapor levels exceeded the safety threshold 8% of the time.
When neither water spray nor suction was used, __________ of the mercury vapor
readings exceeded the absolute ceiling value.”
A. less than 1%
B. 36%
C. 52%
D. 99%

24. In addition to occupational exposure to mercury vapor, a concern for dentists’ health
is exposure to mercury particulate from amalgam fillings.
A. True
B. False
25. The 2013 Warwick et al. study concluded that dental schools should train students in
__________.
A. effective use of personal protective equipment
B. mercury hygiene
C. prevention of occupational mercury exposure
D. A & B only
E. all of the above
To achieve credit, you MUST TAKE THIS TEST ONLINE AT

https://www.cvent.com/d/9vq546

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POST-TEST FOR UNIT 3:

SAFE REMOVAL OF AMALGAM FILLINGS

This is a printable version of the Unit 3 Test for IAOMT Accreditation.

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

SMART Module 2 Test; Page 1

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

“Safe Removal of Dental Amalgam Fillings” Online Learning Module:

SMART Module 2 Test; Page 2

SMART Module 2 Test; Page 3

SMART Module 2 Test; Page 4

“Mercury Vapour Exposure during Dental Student Training in Amalgam Removal”

SMART Module 2 Test; Page 5

To achieve credit, you MUST TAKE THIS TEST ONLINE AT

SMART Module 2 Test; Page 6

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