The importance of medical care after amalgam removal and bone cavitation removal

Prompt treatment through supplements for chelation and bone support after amalgam removal, as well as after dental cavitation surgery, leads to a significantly more positive success rate in patients. This has been demonstrated in clinical and scientific investigation studies. These types of protocols are unknown to most dentists. It is important that professionals in the field of dentistry are informed about the existence of these protocols so that they can better help their patients.

The need for acute detoxification after heavy metal removal

In 1991, Swedish researchers (Malmstroem, Hansson and Nylander) placed a small amalgam filling in an 11-year-old girl who had no previous history of cavities or fillings1. A stool and urine analysis was collected over the following days. The researchers found that, compared to a control group, the fecal excretion of mercury in this child was much higher on the third day after the dental appointment (400 micrograms in 24 hours; according to the WHO, the maximum acceptable standard for total intake of mercury is 45 micrograms in a 24-hour period). The authors also found that fecal excretion was four times greater than urinary excretion (80% released through the intestines versus 20% through urine)2.

In the author’s clinical experience, the same phenomenon occurs, but in reverse, during the removal of heavy metals. That is, the largest excretion of heavy metals occurs around the third day after amalgam removal. A few years later, in a 1993 study, the oral and intestinal flora of primates was examined before and after the placement of amalgam fillings. A statistically significant increase in mercury-resistant and antibiotic-resistant bacteria was found five weeks immediately after placement, as well as five weeks immediately after amalgam removal3. The researchers concluded that mercury released from amalgam fillings increases antibiotic-resistant bacteria, even in the absence of antibiotics. (See Curing CASPERS: A Naturopathic Physician’s Guide to Treating Chronic Autoimmune Pathogens Evolved from Resistant Bacteria Syndrome at for more information on the damage that antibiotics cause in the gut flora.)

The “5 Dental Detox Days” Protocol

This study not only highlighted the harmful effects on the body after amalgam placement, but also the negative effects after removal. The author has clinically observed this same phenomenon for nearly three decades and therefore developed a protocol called the “5 Day Dental Detox”, as well as a reduced detoxification protocol (regular daily dose) for the following weeks and months.

This acute “five-day” protocol is characterised by strong detoxification measures, such as doubling or even tripling a patient’s regular dosage of chelating supplements, taking extra minerals to replenish the amount of minerals that have been consumed and are in deficit, specific homeopathic remedies to heal inflamed tissues after perforation, cell salts to support the regeneration of bone and gingival tissue, and dietary suggestions for a more effective release of these toxic metals through the intestine. According to this protocol, patients are advised to follow a lighter protocol, that is, a reduced “regular daily dose” of these detox supplements for at least five weeks (based on the latest study cited), to ensure optimal detoxification, for three to six months after dental intervention and the removal of heavy metals. (This protocol is detailed in The 5 Dental Detox Days: A Naturopathic Doctor’s Guide to Effective Detoxification of Mercury Amalgam Fillings at

The need for acute support after cavitation surgery

The decision to extract a tooth is very important – and permanent. Therefore, it is an important decision for the patient, as well as for the dentist responsible for the diagnosis and for the recommended treatment plan for the patient. After careful examination and discussion of the case, if tooth extraction (or surgery from a previous extraction site) is deemed necessary, patients can greatly increase the likelihood of a successful surgical outcome if they strictly adhere to pre- and post-operative protocols.

At White Clinic, we practice pre- and post-operative supplementation protocols that exponentially increase the success of our surgical outcomes. We recently published an article that demonstrates the effectiveness of supplementation before and after surgery in bone healing and regeneration. Read our latest Pubmed article here:

In a study with thirty-eight patients, the author and Dr. Russ Borneman5, a biological dentist from the state of Washington, demonstrated a 100% success record in diagnosing tooth sites requiring cavitation surgery, which were verified for positive histological signs of ischemic necrosis in laboratory tests performed by Dr. Boyd Haley and Dr. Jerry Bouquot. Using the same clinical experience and working in collaboration with biological dentists, the author suggested that, in general, it takes approximately five days to heal rapidly after dental cavitation surgery, and therefore the “5 days post-cavitation surgery” protocol was developed. The recommendations for the five post-op days include doubling the doses of nutritional supplements to accelerate healing of the surgical site; homeopathic medicines to reduce bruising and pain and to help restore normal blood flow; medication and therapies with natural anti-inflammatory and antimicrobial effects; mineral salts to improve optimal blood circulation and healing of bone and gum tissue; laser therapy to stimulate healing of surgical sites and adnexal nodes; and essential oils to treat any part of the body that was affected and is connected to the cavitation that was intervened.

Over the last two decades, during which this protocol was applied, the author had a 98% success rate (no dry socket; and no need to repeat the surgery). Therefore, this time-tested post-op protocol can guarantee a positive outcome and a more complete and permanent healing of the surgical site. (This protocol, as well as the new platelet-rich fibrin (PRF) method and other therapies that are important for a successful surgery are described in The 5 Post-Cavitation Surgery Days: A Naturopathic Doctor’s Guide to Complete Healing After Dental Surgery at


Careful removal of amalgam fillings is an essential step in eliminating “healing obstacles” that have a major impact on overall health. However, it must be followed by continuous detoxification to ensure a more effective result and to promote optimal functioning of the immune system. The “5 Dental Detox Days” protocol is an effective way to eliminate the presence of heavy metals, that is, by acutely increasing the dose of supplements needed right after dental intervention.

Removal of an infected tooth, or bone infection, is usually necessary to improve the patient’s systemic health. Appropriate therapy for this dental cavitation surgery requires treatment with nutritional supplements during approximately five days, immediately after surgery.

It is important that dentists who are not experienced with these protocols work together with physicians who have experience in this type of approach, to ensure successful treatment for their patients.

*Dra. Ana Paz, Science, Research and Daily Practice at White Clinic
  1. C Malmstroem et al., “Amalgam-derived Mercury 1 in Feces” ISTERH Third International Conference and NTES Fourth Nordic Conference, Stockholm (May 25-29, 1992):1-8.
  2. Ibid.
  3. A Summers, et al., “Mercury released from dental ‘silver’ fillings provokes an increase in mercury- and antibiotic-resistant bacteria in oral and intestinal floras of primates,” Antimicrob Agents Chemother, (April 1993), 825-34.
  4. Ana Paz, Miguel Stanley, Francesco Guido Mangano, Richard J Miron. Vitamin D Deficiency and Early Implant Failure: Outcomes from a Pre-surgical Supplementation Program on Vitamin D Levels and Antioxidant Scores. Oral Health Prev Dent 2021 Jan 7;19(1):495-502.doi: 10.3290/j.ohpd.b2082063.
  5. Borneman, R and Williams, L. Unpublished research findings from the Head and Neck Diagnostics of America laboratory, Seattle, Washington, 1995-96.

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