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During amalgam filling removal, the dentist in Phoenix must utilize an at-source oral aerosol vacuum in proximity to the operating field (i.e., two to four inches from the patient's mouth) to mitigate mercury exposure 45, 88 To reduce heat, copious amounts of water are required, along with a conventional high-speed evacuation device to capture mercury discharges, to lower ambient mercury levels

however, several possible mechanisms have been suggested

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