Welcome to the IAOMT Accreditation Program
The International Academy of Oral Medicine and Toxicology (IAOMT) Accreditation Program requires the candidate to demonstrate a basic understanding of the distinctions that define biocompatibility and the science that underlies biological dentistry.
Requirements for Accreditation are:
- Active membership in IAOMT.
- Enrollment fee of $1000.00 (U.S.).
- Attendance at a minimum of two IAOMT meetings and the Fundamentals of Biological Dentistry course.
- Successful completion of the e-Learning Core Curriculum.
- Oral presentation of a basic amalgam replacement case, from examination to completion with focus on proper patient protection for optimal safety from unnecessary exposure. Proper operatory environment for limiting occupational exposure to personnel. The case presentation can be done in person at a meeting, or online via Go-To-Meeting.
Essential documents for deepening your knowledge of the IAOMT:
Please note: you must sign and return the “IAOMT Accreditation Disclaimer” by mail, fax, or scan and e-mail.
Oral Medicine, Dental Toxicology, and Biological Dentistry
Accreditation by the International Academy of Oral Medicine and Toxicology (IAOMT) certifies to the professional community and the general public that you have been trained and tested in the comprehensive application of biocompatible dentistry, including current methods for safe removal of dental amalgam.
A more biocompatible approach to oral health is the hallmark of “biological dentistry.” In using that term, we are not attempting to stake out a new specialty for dentistry but rather to describe a philosophy that can apply to all facets of dental practice and to health care in general: Always seek the safest, least toxic way to accomplish the mission of treatment, all the goals of modern dentistry, and do it while treading as lightly as possible on the patient’s biological terrain.
By making distinctions – some obvious, and some subtle – among the available materials and procedures, we can reduce the impact on our patients’ biological responses. Our sense of duty to advocate for the well-being of our patients should make biocompatibility a high priority, and the fact that there are now so many new ways to make dentistry work better gives us the opportunity to do just that.
The International Academy of Oral Medicine and Toxicology (IAOMT) is an organization for that group of dentists, physicians, and allied researchers who consider biocompatibility to be their first concern and who demand scientific evidence as their key criterion. Members of this group have, since 1984, examined, chronicled, and supported research into the distinctions that can make dental practice more biologically acceptable. This “biological dentistry” attitude can inform and intersect with all topics of conversation in health care where the well-being of the mouth is an integral part of the health of the whole person.
Thus, IAOMT Accreditation establishes you at the forefront of twenty-first century dentistry and demonstrates your commitment to furthering your knowledge of dentistry’s undeniable role in systemic health.
To assist you in this endeavor, our accreditation course is divided into ten units and a required activity designed to provide you with the education and resources to offer biological dentistry to your patients.
Overview of IAOMT Accreditation Units
The didactic program for IAOMT Accreditation is now completely on line, as the e-Learning Core Curriculum. You have been provided with a log-in name and password as part of your registration for Accreditation, and you can enter the site from the Accreditation Candidate’s button at the IAOMT On Line Learning Center.
Please view and complete each of the ten courses. They are offered in a format with the following components:
- Orientation to audio, video and navigation controls, and finding the supplementary text material. You can save your place and exit at any time, and return to where you left off when you’re ready.
- A short “teaser quiz” to introduce the topics to be discussed.
- The video presentation, augmented by text boxes and “topic documents,” that present the text material in downloadable pdf format.
- Supplemental reading and videos, accessible by links throughout the presentation. Some of the supplemental material will be required reading, which you should complete before taking the unit quiz.
- The Unit Quiz. Multiple attempts are allowed, no nitpicking. Concept development is encouraged.
- CE credit is granted at the end of the course. There will be a link to find an AGD completion code. The presentations are worth one hour of credit, not counting the endless hours of extra reading. Unfortunately, medical CME credits are not offered on line at this time, although they are at our live meetings.
Below is a description of each of the units.
Introduction to the IAOMT, our Accreditation Program, and Biological Dentistry
This document is part of the introduction, which is designed to provide you with essential background knowledge about the structure and operations of the IAOMT, the organization and overall workings of the IAOMT Accreditation program, and information about biological dentistry in general.
Unit 1: Mercury 101
A brief history of amalgam, properties and toxicology of mercury.
Unit 2: Mercury 102
Scientific evidence has established beyond any doubt two propositions: 1) Amalgam releases mercury in significant quantities, creating measurable exposures in people with fillings, and 2) Chronic exposure to mercury in the quantity released by amalgam causes physiological harm.
Unit 3: Safe Removal of Amalgam Fillings
Dentists who engage in elective replacement of amalgam fillings have been criticized by their peers for unnecessarily exposing their patients to additional mercury during the process of grinding the old fillings out. Yet, the “mercury-free” dentists are the ones who are most aware of the problem. We present scientifically verified procedures for minimizing mercury exposure which all dental office personnel should learn and follow for their own protection and for the protection of their patients.
Unit 4: Environmental Impact of Dental Mercury
Wastewater authorities around the world are on to dentists. Dental offices have been collectively identified as the major source of mercury pollution in municipal wastewater, and they’re not buying the excuse that amalgam is stable and doesn’t break down.
Units 5: Clinical Nutrition in Dentistry
Nutritional status impacts all aspects of a patient’s ability to heal. Biological detoxification depends heavily on nutritional support, as does periodontal therapy or any wound healing. While the IAOMT does not advocate that dentists necessarily become nutritional therapists themselves, an appreciation of the impact of nutrition on all phases of dentistry is essential to biological dentistry.
Unit 6: Mercury Detox
IAOMT members should be familiar with the methods and challenges of reducing systemic toxicity deriving from mercury exposure. For some patients, eliminating the exposure by removing the amalgam fillings is sufficient; for others, it is just the tip of the iceberg.
Unit 7: Fluoride
Mainstream public health science has failed to verify that a protective effect of water fluoridation on children’s teeth actually exists, despite the constant public relations statements and resulting widespread belief among the general population. Meanwhile, evidence of the harmful effects of fluoride accumulation in the human body continues to mount.
Unit 8: Biocompatibility and Oral Galvanism
In addition to using dental materials that are less overtly toxic, we can raise the biocompatibility quotient of our practice by recognizing the fact that individuals vary in their biochemical and immunological responses. We present a discussion of biochemical individuality and sound methods of immunological testing to help determine the least reactive materials to use with each individual patient.
Unit 9: Biological Periodontal Therapy
Where is a line to be drawn in periodontal therapy to distinguish the biological approach from the basic mechanical therapies that prevail in dentistry? Primarily, it is the line between those therapies that involve excision of tissue, and those that involve enabling those tissues to heal.
Unit 10: Hidden Pathogens in Jawbone and Root Canals
Breaching the barriers between the oral cavity and the internal medullary spaces of the bone marrow by dental infection, root canal treatment and extraction, allow microbes to invade and persist where they don’t belong. Thinking about the problem may ultimately force us to totally re-evaluate our understanding of the relationship between the tooth and the bone.
Conclusion: We are Twenty-First Century Dentistry
In the old days, when the only restorative materials were amalgam or gold and the only esthetic material was denture teeth, our profession was challenged to fulfill its mission and be biologically discriminating at the same time. Today, we can do better dentistry, in a less toxic, more individualized, and more environmentally-friendly way than ever. We have as many choices of attitude before us as we do dental techniques and materials. By choosing to put biocompatibility first, we can look forward to practicing effective dentistry while knowing that we are providing patients with the safest experience for their overall health.
Post-Unit: Case Presentation Interview Requirement
An important requirement of the IAOMT Accreditation Program is the presentation of one case of simple amalgam removal presented to the Education Committee. Here is the outline of expectations for successful completion of this component.
1. Dental & Medical History: [Conduction and Analysis, i.e. brief introduction of your case (1-2 Minutes) and answer the question “Where did the patient come from?”
2. Discuss your Amalgam Removal Process (10 minutes max.)
*Mandatory Visual Aids
*Written informed consent
*Restorative history/charting including periodontal charting
*Pre-op Radiographs, before amalgam removal
*Photographs of office protection equipment that is in use
*Ionizer and/or vacuum under chin
*Alternate Air Source for patient
*Clean up and/or Rubber dam & Saliva ejector
*Respirator Mask or alternate air source for dentist and staff
Optional additional modes of treatment
Intraoral photographs before and/or after Hg removal
Radiographs after Hg removal
Lab test results (e. G. Clifford, Biocomp, Quicksilver, etc.)
Post treatment instructions (plans for future)
Biological Support (DMPS or DMSA, Nutritional advice, Redoxal, IV C Therapy)
Literature (i.e. books or pamphlets)
EAV, homeopathy, IR Sauna, Ozone therapy