VERMONT DEPARTMENT OF ENVIRONMENTAL CONSERVATION
BEST MANAGEMENT PRACTICES FOR DENTAL AMALGAM AND OTHER WASTES
Under Vermont law, dental offices are required to follow environmental “best management practices”
developed by the Vermont Department of Environmental Conservation for amalgam, elemental mercury, and other common hazardous wastes. In addition, all dental practices except for orthodontists, periodontists, endodontists, oral and maxillofacial surgeons, and any other dental practice that does not place or remove amalgam, are required to install amalgam separators no later than January 1, 2007.
This certification form, which provides the best management practices in a checklist format, must be completed by Vermont dental practices and filed with the Department of Environmental Conservation by January 31, 2007, and every other year thereafter (i.e., January 31, 2009, 2011, 2013, etc).
Resource materials are available on-line at www.mercvt.org (under the Dental section) to assist in
complying with these best management practices. In particular, dental practices are encouraged to reference The Environmentally Responsible Dental Office: A Guide to Proper Waste Management in Dental Offices, which can be accessed through this web site.
Note: Note: New dental practices or relocated practices must file this certification form
Withi within 30 days of startup.
HOW TO USE THIS FORM
To complete this form, each dental practice, by location, should respond to each question and provide the additional information requested. If you can answer “Yes” to all of the questions, then your
practice is following best management practices. A “No” response generally indicates that a best
management practice is not being followed. If you answer “No” or “NA” (not applicable) to any
question, please provide a brief written explanation below each question that describes why the management practice was not met, and any corrective action that will be taken, or why the management practice is not applicable.
We suggest that you save the certification form on your computer. You can complete the form on your computer screen, then print and sign. Alternatively, you can print out the blank form and complete by hand.
COMPLIANCE WITH BEST MANAGEMENT PRACTICES
The Department will review self-certification forms that are submitted and will follow up with any incomplete forms submitted or non-filers. Periodic field visits will be conducted to verify compliance with BMPs and amalgam separator installation and operation. A high priority for field visits will be practices that have not filed self-certification forms.
If you need assistance in completing the form or complying with these best management practices, please contact the Environmental Assistance Office at 800-974-9559.
After completing the questions and signing the certification statement return the form by mail to:
Environmental Assistance Office (Dental)
103 South Main Street – The Cannery
Waterbury, VT 05671-4911
DENTAL BEST MANAGEMENT PRACTICES
PART 1: AMALGAM WASTES
General Instructions: Place a check or “X” in the box for each question that indicates whether the best management is being followed (Yes), not being followed (No), or is not applicable to the practice (NA). If you answer “No” or “NA” to any best management practice, please explain in the space provided below each numbered item. If there are multiple sites for a dental practice, please complete one form per location.
Terms Related to Amalgam Wastes:
; Non-contact amalgam (scrap) is excess amalgam mix remaining at the end of a dental
procedure. Many recyclers will buy this clean scrap.
; Contact amalgam is amalgam that has been in contact with a patient. Examples are extracted
teeth with amalgam restorations, carving scrap collected at chairside, and amalgam captured by
chairside traps, filters, or screens.
; Chairside traps capture amalgam waste during amalgam placement or removal procedures
(traps from hygiene chairs generally do not contain amalgam).
; Vacuum pump filters or traps on wet seal vacuum systems (those using water) contain
amalgam. Some recyclers will accept whole filters, while others may require special handling
of this material.
; Amalgam capsules are the individually dosed containers of pre-capsulated dental amalgam.
After use, the capsules may contain residual amalgam.
Best Management Practices for Amalgam Wastes
1. Yes No NA All elemental mercury (free, bulk, or raw mercury) has
been removed from the premises and sent for recycling. Comments:
2. Yes No