Dental Amalgams
What is dental amalgam?Most people recognize dental amalgams as silver fillings. Dental amalgam is a mixture of mercury, and an alloy of silver, tin and copper. Mercury makes up about 45-50 percent of the compound. Mercury is used to bind the metals together and to provide a strong, hard durable filling. After years of research, mercury has been found to be the only element that will bind these metals together in such a way that can be easily manipulated into a tooth cavity.
Is mercury in dental amalgam safe?
Mercury in dental amalgam is not poisonous. When mercury is combined with other materials
in dental amalgam, its chemical nature changes, so it is essentially harmless. The amount
released in the mouth under the pressure of chewing and grinding is extremely small and no
cause for alarm. In fact, it is less than what patients are exposed to in food, air, and water.
Ongoing scientific studies conducted over the past 100 years continue to prove that amalgam is not harmful. Claims of diseases caused by mercury in amalgam are anecdotal, as are claims of miraculous cures achieved by removing amalgam. These claims have not been proven scientifically.
Why do dentists use dental amalgams?
Dental amalgam has withstood the test of time, which is why it is the material of choice. It has a
150-year proven track record and is still one of the safest, durable and least expensive materials
to a fill a cavity. It is estimated that more than 1 billion amalgam restorations (fillings) are
placed annually. Dentists use dental amalgams because it is easier to work with than other
alternatives. Some patients prefer dental amalgam to other alternatives because of its safety,
cost-effectiveness, and ability to be placed in the tooth cavity quickly.
Why don't dentists use alternatives to amalgam?
Alternatives to amalgam, such as cast gold restorations, porcelain, and composite resins are more
costly. Gold and porcelain restorations take longer to make and can require two appointments.
Composite resins, or white fillings, are esthetically appealing, but require a longer time to place
the restoration. It should also be known that these materials, with the exception of gold, are not
as durable as amalgam.
What about patients allergic to mercury?
The incidence of allergy to mercury is far less than one percent of the population. People
suspected of having an allergy to mercury should receive tests by qualified physicians, and,
when necessary, seek appropriate alternatives. Should patients have amalgam removed? No.
To do so, without need, would result in unnecessary expense, and potential injury to teeth.
Are staff occupationally exposed?
Dentists are using pre-mixed capsules, which reduce the chance of mercury spills. And newer,
more advanced dental amalgams are containing smaller amounts of mercury than before.
An interesting factor can be brought into this: Because dental staff are exposed to mercury more often, one would expect dental personnel to have higher rates of neurological diseases, such as multiple sclerosis. They do not.
What are other sources of mercury?
Mercury can be found in air, food, and water. We are exposed to higher levels of mercury from
these sources than from a mouthful of amalgam.
Sources:
Much of this information was received from Jack Mitchem, DMD, professor of dental
materials at Oregon Health Sciences University Dental School and past chairman of the
American Dental Association Council on Dental Materials, Instruments and Equipment.
AGD Impact thanks Recall, the Oregon AGD newsletter, which also contributed to portions of
this fact sheet.
