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This information was compiled for General Dentistry. Your dentist cares about long-term dental health for you and your family and demonstrates that concern by belonging to the Academy of General Dentistry. As one of the 35,000 general dentists in the United Sates and Canada who are member of the Academy, your dentists participates in an ongoing program of professional development and continuing education to remain current with advances in the profession and to provide quality patient treatment. Visit the AGD’s website at www.agd.org. You have permission to photocopy this page and distribute it to your patients. 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. Dental Amalgams amalgam. These claims have not been proven scientifically. 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. 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. personnel to have higher rates of neurological diseases, such as multiple sclerosis. They do not. What about patients allergic to mercury? The incidence of allergy to mercury is 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 amalgams removed? No. To do so, without need, would result in unnecessary expense and potential injury to teeth. 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 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 Councilon Dental Materials, Instruments and Equipment. AGD Impact thanks Recall, the Oregon AGD newsletter, which also contributed to portions of this fact sheet. 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. Are staff occupationally exposed? Dentists are using pre-mixed capsules, which reduce the chance of mercury spills. And newer, more advanced dental amalgams contain 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