US Reports/Policies on Dental Amalgam and Mercury

Date Issued
Federal Agencies
Title/Description
  Centers for Disease Control and Prevention    
September 2001 CDC Fact Sheet Dental Amalgam Use and Benefits -
Environmental Protection Agency
1997
US EPA
Report
Mercury Study Report to Congress - Dental amalgams contribute more inorganic mercury to body burden than diet or any other source.
Food and Drug Administration
February 2, 2002
US FDA
Proposed Rule

Special Control Guidance Document on Encapsulated Amalgam, Amalgam Alloy, and Dental Mercury Labeling; Draft Guidance for Industry and FDA

Related Documents:

Federal Register Announcement

Updated December 31, 2002
US FDA
Consumer Update
Dental Amalgam -
Indian Health Service
October 2, 2001 Bemidji Area Indian Health Service Policy Statement Mercury Use and Pollution Prevention Policy Issuance
Public Health Service
1991
US PHS
January 1993
Subcommittee on Risk Management of
the Committee to Coordinate Environmental Health and Related Programs, US PHS
Report
Dental Amalgam: A Scientific Review and Recommended Public Health Service Strategy for Research, Education and Regulation
October 1997
Working Group on Dental Amalgam, US PHS
Update Report
Dental Amalgam and Alternative Restorative Materials -
1999
US ATSDR
Toxicological Profile for Mercury - Mercury is number three of the Top 20 Hazardous Substances from the 2003 CERCLA Priority List of Hazardous Substances.
National Institutes of Health
August 1991
NIDR (NIDCR)
Technology Assessment Conference Statement

Effects and Side Effects of Dental Restorative Materials -

Although mercury vapor is released from dental amalgam, the quantities released are very small and do not cause verifiable adverse effects on human beings. While there is no scientific evidence that existing dental restorative materials are not safe, it must be recognized that the supporting data are incomplete.

Recommendations:

  • Manufacturers of all restorative materials should provide an insert or "stickers" listing the constituents used to formulate each material. This information should be referenced in each patient's chart.
  • Dentists should install devices to recover waste amalgam residues in their offices for recycling to reduce environmental contamination.
  • A specific Food and Drug Administration program should be established for reporting and investigating adverse reactions to dental restorative materials.

 

1984
NIDR (NIDCR) & ADA
Consensus Statement
Office of Research Facilities, NIH
Program NIH Mercury Abatement Program - Dental amalgam is recognized as a significant source of mercury in the environment.
NIEHS
  Scientific Bodies    
2001
National Research Council, National Academy of Sciences
Report
Toxicological Effects of Methylmercury - Dental Amalgam is the major source of inorganic mercury exposure for the general population.
Dental Trade Organizations
Revised 2002
American Dental Association (ADA)
Position Statement
November 2003 ADA Council on Scientific Affairs Guidelines Dental Mercury Hygiene Recommendations - Includes contact precautions and other recommendations by which dental practitioners can reduce their exposure to mercury.
April 1998
ADA Council on Scientific Affairs
Review
Dental Amalgam: Update on Safety Concerns - Journal of the American Dental Association 1998; 129: 494-503
Revised 2004
American Association for Dental Research (AADR)
Policy Statement
Dental Amalgam Restorations -
International Academy of Oral Medicine and Toxicology (IAOMT)
Academy of General Dentistry (AGD)
Holistic Dental Association (HDA)
International Academy of Biological Dentistry and Medicine (IAOMT)
  Other Trade Organizations    
July 2001 American Academy of Pediatrics Report Technical Report - Mercury in the Environment:
Implications for Pediatricians
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