silver fillings Archives - The Wealthy Dentist

1 Dentist in 4 Would Ban Silver Fillings

3 out of 4 dentists would not ban dental amalgamOnly one dentist in four would support a ban on silver fillings made of dental amalgam.

Past surveys have consistently shown dentists split on the topic of amalgam, as about half of dentists place amalgam fillings. But in this survey, 74% of dentists said that dentists should be able to make their own choices about restorative materials.

“I’ve personally not used it for 30 years,” said one dentist, “but I would guard the right of others to use it when indicated by their ethics and philosophy.”

Here are some further dentist comments:

  • “All studies demonstrate amalgam is safe and very effective.” (California dentist)
  • “Composites are not without their own toxic byproducts.” (General dentist)
  • “Once the ‘Old Guard’ passes, retires or fades away, there will be no more dental amalgam.” (General dentist)
  • “I just travelled to Haiti to do volunteer work in a make shift mission. In the end, the amalgam was the best material of choice… Each dentist must be given the option of selecting the material of choice for the conditions in which they are required.” (General dentist)
  • “It’s time to move on. Hopefully the options will get even better.” (New York dentist)
  • “Most dentists cannot do a decent proximal contacted composite. I would much rather have a mediocre amalgam than an almost perfect composite.” (New Jersey dentist)
  • “If amalgam was safe, OSHA would not require its disposal in hazardous waste.” (California dentist)
  • “I could not, would not be able to serve the IDD (intellectually and developmentally disabled) population well if I was not given the choice of amalgam.” (Developmental Dentist)
  • “I personally use amalgam probably less than 5% of the time, but at least I have that choice. Who would enforce this ban? The Government?? Let the dentist decide!!” (Florida dentist)
  • “It works well, is very forgiving, seals its own margins. It is not the universal restorative material, but neither is anything else, including resin. Dentists should have the skill, knowledge and option to use a variety of materials.” (Indiana dentist)
  • “If this were a new material applying for FDA approval, how long would the process take? How hard would the FDA laugh before saying ‘NEXT!’?” (Texas dentist)
  • “Unless evidence exists – which it does not – a ban is totalitarian. What’s next – McDonalds? Pizza? Meat?” (Orthodontist)
  • “You can’t do repairs under dental crowns with anything other than amalgam.” (General dentist)
  • “I wouldn’t use it on myself or my family. So I haven’t used it on my patients in 17 years.” (Texas dentist)
  • “Amalgam works fine. Never seen a negative effect of amalgam use.” (Prosthodontist)

Read more: Dentists Not in Favor of Banning Dental Amalgam

Silver Amalgam Use Now the Focus of a United Nations Treaty

Silver Amalgam Use Now the Focus of a United Nations TreatyFoxNews.com is reporting that a United Nations global mercury treaty on mercury pollution may become reality and America’s dentists could be subjected to an international ban on filling cavities with “silver amalgam” containing mercury.

The next round of “mercury talks” is scheduled for Monday in Kenya and State Department officials reportedly said they hope to garner support for a legally-binding treaty to reduce worldwide mercury emissions.

Dr. David Simone, a dental surgeon from Northbrook, Ill., who attended the State Department meeting, told FoxNews.com that State Department officials reiterated that amalgam fillings will likely remain on the U.N.’s designated list of products to eventually be phased down with passage of the so-called global mercury treaty.

There is a controversial ongoing argument among dental health professionals about the possible health risks associated with mercury exposure from amalgam fillings, and competing sides disagree on whether the amount of mercury in fillings causes risks.

The ADA supports the position that dental amalgam is safe and posts the following statement on its website –

Dental amalgam is considered a safe, affordable and durable material that has been used to restore the teeth of more than 100 million Americans. It contains a mixture of metals such as silver, copper and tin, in addition to mercury, which binds these components into a hard, stable and safe substance. Dental amalgam has been studied and reviewed extensively, and has established a record of safety and effectiveness.

The FDI World Dental Federation and the World Health Organization concluded in a 1997 consensus statement: “No controlled studies have been published demonstrating systemic adverse effects from amalgam restorations.” Another conclusion of the report stated that, aside from rare instances of local side effects of allergic reactions, “the small amount of mercury released from amalgam restorations, especially during placement and removal, has not been shown to cause any … adverse health effects.”

In 1998 the ADA’s Council on Scientific Affairs published its first major review of the scientific literature on dental amalgam which concluded that “based on available scientific information, amalgam continues to be a safe and effective restorative material.” The Council’s report also stated, “There currently appears to be no justification for discontinuing the use of dental amalgam.”

In an article published in the February 1999 issue of the Journal of the American Dental Association, researchers report finding “no significant association of Alzheimer’s Disease with the number, surface area or history of having dental amalgam restorations” and “no statistically significant differences in brain mercury levels between subjects with Alzheimer’s Disease and control subjects.”

A 2003 paper published in the New England Journal of Medicine states, “Patients who have questions about the potential relation between mercury and degenerative diseases can be assured that the available evidence shows no connection.” [Read more …]

Robert Ferguson, founder and president of the Science and Public Policy Institute (SPPI), told Foxnews.com that he sees the controversy surrounding dental amalgam as little more than the latest scare to drive more regulation.

What are your thoughts on the use of silver amalgam in dental treatments?

For more on this story see U.S. Weighs Support for U.N. Treaty That Could Force Dentists to Change Materials Used in Fillings.

Watch for more on this subject in the November issue of Academy of General Dentistry in a feature article by Eric K. Curtis, DDS, MA, MAGD titled, Black and White with Shades of Gray Ruminations on Amalgams in a World of Composites.

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