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[Dental care using silver amalgam]

G Vanherle1

  • 1School voor Tandheelkunde, Mondziekten en Kaakchirurgie, Faculteit Geneeskunde-Katholieke Universiteit Leuven.

Verhandelingen - Koninklijke Academie Voor Geneeskunde Van Belgie
|January 1, 1996
PubMed
Summary
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Dental amalgam fillings, containing metallic mercury, are safe and justified for dental use. Extensive research shows no harmful effects on patients, with mercury levels well below safety limits.

Area of Science:

  • Dental Materials Science
  • Toxicology
  • Public Health

Context:

  • Dental amalgam is the most prevalent dental filling material globally.
  • Concerns regarding mercury in amalgam fillings have persisted for over 160 years.
  • Despite widespread use, no adverse health effects have been conclusively demonstrated in dental patients.

Purpose:

  • To evaluate the safety and justification of dental amalgam as a filling material.
  • To address concerns related to oral galvanism, toxicity, allergenicity, and environmental impact.
  • To provide a comprehensive overview of mercury absorption, metabolism, and elimination in relation to dental amalgam.

Summary:

  • Metallic mercury in dental amalgam is absorbed primarily through the lungs, with toxic levels interfering with cellular metabolism, particularly affecting the brain, liver, and kidneys.

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  • Blood and urine mercury levels (HgB and HgU) in patients with amalgam fillings remain below acceptable safety thresholds.
  • Reported instances of oral galvanism and allergic reactions are infrequent and often attributable to other oral conditions.

    • Impact:

    • The use of dental amalgam is deemed safe and scientifically justified, with mercury exposure well within established safety regulations.
    • Strict legislation is anticipated to mitigate environmental mercury release from dental fillings.
    • Dental amalgam remains a highly effective and recommended material for meeting current dental restoration needs.