Mercury in dentistry: should I remove my amalgam filling?

Mercury in dentistry: should I remove my amalgam filling?


The dentist explains the topic and also advises what to do if you have amalgam between your teeth





Mercury in dentistry: should I remove my amalgam filling?:
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In January 2019, the National Health Surveillance Agency (Anvisa), through RDC resolution no. 173, prohibited the production, import, marketing and use, in health services, of mercury elements and amalgam alloy powder in non-encapsulated form.

Amalgam is a material that contains a mixture of mercury, silver, tin and copper and was widely used in dentistry to fill cavities. “Because it is soft, it was recommended for restoring cavities, fractured teeth and finishing endodontic treatments. Not to mention it was durable and resistant to oxidation,” he explains. Patricia Almeidadental surgeon, specialist in oral and aesthetic rehabilitation, creator of the Almeida Clinic and member of the Association of Dental Surgeons of São Paulo (APCD).

In July 2024 it was the turn of the Legislative Assembly of the State of São Paulo (Alesp) to approve bill no. 1475/2023, which prohibits the use of amalgam.

And what should anyone who has this material between their teeth do?

Mercury can be harmful to health and the environment in its elemental or organic form. But, according to the Ministry of Health, anyone who has a restoration with it does not need to remove it.

“There are no risks for the mouth or the body, as it has been applied on the enamel. And a coating was used to avoid contact with the pulp, an area that has blood vessels,” reveals Patrícia Almeida.

Those who need restorations have the option of choosing composite resin, porcelain and even gold. “These are durable, oxidation-resistant options. The first two have a more advantageous cost and harmonize better aesthetically,” says the dentist, who issues a warning.

“Even if you don’t need a filling or have an amalgam filling, visit your dentist regularly for evaluation, prevention and treatment of any conditions.”

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Source: Terra

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