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Mercury is one of the most toxic substances
known to man.
It it
the most toxic of all metals except for plutonium, so toxic that the
World Health Organization (WHO) states that mercury is a poison at any
level of exposure and that there is no safe dose of mercury. The WHO
estimates that the largest source of daily intake of mercury by the
general public is from dental fillings. OSHA and NIOSH have established
specific occupational exposure limits for mercury and the American
Dental Association has published guidelines for protecting dentists and
their staffs from occupational mercury exposure. The EPA has declared
amalgam removed from teeth to be hazardous waste and prohibits its
disposal in landfills. The FDA regulates the maximum amount of mercury
that can be in the food supply. Yet all these agencies except the WHO
ignore the largest single source of mercury exposure to the general
public - amalgam fillings. In the face of overwhelming evidence of
mercury's toxicity can any thinking person actually believe that the
only safe place for mercury is in our patients' mouths?
The American Dental Association is born.
Before 1840 there were no dental schools, no dental licensing in the
U.S., no dental boards or national dental organizations. Dentists were
either self-taught craftsman-dentists or, as was the custom in European
countries at the time, were medical doctors first and then served an
apprenticeship under another dentist to learn dentistry. When amalgam
fillings were originally introduced into the United States in 1834, the
physician/dentists of the day were already well aware of the toxic
effects of mercury. They charged the users of mercury fillings with
malpractice and characterized those craftsman-dentists who would use the
new mercury fillings as "Quacks" and "Charlatans".
In 1840, the world's first national dental organization, The American
Society of Dental Surgeons (ASDS), was formed and the first dental
school, The Baltimore College of Dental Surgery, opened to provide
comprehensive organized instruction for dentists and to oppose the
growing indifference among dentists for their patients' medical welfare
as evidenced by the increasing popularity of mercury fillings. When the
ASDS required all its members to swear an oath that they would not use
mercury fillings in their patients the mercury users left the society en
mass and in 1859 formed their own new organization, The American Dental
Association. In its 140 years the ADA's position on and support for the
use of amalgam fillings has never changed. They do now concede that
"harmless amounts" of mercury vapor do leak out of amalgam fillings
during chewing, but they ignore the research that shows that the leaked
mercury is absorbed into the brain and vital organs.
The ADA maintains their position: Amalgam fillings - Safe and
Effective.
There was good reason in the past for the ADA's position on amalgams. Up
until the last two decades there hasn't been a durable, effective and
inexpensive alternative to amalgams. When they were first introduced we
didn't even have anesthetics or laughing gas, so the choices were
expensive and painful gold fillings, a painful extraction, or relatively
painless amalgam fillings that some said could harm the patient.
Although the medical community was already well aware of the toxic
effects of mercury, medical science of the day could prove no direct
harmful effects of mercury amalgam fillings. Now, composite resin
fillings are a safe, durable, and effective replacement material for
amalgam. Today many composites are superior to amalgam as shown in a
1994 study by Clinical Research Associates group of Provo, Utah. Of 21
filling materials tested 10 composites proved superior to amalgam.
Sincere and Dedicated Professionals of Goodwill Disagree.
For the 140 years since mercury amalgam fillings were first introduced
into the United States there has been an ongoing debate among healthcare
professionals as to their safety. Medical Science will still need to
progress further before the evidence overwhelmingly vindicates one side
or the other. But in the mean time and for over 20 years now, our
practice has steadfastly refused to use mercury fillings. Beautiful,
tooth colored, non-metal, composite fillings are not only non-toxic and
more durable than amalgam fillings, but also look like natural teeth.
Going a step further to help protect the environment as well as our
patients, we have equipped our offices with special devices to trap and
remove mercury from wastewater produced in the office. As old fillings
are removed, mercury is trapped and safely recycled so that it cannot
enter the ground water. Dental office wastewater is a major source of
mercury water pollution in this country. Even though no governmental
agency has yet told us that we must trap mercury, we think it is the
right thing to do.
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