World Health Organization “Future Use of Materials For Dental Restorations” 2011 pdf
The World Health Organization Dental Amalgam Review
The World Health Organization recommends a global phase out of dental mercury. In the WHO’s newly released 2009 report on “Future Use of Materials For Dental Restorations”. This is a great article by Charlie Brown from Consumers for Dental Choice. You can find a full view of the WHO Dental Materials report here.
10/2011
In a clear sign that dentistry’s amalgam era is fading, the World Health Organization (“WHO”) just released its long-awaited report on dental amalgam. In Future Use of Materials for Dental Restoration, WHO urges “a switch in use of dental materials” away from amalgam.
“[F]or many reasons,” WHO explains, “restorative materials alternative to dental amalgam are desirable.” The report describes three of these reasons in detail:
- WHO determines that amalgam releases a “significant amount of mercury”: WHO concludes that amalgam poses a serious environmental health problem because amalgam releases a “significant amount of mercury” into the environment, including the atmosphere, surface water, groundwater, and soil. WHO says “When released from dental amalgam use into the environment through these pathways, mercury is transported globally and deposited. Mercury releases may then enter the human food chain especially via fish consumption.”
- WHO determines that amalgam raises “general health concerns”: While the report acknowledges that a few dental trade groups still believe amalgam is safe for all, the WHO report reaches a very different conclusion: “Amalgam has been associated with general health concerns.” The report observes, “According to the Norwegian Dental Biomaterials Adverse Reaction Unit, the majority of cases of side-effects of dental filling materials are linked with dental amalgam.”
- WHO determines that “materials alternative to dental amalgam are available”: WHO concludes that “Materials alternative to dental amalgam are available” – and cites many studies indicating that they are superior to amalgam. For example, WHO says “recent data suggest that RBCs [resin-based composites] perform equally well” as amalgam. And compomers have a higher survival rate, says WHO, citing a study finding that 95% of compomers and 92% of amalgams survive after 4 years. Perhaps more important than the survival of the filling, WHO asserts that “Adhesive resin materials allow for less tooth destruction and, as a result, a longer survival of the tooth itself.”
We have come a long way. Less than a year ago, dental trade groups were circulating an unedited and unreviewed draft of this report to government officials, implying that it was WHO’s final position. But the draft was riddled with factual errors and scientifically unsupported claims. Consumers for Dental Choice – working with non-governmental organizations, scientists, and environmentalists from around the globe – organized a letter-writing campaign to insist that the draft be immediately withdrawn, accurately rewritten, and properly reviewed.
And it worked! Now WHO has removed all claims of amalgam’s safety. Now WHO has committed itself to “work for reduction of mercury and the development of a healthy environment.” Now “WHO will facilitate the work for a switch in use of dental materials.”
Thank you to everybody who urged WHO to take this important step to protect future generations from dental mercury.
Patient Guide — Safe Mercury Removal
How we protect you from mercury vapor exposure. When a dentist removes (drills) on an old amalgam filling, it releases a lot of mercury vapor. You can recognize an amalgam filling because it looks dark gray or silvery. When this mercury vapor is released, you can potentially breathe it in and then have it absorbed into your nervous system or other tissues.
Here’s what we do.
- Non-Latex Dental Dam
- Medical Air Nasal Hood
- High Volume Vacuum
- High Speed Suction
- Chunck Amalgam Removal
- Lots Of Water
- Protective Eyewear
- Ventilation
- Primary Health Provider Communication
Here’s what we do to protect you from mercury vapor during amalgam filling removal.
First, we use a non-latex dental dam. This is sometimes called a rubber dam; it prevents you from not only breathing in vapor through your mouth but also prevents that vapor from contacting the more permeable mucosa inside your mouth. We use a non-latex dam instead of latex because it resists mercury vapor better than latex does, and because many people have latex sensitivites.
The second thing we do to protect you from mercury vapor is we use a nasal hood supplied with medical air at a high flow rate. We use the same kind of clean, filtered air they use in an operating room. With this air rushing past your nose, you’re much less likely to breathe in mercury vapor from outside the nasal hood.
Third, we place a large, high-volume vacuum right under your chin. This draws a high percentage of escaping vapor away from you and into the vacuum. The vacuum itself has special filters in it that filter not only the particulates but also bind the mercury to special carbon and sulfur layers.
Fourth, we use a high speed suction next to the dental drill, and that suction stays next to the tooth throughout the procedure.
Fifth, we use suction underneath the dam in case any vapor makes it past the nitrile dam.
Sixth, we remove the amalgam in as big of pieces as possible by using thin burrs and sectioning the filling. This way, less mercury vapor gets released.
Seventh, we use lots of water to keep the amalgam cool.
Eighth, we give you protective eyewear.
Ninth, we ventilate the room throughout and after the procedure.
Last, we communicate with your whole-body practitioner to coordinate your dental treatment with your overall plan for detoxification and to optimize your whole-body health plan.
Join Former US Attorney General in a Dental Mercury Call to Action
Finally, we have two strong public figures advocating for patients dental rights. It is time for the U.S. to move away from using mercury in dental fillings. There are many people in America, primarily low income individuals and families and members of the military, who do not have a choice in their dental filling materials. This article address this injustice and how we can try to influence our leaders the make Dentistry less toxic. Thank you Dr. Mercola and Charlie Brown. We have called and sent a letter.
By Dr. Mercola With Consumers for Dental Choice
That American dentistry became mired in mercury is a story of profits first, people last. Amalgam is a primitive, pre-Civil War, pollution product that is half mercury. The 50 percent of North American dentists still using amalgam likely do so for the quick and easy profits – while handing us the bill for the health effects and environmental disaster.
Now is the time for those dentists still using amalgam to switch, and join their brother and sister dentists who practice mercury-free dentistry. Now is the time for you to decide that henceforth you will not allow mercury in your mouth or your child’s mouth – no matter what a pro-mercury dentist might say. Now is the time for you to tell your neighbor, cousin, or best friend: Don’t get a mercury filling.
And what is a mercury filling?
It is what the mainstream press calls “silver fillings.”
Mercury Amalgams More Commonly Used in Minorities and the Poor…
Just like the one-size-fits-all strategy of medicating community water supplies with fluoride, the use of mercury amalgams disproportionally affects minorities and the poor, as they frequently are left without options—even when they know better and want a safer alternative.
As explained by Charlie Brown in the featured interview:
“People on these very limited dental insurance plans or on Medicaid often have no bargaining power with their dentists. They are being told by the dentists, “This is what I’m going to do.” The dentist may not even tell them what they’re going to do. They just put in fillings. Some dentists treat their patients and those teeth like dollar signs.
There’s a disproportionate impact on working [class] American families—whether in Appalachia, where I’m from, or in inner-cities. Working [class] families: white, African-American, Latino, and Native Americans are much more likely to get a mercury filling.
… It’s unscrupulous dentistry and it’s terribly unfair to these families… One group that is particularly badly treated are children with disabilities… [T]here was just an all-out battle in Philadelphia, because we succeeded in getting a fact sheet law, so the parents were reading the fact sheets, saying, “I don’t want amalgam.” The dentists serving children with disabilities were telling the parents, “You will get the filling I decide on”… Parents were forced to leave the office or accept a mercury filling! These dentists were backed up by the Pennsylvania Dental Association. That was condemnable.
… The ADA in fact issued an apology recently for its history of racism. That appears to continue with their attitude that those who are disabled have no rights to mercury-free dentistry. That’s one of the battles that we’re [facing]… to protect those who are less able to fend for themselves in this economic society.”
Consumers for Dental Choice Paves the Way for Mercury-Free Dentistry Worldwide
Leading the charge against mercury fillings is Consumers for Dental Choice, a nonprofit group founded by Charlie Brown that merits your support. With its worldwide Campaign for Mercury-Free Dentistry, we get closer – year-by-year, and day-by-day – to ending this abominable 150-year historical mistake. But to win, we need action in communities across the United States and around the world.
Here’s what you can do right in your community or your workplace:
If your dentist has not switched to mercury-free dentistry, this is the time for him or her to do so. Call your dentist and ask. If they use mercury and insist on sticking with it, re-consider your choice of dentists.
If you work for a company that covers dental fillings, ask if they will cover composites, ART, or other alternatives to amalgam. Consider the stellar example of the Cleveland-based Parker Hannifin company, which fully covers composite but does not pay for amalgam! Parker-Hannifin employees and their families are getting non-toxic dental fillings.
If you have dental insurance, ask about ending primacy for amalgam. That’s what United Concordia has done with its policies.
If you know your Mayor or a member of your City or Town Council, consider asking if they will do what is happening in some California cities: pass a resolution calling for an end to amalgam and a request that dentists in your town stop using amalgam.
What You Can Do to Help Abolish Mercury Amalgams
Charlie Brown, who runs Consumers for Dental Choice, is headed to Nairobi in October to lead a worldwide delegation participating in the world mercury treaty negotiations. With him will be a team of dentists, consumers, attorneys, and scientists fighting to get amalgam into that treaty. With the world deciding whether we continue allowing mercury in children’s mouths, much is at stake.
During this Mercury-Free Dentistry Awareness Week, I urge you to take action.
Here’s what you can do:
Americans: Our number one problem is the Food and Drug Administration (FDA), which has partnered with the American Dental Association (ADA) to cover up the mercury; to make you think you are getting silver instead of toxic mercury in your mouth. The FDA intentionally conceals the warnings about amalgam deep in its regulation — so parents will never see them. On its website, the FDA gives dentists the green light to continue to deceive consumers with the term “silver fillings”
“Americans are ready for the end of amalgam.” This was the theme of the testimony to the U.S. Department of State on August 18 by former West Virginia state Senator Charlotte Pritt. Yes, Americans are ready. But FDA is not. So let’s send them a message.Nine months ago, FDA scientists advised the agency to disclose the mercury to all patients and parents, and to stop amalgam for children and pregnant women. Yet FDA sits – sits actually in the pocket of the American Dental Association – ignoring its own scientists.
Please write the Director of FDA’s Center for Devices, Jeff Shuren, jeff.shuren@fda.hhs.gov Ask Dr Shuren why the FDA continues to ignore scientists and covers up the mercury from American parents and consumers. Ask when the FDA is going to get in step with the world on mercury.
Dr. Jeff Shuren, Director Center for Devices, U.S. Food & Drug Admin. 10903 New Hampshire Ave. WO66-5431, Room 5442 Silver Spring, MD 20993-0002 Telephone: 301-796-5900 Fax: 301-847-8149 Fax: 301-847-8109
Dr. Mercola Announces Mercury-Free Dentistry Week
Hoffman Estates, IL (PRWEB) September 04, 2011
During the week of September 4th-10th, Dr. Joseph Mercola and the nonprofit group Consumers for Dental Choice / ToxicTeeth.org are launching their first-ever “Mercury-Free Dentistry Week,” with in-depth newsletters and interactive articles on various mercury (amalgam) topics.
Together, the team will launch an intensive and informative program to help consumers understand the health and environmental dangers of mercury dental fillings.
“Dental amalgams are a major source of dental toxicity, and the environmental dangers of mercury fillings from dental offices, human waste and cremation is alarming, “ said Dr. Mercola, founder of Mercola.com, one of the most popular alternative health websites in the world. “I’m very excited that as part of this educational week we will be able to encourage more effective government oversight on amalgam.”
Consumers for Dental Choice was established in 1996 by consumer advocates, mercury poisoning victims, scientists and mercury-free dentists. It is a 501(c)(3) nonprofit that works to counter studies by non-independent or unqualified researchers that urge continuation of amalgam in dentistry. Dr. Mercola has been a mercury-free dentistry advocate for many years, and has written many articles about its potential health threats.
“Amalgam is 50 percent mercury, and its time that more people understood that there are non-toxic alternatives to having this put in your mouth when you visit the dentist,” Dr. Mercola said. “Last year I ran an article calling for volunteers to get involved in a grassroots campaign to convince the FDA to reassess the safety of mercury fillings, and the response was wonderful. Now, we hope to build on that momentum to work toward banning amalgam altogether – a goal that I believe we can reach with this education program.”
About Dr. Mercola and Mercola.com:
Dr. Joseph Mercola’s mission is to bring people practical solutions to their health problems. A New York Times best-selling author, Dr. Mercola was voted the 2009 Ultimate Wellness Game Changer by the Huffington Post. He has been featured in major publications such as Time magazine and the LA Times, and on CNN, Fox News, ABC News, the Today Show and CBS’ Washington Unplugged.
He is board certified in family medicine, and served as chairman of the Family Medicine Department at St. Alexius Medical Center for five years. He is trained in both traditional and natural medicine. Over 2 million people, including 40,000 health care professionals, currently receive the website’s free email health newsletter, which offers practical health and wellness information covering nutrition, medicine, lifestyle choices, emotional therapy and other health topics.
The U.S. Calls for the Phase-Out of Amalgam Ultimately
The U.S. Calls for the Phase-Out of Amalgam Ultimately.
In an extraordinary developments that will change the global debate about amalgam, the United States government has announced that it supports a “phase down, with the goal for eventual phase out by all Parties, of mercury amalgam.” This statement- a radical reversal of its former position that “any change toward the use of dental amalga is likely to result in poitive public health outcomes” — is part of the U.S. government’s submission for the upcoming third round of negotiations for the world mercury treaty.*
While couched in diplomatic hedging — remember it is still early in the negotiations — this new U.S. position makes three significant breakthroughs for the mercury-free dentistry movement:
The U.S. calls for the phase-out of amalgam ultimately and recommends actions to “phase down” its use immediately. Incredibly, the government adopted three actions that the World Alliance for Mercury-Free Dentistry and Consumers for Dental Choice proposed at the negotiating session in Chiba, Japan. Our key ally, The Mercury Policy Project, laid the groundwork for this success at a World Health Organization meeting in 2009!
The U.S. speaks up for protecting children and fetuses from amalgam, recommending that the nations “educate patients and parents in order to protect children and fetuses.”
The U.S. stands up for the human fight of every patient and parent to make educated decisions about amalgam.
What does this mean? Our position — advocating the phase-out of amalgam — is now the mainstream because the U.S. government supports it. Who is the outlier now? It’s the pro-mercury faction, represented by the World Dental Federation and the American Dental Association. With the U.S. continuing its leadership role in this treaty, we will broadcast the U.S. position to other governments around the world, encouraging them to support amalgam “phase downs” leading to phase-outs not only globally, but within each of their countries.
We applaud the U.S. government. But tough work lies ahead. For example, we must demonstrate to the world that the available alternatives — such as composites and the adhesive materials used in atraumatic restorative treatment (“ART”) — can cost less than amalgam and will increase access to dental care particularly in developing countries.
For now though, let’s mark this watershed in the mercury-free dentistry movement: the debate has shifted from “whether to end amalgam” to “how to end amalgam.”
Charles G. Brown
National Counsel, Consumers for Dental Choice
President, World Alliance for Mercury-Free Dentistry
