European Groups Meet to Plan Amalgam’s Phase-Out

Dentistry Today


Non-government organizations focused on healthcare and the environment gathered in Berlin last month for the Summit to Plan the End of Amalgam in Europe. Led by the World Alliance for Mercury-Free Dentistry, the meeting included dentists, insurers, scientists, economists, and others as they discussed plans for phasing out the use of mercury in dentistry by July 1, 2022.

In 2017, the European Union adopted an amalgam ban for children under the age of 15 years and for pregnant and breastfeeding women, effective in July 2018. The ban also requires each member state to establish a national plan to phase down amalgam use. Plus, the European Commission will recommend whether or not amalgam should be phased out entirely in 2020.

Meanwhile, the Minamata Convention requires each participating nation to reduce the use of dental amalgam. It also includes a ban on new mercury mines and the phase-out of existing ones, as well as the phase-down and phase-out of mercury use in a number of products and processes. It has been signed by 128 nations and ratified by 84.                                                                                               

Noting these agreements and how dental amalgam is the largest use of mercury in the European Union, in addition to being a significant source of pollution, the summit concluded with the Berlin Declaration to End Amalgam Use in Europe by 2022. The Declaration highlighted a number of key facts, including: 

  • The European Union consumed between 44 and 67 tons of the 226 to 322 tons of dental mercury used around the world in 2015, or about 19%.
  • Dental amalgam in the environment can methylate, forming the most toxic form of mercury, presenting a risk for secondary poisoning.
  • Accounting for the real costs of dental mercury pollution, amalgam is now more expensive than most, and possibly all, other fillings.
  • Mercury-free restorative materials are used for 100% of all fillings in Sweden and Norway, about 97% in Japan, about 90% in the Netherlands, Switzerland, and Mongolia, and 80% in Singapore and Vietnam. 
  • Mercury-free restorations are effective while preserving more of the tooth for better long-term oral health.

“The Berlin Declaration highlights a 10-year campaign by the European Environmental Bureau to bring mercury-free dentistry to this entire continent,” said Elena Lymberidi-Settimo, Zero Mercury Campaign project coordinator, of the European Environmental Bureau. “It’s now time member states roll up their sleeves and pave the way.”

“We co-led the campaign to end mercury in the other two medical devices, thermometers and sphygmomanometers, and now Europe needs to tackle the job on the third one, dental amalgam,” said Philippe Vandendaele, chemicals policy advisor of Health Care Without Harm-Europe.

“Germany can end amalgam sooner, in 2019,” said Florian Schulze of IG Umwelt Zahn Medizin. “Amalgam use is now very low, and dentists are ready for the switch. All we must do is make changes in the insurance system that are fair to dentists and fair to consumers.”  

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