Dental Amalgam fillings are one of the largest sources of atmospheric emissions
Dental Amalgam has been documented to be the largest source of mercury exposure in most people with dental amalgam fillings(9).
But Dental Amalgam is also documented to be a major source of emissions to the atmosphere in all countries, in addition to being the largest source of mercury into sewers and a major source into water bodies(1.2).
In the U.S.dental amalgam is the largest source of mercury in sewers or septic tanks, and similar in many countries(1,2). Using data from EPA on the number of dentists and data from test data from studies on average level of mercury release from dental offices, estimates of the amount released from dental offices into sewers range from 12 to 25 tons per year(3-7,1). An additional 3 to 6 tons per year is excreted into sewers, mainly by those with amalgam fillings who are documented from medical lab tests to excrete from 5 to 10 times as much mercury as those without(1). The majority of mercury in sewers ends up in sewer sludge. Since mercury is a vapor at room temperature and vaporization from liquid or solid state mercury is continuous, high levels are emitted to the atmosphere by sewer plants, sludge drying beds, and from both land spread and landfilled sewer sludge(which according to studies by Oak Ridge National Lab is methylated by soil bacteria and outgased both as mercury vapor and methyl mercury). Virtually all mercury in sewers is released into the environment(water bodies, crops, or atmosphere). (1)
Large amounts dental amalgam waste from fillings removed by dental offices go into landfills or biomedical red bags to be incinerated(2). When incinerated most of the mercury is emitted to the atmosphere, while that that goes to landfills provides significant emissions both to ground water and the atmosphere. Soil bacteria convert elemental mercury to methyl mercury which along with elemental mercury vapor is outgased primarily when the sun shines. The amounts are likely comparable to those released to sewers, perhaps higher.
Dental amalgam is also a major source of atmospheric emissions in most countries due to emissions at crematoriums from those with amalgam fillings. Crematoria now contribute 16% of all the mercury released by industry and power plants in Britain(10). The amount of mercury from crematoria in UK is projected to be more than that from coal/power/industry plants within a few years(10b). Mercury emissions from crematoriums in the U.S. amount to over 3 tons per year and are increasing since the percentage of people being cremated is increasing.
Since the emission levels from U.S. coal plant emissions is estimated by EPA as 50 tons per year, the level of emissions from dental amalgam is seen to be comparable to emissions from coal plants.
1. DAMS, Dental Amalgam is a major source of mercury in the environment and has significant effects on everyone.
http://www.home.earthlink.net/~berniew1/damspr2f.html2.MPP, The Uncontrolled Release of Dental Mercury in the Environment, Mercury Policy Project and Healthcare Without Harm, June 2002,
http://www.mercurypolicy.org/new/documents/DentistTheMenace.pdf& “Taking a Bite Out of Mercury Pollution: The 2005 Report Card on Dental Mercury Use and Release Reduction”,
http://www.mercurypolicy.org/new/documents/NEZMC_Report_Card_on_Dental_MercuryFINAL.pdf.3. Calais, M.D.; Ovsey, V.G.; Mihailova, C.;Naleway, C.: Batch, H.; Fan, P.L.; Chou, H-N; Stone, M.; Mayer, D.; Ralls, S.; Roddy, W. “Physico-chemical Properties of Dental Wastewater,” Water Environment Federation, 67th Anuual Conference & Exposition, Chicago, Illinois, 1994.
4. Drummond, J.L., et al, 1995, “Dental Waste Water: Quantification ofConstituent Fractions, Proceedings from Transaction Adademy Dental Materials,” San Diego , California 1995, 112.
5. Arenholt-Bindslev, D.; Larsen, A.H. “Mercury Levels and Discharge in Waste Water from Dental Clinics,” Water Air Soil Pollution, 86(1-4):93-9, 1996.
6. Water Environment Federation, “Controlling Dental Facility Discharges in Wastewater, Alexandria, VA,” 1999; “Management of Hazardous Dental Wastes in King County, 1991 – 2000,” King County Department of Natural Resources, Hazardous Waste Management Program, Water and Land Resources Division, 2000.
7. Trip, L., et al, 2001, “Canada-wide Standards: A Pollution Prevention Program for Dental Amalgam Waste”, Journal of the Canadian Dental Association, May 2001.
8. U.S. EPA, Controlling Power Plant Emissions,
http://www.epa.gov/mercury/control_emissions/technology.htm9. DAMS, Sources and levels of mercury exposure to people: cites to peer-reviewed studies, medical lab tests, government studies,
http://www.home.earthlink.net/~berniew1/damspr1.html 10. Department of Environment, Food and Rural Affairs, UK , Oct 2005
(b) Mercury emissions from crematoria, Defra/WAG/SE , July 2004,
UK Environment Agency’s Local Authority Unit,
http://www.defra.gov.uk/corporate/consult/crematoria/index.htmwww.defra.gov.uk/corporate/consult/current.htm