Dental amalgam controversy of mercury received by sewage treatment plants. The mercury contaminates the treatment plant sludge, which is typically disposed of by land application, landfilling or incineration. Several states, including New Jersey, New York, and Michigan, have required the installation of dental amalgam separators prior to 2017. EPA promulgated an effluent guidelines regulation in 2017 which prohibits most dental practices from disposing amalgam waste down the drain. Most dental offices nationwide are now required to use amalgam separators. The WHO reported in 2005 that in the United Kingdom mercury from amalgam accounted for 5% of total mercury emissions. In Canada, dental amalgam
Dental amalgam controversy condoned the use of dental amalgam. In 1855, Dr. J. Foster Flagg, a professor of dental pathology in Philadelphia, experimented with new mixtures of amalgam. In 1861, he presented his findings to the Pennsylvania Association of Dental Surgeons and, in 1881, he published his book, Plastic and Plastic Fillings (Figure 4). (Amalgam fillings were often called "plastic fillings" at the time.) The inevitable result of this affair was that silver amalgam was proven to be, "an excellent filling material," and expanded dentistry's, "ability to save teeth." Around the same time, John and Charles Tomes in England conducted research on the