Amalgam (dentistry) can cross the placenta leading to stillbirths and birth defects. A combination of mercury and non-ionizing radiation has been suggested as a factor in the recent increase in reported autism spectrum disorders. It has been reported that there is a positive correlation between the maternal and cord blood mercury levels. Although there is no evidence linking amalgam use and pregnancy damage, it is advisable to delay or avoid dealing with amalgam fillings in pregnant patients. Dentists are urged by some to consider the selection of restorative material more seriously and avoid using amalgam when possible. The dental operating team should
Amalgam (dentistry) conservative preparation would be beneficial, composite is the recommended restorative material. These situations would include small occlusal restorations, in which amalgam would require the removal of more sound tooth structure, as well as in "enamel sites beyond the height of contour". For cosmetic purposes, composite is preferred when a restoration is required on an immediately visible portion of a tooth. Dental amalgam does not by itself bond to tooth structure. This was recognized as a shortcoming by early practitioners such as Baldwin. He recommended that the prepared cavity be coated with zinc phosphate cement just prior to filling with amalgam,