Dental amalgam controversy (unlike composites), and is often about 20-30% less expensive. "Consumer Reports" has suggested that many who claim dental amalgam is not safe are "prospecting for disease" and using pseudoscience to scare patients into more lucrative treatment options. Those opposed to amalgam use suggest that modern composites are improving in strength. In addition to their claims of possible health and ethical issues, opponents of dental amalgam fillings claim amalgam fillings contribute to mercury contamination of the environment. The World Health Organization (WHO) reports that health care facilities, including dental offices, account for as much as 5% of total waste water mercury
Amalgam (dentistry) as pins, slots, holes and grooves can be used for the retention of large amalgam restorations, but they do not reinforce the amalgam or increase its strength. There is no current scientific evidence to justify the extra cost and effort associated with the use of adhesively bonded amalgam restorations in comparison with nonbonded amalgam restorations. In view of the lack of evidence on the additional benefit of adhesively bonding amalgam compared with nonbonded amalgam, it is important that clinicians are mindful of the additional costs that may be incurred. The placement of amalgam restorations can potentially cause sensitivity post-operatively. According