Amalgam (dentistry) Amalgam (dentistry) Dental amalgam is a liquid mercury and metal alloy mixture used in dentistry to fill cavities caused by tooth decay. Low-copper amalgam commonly consists of mercury (50%), silver (~22–32%), tin (~14%), copper (~8%) and other trace metals. Dental amalgams were first documented in a Tang Dynasty medical text written by Su Gong 苏恭 in 659, and appeared in Germany in 1528. In the 1800s, amalgam became the dental restorative material of choice due to its low cost, ease of application, strength, and durability. There are, according to Geir Bjørklund, indications that dental amalgam was used in the first
Amalgam tattoo from pencil leads), and is sometimes termed a "graphite tattoo", although this is less common than tattooing with amalgam. The diagnosis is clinical. Amalgam tattoo can be distinguished from other causes of localized oral pigmentation because it does not change significantly in size or color, although it may appear to slowly enlarge for several months after the initial implantation of the metal particles. Some amalgam tattoos appear radio-opaque on radiographs (i.e. they show up on x-rays), although in many cases amalgam tattoos have no radiographic features since the responsible particle(s) of amalgam are very small even though clinically the area