Dental amalgam controversy cause harm in patients." Also, in the FDA final regulation on dental amalgam in 2009, the FDA recommended the product labeling of dental amalgam. The suggested labeling included: a warning against the use of dental amalgam in patients with mercury allergy, a warning that dental professionals use appropriate ventilation when handling dental amalgam, and a statement discussion of scientific evidence on dental amalgam's risks and benefits in order to make informed decisions amongst patient and professional dentists. The use of mercury in dental fillings is considered safe and effective in all countries practicing modern dentistry (see below). There are currently
Amalgam tattoo common sites, although any mucosal site in the mouth is possible. It is painless, and appears as a blue-black or grey discolored macule on the surface of the mucosa. The borders of the tattoo are variable, and may be well defined, irregular or diffuse. Amalgam tattoo is caused by implantation of amalgam into the tissues. It may occur in several ways: Over time, the amalgam particles embedded in the soft tissues corrode. Macrophages take up the exogenous particles, and the silver in amalgam leads to staining of collagen fibers. A similar appearance can be caused by implantation of graphite (e.g.