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) by using database in the Cochrane Library where randomized controlled trials of few studies comparing dental resin composite with dental amalgams in permanent posterior teeth were compared. This review supports the fact that amalgam restorations are particularly useful and successful in parts of the world where amalgam is still the material of choice to restore posterior teeth with proximal caries. Though, there is insufficient evidence to support or refute any adverse effects amalgam may have on patients, new research is unlikely to change opinion on its safety and due to the decision for a global phase-down of amalgam (Minamata Convention