Amalgam (dentistry) disposal. Dental amalgam is the largest source of mercury received by U.S. treatment plants. The U.S. Environmental Protection Agency (EPA) promulgated an effluent guidelines regulation in 2017 which prohibits most dental practices from disposing dental amalgam waste down the drain. Most dental offices in the U.S. are required to use an amalgam separator in their drain system. The separator captures the waste material, which is then recycled. The European Commission has issued a Waste Directive that classifies amalgam waste as a hazardous waste. The waste should be separated from other waste by fitting amalgam separators in all dental practices. Mercury
Dental amalgam controversy ADA asserts the best scientific evidence supports the safety of dental amalgam. Clinical studies have not established an occasional connection between dental amalgam and adverse health effects in the general population. In 2002, Dr. Maths Berlin of The Dental Material Commission published an overview and assessment of the scientific literature published between November 1997 – 2002 for the Swedish Government on amalgam and its possible environmental and health risks. A final report was submitted to the Swedish Government in 2003 and included his report as an annex to the full report. In the final report from 2003, Berlin states that