Dental amalgam controversy of mercury received by sewage treatment plants. The mercury contaminates the treatment plant sludge, which is typically disposed of by land application, landfilling or incineration. Several states, including New Jersey, New York, and Michigan, have required the installation of dental amalgam separators prior to 2017. EPA promulgated an effluent guidelines regulation in 2017 which prohibits most dental practices from disposing amalgam waste down the drain. Most dental offices nationwide are now required to use amalgam separators. The WHO reported in 2005 that in the United Kingdom mercury from amalgam accounted for 5% of total mercury emissions. In Canada, dental amalgam
Dental amalgam controversy removing toxic substances from the body, when such treatment is performed solely at the recommendation or suggestion of the dentist, is improper and unethical". Under the comments of the American Dental Association before the FDA's Dental Products Panel of the Medical Devices Advisory Committee, the ADA supports the 2009 FDA ruling on dental amalgam. ADA states that "dental amalgam has an established record of safety and effectiveness, which the scientific community has extensively reviewed and affirmed." The ADA also supports the 2017 EPA wastewater regulation and is providing information and assistance to its members in implementation of amalgam separators. The