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Update on Dental Amalgam (last updated 1/2/2020)

In November 2019, the third meeting of the Conference of Parties (COP3) to the Minamata Convention on Mercury, was held in Geneva, Switzerland, to discuss mercury production and use throughout the world. One of the topics that was revisited during the five-day meeting was the phase down of dental amalgam. Although no changes were made to the current phase down approach, the conference parties were encouraged to “take more than the two required measures in accordance with Annex A, Part II, of the Convention to phase down the use of dental amalgam.” The parties were also asked to submit information on the implementation of these additional measures for the Secretariat to develop a summary document by 30 April 2021, in preparation of the fourth conference. The COP3 meeting summary is available at:

http://enb.iisd.org/vol28/enb2859e.html Exit Disclaimer: You Are Leaving www.ihs.gov 


The Indian Health Service Division of Oral Health concurs or is already in compliance with 6 of the following 9 measures of the Minamata Convention on Mercury Part II: Products subject to Article 4, paragraph 3 regarding dental amalgam.

Minamata Convention on Mercury Annex A, Part II: Products subject to Article 4, paragraph 3

Mercury-added products: Dental amalgam

Provisions

Measures to be taken by a Party to phase down the use of dental amalgam shall take into account the Party’s domestic circumstances and relevant international guidance and shall include two or more of the measures from the following list:

(i) Setting national objectives aiming at dental caries prevention and health promotion, thereby minimizing the need for dental restoration;

(ii) Setting national objectives aiming at minimizing its use;

(iii) Promoting the use of cost-effective and clinically effective mercury-free alternatives for dental restoration;

(iv) Promoting research and development of quality mercury-free materials for dental restoration;

(v) Encouraging representative professional organizations and dental schools to educate and train dental professionals and students on the use of mercury-free dental restoration alternatives and on promoting best management practices;

(vi) Discouraging insurance policies and programmes that favour dental amalgam use over mercury-free dental restoration;

(vii) Encouraging insurance policies and programmes that favour the use of quality alternatives to dental amalgam for dental restoration;

(viii) Restricting the use of dental amalgam to its encapsulated form;

(ix) Promoting the use of best environmental practices in dental facilities to reduce releases of mercury and mercury compounds to water and land.


IHS Dental Amalgam Usage Data

IHS Amalgam Documentations by Fiscal Year

IHS Amalgam Documentations by Fiscal Year

IHS Amalgam Documentations by Fiscal Year

IHS Amalgam Documentations by Fiscal Year

Additional Resources

US EPA - Frequently Asked Questions on the Dental Office Category Rule https://www.epa.gov/sites/production/files/2017-12/documents/dental-office-category_frequent-questions_nov-2017.pdf Exit Disclaimer: You Are Leaving www.ihs.gov 

Draft COP3 Decision on Dental Amalgam https://www.ig-umwelt-zahnmedizin.de/wp-content/uploads/UNEP-MC-COP.3-CRP.19.English.pdf Exit Disclaimer: You Are Leaving www.ihs.gov