The European Parliament agreed on 14 March 2017 to the final version of its Regulation on Mercury. The Regulation is the EU’s instrument to ratify the Minamata Treaty of 2013, a global environment treaty aimed at reducing the release of mercury into the environment. The result is a series of requirements aimed at reducing and phasing out the use of dental amalgam.
so how does this affect you?
There are numerous regulations surrounding the use of mercury and dental amalgam but a primary factor is the fact that as of 1st July 2018, dental professionals will not be able to use amalgam in the treatment of deciduous teeth, children under 15 years and pregnant or breastfeeding women, except when strictly deemed necessary.
The main body of the Regulation deals with a ban of mercury exports and regulation of waste mercury disposal, as well as prohibiting within the EU any future new uses of mercury in products and industry, unless significant environmental and health benefits are demonstrated and there are no mercury-free alternatives.
- Dental amalgam only to be used in pre-dosed encapsulated form; use of bulk mercury by the practitioner prohibited (from 1 January 2019)
- Mandatory use of amalgam separators (from 1 January 2019)
- Service standards from Jan 2019: mandatory retention of at least 95% of amalgam particles for separators installed from Jan 2018, and for all separators by 1 January 2021
- Dentists to ensure that their amalgam waste is handled and collected by an authorised waste management establishment
- Member States to set out a national plan (by 1 July 2019) on the measures they intend to implement to phase down the use of dental amalgam
- No use of amalgam in the treatment of deciduous teeth, children under 15 years and pregnant or breastfeeding women, except when strictly deemed necessary by the practitioner on the ground of specific medical needs of the patient (from 1 July 2018)
- The Commission to report (by 30 June 2020), on the outcome of its assessment regarding:
- the need for the Union to regulate mercury emissions from crematoria;
- the feasibility of a phase out of dental amalgam use in the long term, and preferably by 2030, taking into account national plans for measures to phase down amalgam use, and respecting Member States’ competence for the organisation and delivery of health services and medical care.
did you know?
Switching to riva, our mercury-free glass ionomers, are the safe alternative to amalgam that allow you to continue to treat this audience that make up over 12 million of the population.
reasons to switch to glass ionomers…
Mercury-free dental fillings are not new and over the past 50 years a wide variety of dental restorative materials have been developed to meet all needs. One of the most popular mercury-free fillings include glass ionomers and can offer many advantages over amalgam:
Glass ionomers are mercury-free and the safe alternative to amalgam.
Glass ionomers help to preserve and strengthen tooth structure, they do not damage healthy tissue, weaken tooth structure or fracture teeth.
Glass ionomers release fluoride over time, which can help prevent tooth decay.
When using glass ionomers in atraumatic restorative treatment (ART), it is proven to be more accessible and less expensive than amalgam.
Glass ionomers can be placed up to 5 minutes faster than amalgam.
low failure rate
Glass ionomers have a low mean annual failure rate of 4.2% when compared with 7.6% for amalgam.
Reference: World Alliance for Mercury-Free Dentistry. Mercury-free alternatives [online] Available here [Accessed 30th Nov 2017].
Reference: Centre for Policy Studies (University College Cork, National University of Ireland). Cost-effectiveness of ART Restorations in Elderly Adults: A Randomized Clinical Trial. [PDF]. [Accessed 30th Nov 2017].
Reference: Environmental European Bureau (EEB), 2016. Technical Advantages of Mercury-Free Dentistry. [PDF]. [Accessed 30th Nov 2017]
riva self cure HV
The tooth remineralising restorative
riva self cure is the ideal self curing conventional glass ionomer restorative material for minimally invasive dentistry, bulk fill and radiopacity. With excellent tooth adhesion and fluoride release, riva self cure can withstand high penetration of the surface and does not contain resin, which eliminates the issue of volumetric shrinkage after curing. The high compressive strength of riva self cure means it can be used to replace and mimic dentine.
riva light cure HV
The glass ionomer restorative with true aesthetics
riva light cure is a radiopaque, resin-reinforced glass ionomer restorative material that chemically bonds to the tooth structure, while offering the aesthetics of a composite. With excellent tooth adhesion, sustained fluoride release, high compressive strength and command set, riva light cure is useful for a wide range of restorative applications. riva light cure is the answer to long-term microleakage prevention, use it as a restorative or a base under permanent restorations.
Glass ionomer luting cement with fabulous fluoride release
riva luting is a self curing, glass ionomer luting cement designed for cementation of metal based restorations. It chemically bonds to metal substrates and the tooth, and is available in one universal shade.
riva luting plus
Resin modified glass ionomer luting
riva luting plus is a resin modified, self curing, glass ionomer luting cement, designed for final cementation of metal, PFM and resin crowns, bridges, inlays and onlays plus ceramic inlays and crowns.
The ultimate surface protector, sealant and liner
riva protect immediately guards the pits, fissures and tooth surfaces of partially erupted teeth from caries development. These teeth are the most vulnerable and moisture control can be difficult.
Mercury free, fluoride releasing, silver restorative
riva silver utilises SDI’s proprietary ionglass™ filler, a radiopaque, high ion releasing, reactive glass. riva silver releases substantially higher fluoride to assist with remineralisation of the natural dentition.