As some of you may already know thanks to the media, on 1 January 2025 a European Union measure in favour of public health came into force, banning the use of dental amalgam in new restorations. Although in Spain it has been out of use for more than ten years, reaching a turning point in 2018 when its use was discouraged at a state level by the College of Dentistry for the treatment of baby teeth, children under 15 years of age and pregnant or breastfeeding women, this decision marks a before and after in the use of this material in dental terms.
Dental amalgam, traditionally valued for its durability and ease of application, contains mercury, which has raised concerns for years about the possible release of vapours and health effects.
Although research has debated whether these risks exist, the EU's decision was based on the precautionary principle, which aims to minimise any potentially harmful exposure.
Alternatives to amalgam
In this new scenario, aesthetic and functional alternatives have gained ground. Composites, ceramics and other dental adhesives have made significant advances in recent years.
As discussed in our article "Dental composites and bisphenol A".The search for safe and durable materials has driven innovation in dentistry, positioning composites as an increasingly attractive and reliable option for restorations.
What do I do with my amalgam fillings?
At this point, many patients who already have amalgam fillings ask themselves: "what should I do? Although it is not necessary and essential to replace them immediately, at the clinic we advise you to do so whenever clinical symptoms of possible leaks begin to appear.
Even so, the biggest drawback that many patients encounter and what makes them decide to finally replace their amalgam fillings with new composite fillings is undoubtedly the aesthetic one.
