Dental amalgam

Abstract

Silver amalgam has been the most important restorative material in the history of dentistry. The overall use of amalgam in Western countries is decreasing. However, in many countries amalgam is still of great importance for restoring decayed teeth. This chapter provides information on composition, setting reaction and release of substances as the basis for a detailed review of the local and systemic toxicity of dental amalgam, as well as of allergic reactions. Emphasis is placed on topics of non-oral reactions (e.g. kidneys, brain, immune system, general diseases), which have been intensively discussed in the public. Information is provided on how to approach and treat patients who attribute local as well as general symptoms to the presence of dental amalgam restorations. © 2009 Springer Berlin Heidelberg.