Page 60 - Spring2018
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Dental         As it happens, I had been in an undergradu-  the tooth cracks, resulting in the need for a
              amalgam’s       ate organic chemistry lab the semester before  crown and often a root canal. Although this is-
                              starting dental school. Our entire building was  sue of “dimensional stability” —as it pertains
                                                                                                 2
             convenient       evacuated after we experienced a thermometer  to amalgam—still gets little attention from the
                 mixture      break, and a HAZMAT (hazardous materials)  dental profession, one study has noted that the
               of metals      team had to come to the building to do the  use of amalgam (and gold) restoration materi-
                              remediation. Thus, the presence of mercury in  als dramatically increases the occurrence of
              makes it a      amalgam rang a few alarm bells for me.   longitudinal tooth fractures as compared to
           slow-release          In addition, I had taken an inorganic  resin or porcelain. 3
              vehicle for     chemistry class the year before commencing   Despite questioning the structural impli-
                              dental school, and in that class, I had come to  cations of amalgam, it wasn’t until 1996 that
          mercury. This       understand what makes a compound or chemi-  I definitively reconnected with the question
           slow release       cal stable or not. In my dental materials class, I  of safety and mercury exposure. I put it all to-

                   allows     instantly recognized the fact that the concoction  gether and experienced a paradigm shift when
                              of metals present in amalgam could in no way  mercury touched my life personally. That year,
             mercury to       be stable. When I challenged my professor and  my son was diagnosed on the autism spectrum
             build up in      stated emphatically that “there is no way that  and my fifty-six-year-old mother-in-law was

               the body.      the amalgam material can be stable chemically  diagnosed with early-onset dementia. There is
                              or electrically,” he first asked me what I meant  no doubt that when something slaps us in the
                              and then told me I was wrong. I had a few choice  face personally, most of us take another look at
                              words, telling him that he didn’t know what he  our belief system. I did, and what I went on to
                              was talking about.                       discover rocked my world.
                                 It didn’t take long for word of my classroom   First, I found a network of physicians,
                              challenge to get to the dean of the dental school,  dentists and scientists dedicated to the scientific
                              who called me in the next morning and told me  safety of dental and health care: the International
                              to sit down, shut up and learn what I needed  Academy of Oral Medicine and Toxicology
                              to learn. Otherwise, I could rest assured that I  (IAOMT), founded in 1984. The motto of this
                              would not make it through dental school. Reluc-  modest group is, “Show me the science.” Dis-
                              tantly, I did what I needed to do to get through  cussing what has come to be known as biologi-
                              my training—and continued to get indoctrinated  cal dentistry, the IAOMT states that biological
                              that amalgam was safe and stable.        dentistry represents “a thought process and an
                                                                       attitude that can apply to all facets of dental
                              MORE QUESTIONS                           practice and to health care in general: to always
                                 After graduation from dental school in May  seek the safest, least toxic way to accomplish the
                              of 1989, I began to practice general, traditional  goals of modern dentistry and of contemporary
                              dentistry. Fortunately, I had kept my rebellious,  healthcare.” 4
                              questioning side, and after about three years, I   What I came to deeply realize is that mer-
                              started having serious reservations about the  cury is toxic to every cell in the human body
                              practice of putting mercury in people’s mouths.  and is particularly toxic to the central nervous
                                 My first approach was to attack the fact that  system.  In fact, mercury is only slightly less
                                                                              5
                              amalgam expands and contracts more than tooth  toxic than radioactive uranium (plutonium).
                              structure, which causes catastrophic structural  Dental amalgam’s convenient mixture of met-
                              failure of the tooth over time. This happens  als makes it a nice slow-release vehicle for
                              through a cascading series of events. The tooth,  mercury—the only metal that is liquid at room
                              initially weakened by the decay, is further  temperature. This slow release allows mercury
                              weakened when the dentist cleans out (drills) the  to build up in the body, and especially in the
                              cavity and again undermined with the placement  central nervous system and organs, because
                              of an amalgam filling that, through expansion  mercury is attracted to fatty protein-rich tissues.
                              and contraction, inevitably compromises the  Unfortunately, the insidious release of mercury
                              structural integrity of the tooth. Eventually,  from amalgam makes it hard to draw a direct

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