This study performed an assessment of the discharge from dental facilities of mercury in the form of amalgam to surface waters in the United States. Two pathways were examined, effluent from publicly owned treatment works (POTWs) and air emissions from sewage sludge incinerators. Mercury in the form of amalgam from dental facilities to POTWs was estimated to be 6.5 tons
In 2002, the ADA released an assessment entitled "Evaluation of Mercury in Dental Facility Wastewater." The report argued that dental offices were not a significant source of mercury contamination. The Association of Municipal Sewage Authorities released a critique of the ADA report, taking serious issue with most of its findings.
A hold over deal from the Bush administration is allowing tons of dental mercury pollution into the environment that could be prevented. The agreement between the EPA, the American Dental Association and the National Association of Clean Water Agencies stands in stark contrast to pollution reduction initiatives now underway for all other mercury sources.
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