In the Final report on Assessment of the feasibility of phasing-out dental amalgam, on page 32, used Berlin Declaration as the reference, more precisely:
*2017: Berlin Declaration: After a gathering at a two-day Pan-European Summit to plan the end of amalgam, environmental and consumer NGOs, dental associations, Members of the national parliaments and the European Parliament, academics, and industry issued the “Berlin Declaration to End Amalgam Use in Europe in 2020, available at: https://www.ig-umwelt-
In 2020 the European Commission recommends the phase out of amalgam. In concluding that the end of amalgam is “technically and economically feasible,” the Commission explains in its report (mentioned above) to Parliament and Council.
· The alternatives are fully acceptable, and dentists fully trained to put them in, quoting: “Mercury free materials are nowadays of good quality, effective restoration methods are widely available and dental schools are increasingly teaching the necessary skills”.
· The risk from BPA (present in some but not all composite) is “negligible’;
· The price differential has shrunk so much such that neither patients nor dentists, will be adversely affected by the phase out;
· 95% of amalgam manufacturers also make alternatives hence they are fully prepared to switch;
Therefore the European Commission will propose a legislation in 2022 for a phase out on a date specific, earlier than 2030.
The report of the Commission focuses equally on the international challenge to end amalgam by promising to turn its attention in 2021 to (a) an amendment of the Minamata Convention and (b) international trade rules to stop amalgam trade.