Alternatives to Amalgam Info Sheet
Introduction: Minemata convention on Mercury
3M ™ Filtek ™ One Bulk Fill Restorative Shade Syringe Capsule A1 4866A1 4867A1 A2 4866A2 4867A2 A3 4866A3 4867A3 B1 4866B1 4867B1 C2 4866C2 4867C2
The Minamata Convention on Mercury is a global treaty, signed by the UK and over one hundred countries from all over the world in October 2013 with the intention of protecting human health and the environment from the adverse effects of mercury. It contains clauses which, for example, limit the use of mercury from all sources, with that including LED light bulbs, fluorescent tubes, fertilisers, thermometers and, of course, dental amalgam. However, dentistry was the only area which ‘escaped’ with a ‘phase down’ in mercury use as opposed to a total ban. The agreement intimated that the mercury limitation would commence within four years, and Annex A part II dealing specifically with dentistry. At the time of writing, the Convention has been ratified by 55 countries and signed by 128 countries, with the arrangements sealed within the Convention being that the Convention would enter into force on 15th August 2017 in the ratifying countries, that being 90 days after the fiftieth ratification was received. The implication of this being that, from 1st July 2018, amalgam use will be banned in the UK for children under the age of 15 years and for pregnant or nursing women. Where does that leave us? The need to find an amalgam ‘replacement’ is now urgent. Nothing currently exists which possesses all of the ideal properties but Glass Ionomers such as 3M ™ Ketac ™ Universal Restorative may be suitable for class I cavities where the occlusal load is not excessive, but bulk fill restoratives such as 3M ™ Filtek ™ One Bulk Fill Restorative may be used for all loadbearing situations in posterior teeth.
Syringe shade refills include: 1 – 4g syringe; Technique guide; Instructions for use. Capsule shade refills include: 20 – 0.2g capsules; Technique guide; Instructions for use.
3M ™ Ketac ™ Universal Aplicap ™ Restorative
3M ™ Ketac ™ Universal Hand Mix Restorative Code Product information 61105 12.5g powder Shade White 61106 12.5g powder Shade A1 61107 12.5g powder Shade A2 61108 12.5g powder Shade A3 61109 12.5g powder Shade A3.5 61110 12.5g powder Shade A4 61111 8.5ml liquid 61104 Intro Kit A3 12.5g powder · 8.5ml liquid · spoon · mixing pad
Code 61085 61086 61087 61088 61089 61095 61096 61097 73040 73050 76300
50 capsules Shades White, A2, A3
50 capsules Shade White 50 capsules Shade A1 50 capsules Shade A2 50 capsules Shade A3 50 capsules Shade A3.5 50 capsules Shade A4
Giant Pack A3 300 3M ™ Aplicap ™ Capsules
3M ™ Aplicap ™ Activator 3M ™ Aplicap ™ Applier
3M ™ Rotomix ™ Capsule Mixing Unit
3M ™ Scotchbond ™ Universal Adhesive Code Product information 41254
3M ™ Scotchbond ™ Universal Adhesive Intro Kit – Vial 1 – 5ml adhesive vial; 50 disposable mixing wells; 50 disposable microbrushes; 1 – 3ml etchant syringe
3M ™ Scotchbond ™ Universal Adhesive Refill 1 – 5ml adhesive vial
3M ™ Scotchbond ™ Universal Adhesive Intro Kit – Unit Dose 40 40 unit dose; 1 – 3ml etchant syringe
3M ™ Astringent Retraction Paste
Ideal properties of an amalgam substitute:
3M ™ Astringent Retraction Paste 25 Capsules Refill Pack 3M ™ Astringent Retraction Paste 100 Capsules Value Pack
• Self adhesive
Alternatives to Amalgam
• 5mm depth of cure
Note: The content of one unit-dose capsule is sufficient to treat up to three (3) teeth. The capsules are for single use and must not be used on more than one patient.
• Low shrinkage stress
• Good physical properties including good wear resistance
3M Oral Care 3M United Kingdom PLC Charnwood Campus 10 Bakewell Road Loughborough LE11 5RB 0845 602 5094
3M Ireland Limited The Iveagh Building The Park, Carrickmines Dublin D18 X015 Ireland +353 (0)1 280 3555
• Quick and easy to place
GD830. J417293. 3M, Aplicap, Filtek, Ketac, Rotomix and Scotchbond are trademarks of the 3M company. © 3M 2018. All rights reserved.
Author: Professor Trevor Burke DDS, MSc, MDS, MGDS, FDS RCS (Edin), FDS RCS (Eng.), FFGDP(UK), FADM
3M would like to acknowledge the advice and clinical direction given by Prof. Trevor Burke and Dr. Bhupinder Dawett during the production of this leaflet.
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