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Objective: The main objective of this study was to quantify the total amount of amalgam used in dental offices in the state of Illinois and to estimate the fractions of amalgam waste material generated during dental procedures. A second objective was to estimate the fractions of non-contact, contact, and tooth retained amalgam through an in vitro study., Methods: The collection system consisted of containers placed in six dental offices and clinics to collect the material from the in-line trap (contact amalgam) and the excess dental amalgam not placed into the oral cavity (non-contact amalgam). In order to have comparable results, the data was adjusted by the number of dental chairs being used and the number of working days., Results: The range for the non-contact amalgam was from 0 to 102 g, and for the contact amalgam, from 2 to 16 g. The median estimate of non-contact amalgam generated from the 6 dental offices was 421 mg/day/chair, whereas the median estimate of contact amalgam was 64 mg/day/chair. For the in vitro study, 40 one and two surface amalgams (bicuspids and molars), was distributed as follows, 46+/-20% in the tooth, 43+/-19% as non-contact amalgam, and 11+/-4% as contact amalgam., Conclusions: Based on survey data from the ADA concerning the number of working days per year, the number of practicing dentists, a 50%, by weight, mercury content in amalgam, and the generation estimates from this project, it was estimated that the practicing dentists in the State of Illinois (6455) have the potential to generate 947 kg of non-contact mercury per year, which is recyclable, and 144 kg of contact mercury which has the potential to be discarded in the environment, or be partially recycled. If this approach is applied to the total population of practicing dentist in the United States (123,641), then 18,159 kg of recyclable, non-contact mercury may be generated per year, whereas 2763 kg of contact mercury may be discarded in the environment, or be partially recycled.

Objective: The intent of this project was to evaluate the efficiency of three commercial amalgam separators based on mercury and particle removal., Methods: Dental wastewater samples were collected from a 54-chair dental clinic and a one chair private dental office. Atomic absorption spectrometry was used to measure mercury, and a laser diffractometer method to determine the particle size distributions., Results: The mercury removal efficiency of the three units ranged from 26.5 to 61.8% for the 54-chair clinic and from 80.8 to 94.7% for the one chair office. Following treatment, the particle size range of the effluent was 8.3-19.2 microm for the 54-chair office and 27.5-41.4 microm for the one-chair clinic. For particle samples based on the silver-copper and copper standards, the three amalgam separators had a particle removal efficiency ranging from 92.3 to 99.9%. The initial particle size distributions for these samples were all under 100 microm., Conclusions: The efficiency of the amalgam separators is influenced by the initial concentration of the dental wastewater, the physical setup of the discharge system before the dental wastewater reaches the separators, and the addition of chemicals to the dental wastewater. In addition, it is likely that assessment of efficiency based on particle removal by weight may not be as effective as removal based on concentration.

Objectives: The increasing interest in the elimination of amalgam particles from the dental waste (DW) stream, requires efficient devices to remove these particles. The major objective of this project was to perform a comparative evaluation of five basic methods of particle size analysis in terms of the instrument's ability to quantify the size distribution of the various components within the DW stream., Methods: The analytical techniques chosen were image analysis via scanning electron microscopy, standard wire mesh sieves, X-ray sedigraphy, laser diffraction, and electrozone analysis. The DW particle stream components were represented by amalgam powders and handpiece/diamond bur generated specimens of enamel; dentin, whole tooth, and condensed amalgam., Results: Each analytical method quantified the examined DW particle stream components. However, X-ray sedigraphy, electrozone, and laser diffraction particle analyses provided similar results for determining particle distributions of DW samples. These three methods were able to more clearly quantify the properties of the examined powder and condensed amalgam samples. Furthermore, these methods indicated that a significant fraction of the DW stream contains particles less than 20 microm., Significance: The findings of this study indicated that the electrozone method is likely to be the most effective technique for quantifying the particle size distribution in the DW particle stream. This method required a relative small volume of sample, was not affected by density, shape factors or optical properties, and measured a sufficient number of particles to provide a reliable representation of the particle size distribution curve.