Media Centre

Our Media Centre provides media handling support to members and is also the place for journalists to come to request interviews or commentary on key issues affecting dentists and other healthcare professionals.

The press office

Press support for members

If you find yourself in the media spotlight please get in touch and we can provide expert advice and support, including liaising with journalists and providing statements on your behalf.

Media scrutiny of you and your practice could put your personal and professional reputation at risk. Early advice can help mitigate risks and we can help you respond to the media and deal with them on your behalf.

Our Press Office is available 24 hours a day, seven days a week. If you need advice or guidance on handling media enquiries, please contact a member of the Press Office 

Information for journalists

Our Press Office assists with media requests for information or commentary on the dentolegal and medicolegal, ethical and healthcare policy issues of the day.

Our spokespeople are experienced, authoritative and well placed to comment on issues that affect the practice of doctors and other healthcare professionals, and include registered dental and medical practitioners and those who hold legal qualifications.

We also issue press releases, designed to keep you informed of the public statements we make, including comment on emerging issues, policy and analysis of our data.

For urgent out of hours media support (between 5.30pm and 8.30am GMT) please call +44 113 243 6436

Press releases

Good record keeping key in phase-down of dental amalgam


17 October 2018

Dental Protection is reminding dentists in the UK to maintain good clinical records and obtain full consent if a decision is made to use amalgam as a restorative material, ahead of changes to EU Regulations on its use.

The EU Mercury Regulation is intended to protect the environment from the adverse effects of mercury pollution. It reflects the aims of the Minamata Treaty to reduce the use of dental amalgam in the medium to long term, and to eventually phase it out altogether.

From 1 July 2018 amalgam is not to be used in primary teeth, children under 15 years and during pregnancy/breastfeeding - except if deemed necessary on the ground of ‘specific medical needs’. This should be interpreted as including the specific dental needs of the patient.

  • By 1 July 2019 the UK and other EU member states will be required to have a national plan on the phasing down of the use of dental amalgam.

  • Dental Protection advises members to take extra care in obtaining consent and record keeping, to help in defending any future claims, complaints or regulatory investigations that may arise from the use of amalgam in the restricted groups.

Dr Raj Rattan, Dental Director at Dental Protection said: “Complaints and claims may arise despite a dentist’s efforts to ensure that patients are satisfied with their treatment. Therefore, in situations such as these extra care needs to be taken.

“If a dentist deems it appropriate to use amalgam in a patient in one of the restricted groups, they must communicate the rationale to the patient, or the person who has parental responsibility for them, explain why the decision is in the patient’s best interest, and provide information about the material risks and benefits of amalgam in that particular situation. Valid consent must then be obtained ensuring they are aware of the restriction in specific patient groups.

“In order for the patient or their guardian‘s consent to be valid, they should be given the opportunity and time to ask questions about the proposed treatment to make an informed shared decision.

“Once the decision has been agreed, the justification for placing the amalgam should then be recorded in the patient’s clinical records, along with any discussions about the options, risks, benefits and costs as part of the consent process.

“Records should state clearly on what basis the decision to use amalgam in one of the restricted groups was taken, and that it was made with the patient or guardian’s full knowledge and understanding.”


The use of amalgam is so far not restricted in patients who do not fall into the identified groups.  However, patients with knowledge of the restriction may express anxieties about the use of dental amalgam in their own mouths.  

In these circumstances Dental Protection advises members to discuss the position of the EU Regulation with the patient, explain the risks and benefits, discuss any alternatives and ensure proper consent is obtained before proceeding with the treatment. Details of this discussion should be recorded in the patient’s records.  

Dr Raj Rattan added: “Without proper consent and comprehensive, well-kept records, a dentist will be heavily disadvantaged in defending any allegations made down the line. Detailed records of treatment will influence whether a case can be defended or whether it will need to be settled. Dental Protection can provide members with further advice and guidance.”

END

Notes to editor

  1. Implementation Advice Restricting the Use of Dental Amalgam in Specific Patient Groups http://www.sdcep.org.uk/published-guidance/dental-amalgam/
  2. Minamata Convention on Mercury

  3. http://www.mercuryconvention.org/
  4. British Dental Association information on dental amalgam https://www.bda.org/amalgam

  5. For more information, please contact Stella Zegge, Press Officer E: [email protected] T: +44 (0) 20 7640 516

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