Panel Summary on Amalgam, Other Metal Devices
FDA has posted a summary of the deliberations during an 11/13-14 Immunology Devices Panel of the Medical Devices Advisory Committee meeting, which recommended (see earlier story) that FDA should require dentists to move away from using mercury-containing amalgams and towards non-mercury containing products like composite materials when conducting dental restoration procedures. The panel agreed that FDA’s latest literature review on dental amalgam provided more evidence on amalgam’s risks to the environment, patients and potentially to the dental professionals involved in the insertion and extraction of these materials.
The panel meeting also discussed immunological responses to metal-containing devices. FDA and other presenters provided a summary of the state of currently known science in metal implant related biological responses. Panel members discussed “device related factors that may increase or decrease an individual’s risk of an adverse response to a metal implant,” the summary says. “Factors include extent of wear, alloy composition, microstructure, and surface coating of an implant. Panelists all agreed it is important and beneficial for patient safety to have the device packaging labels updated to include a list of the elemental composition of the device.”