Native Health Agency Ditches Mercury Fillings by 2027

The Indian Health Service (IHS) has announced a significant shift, committing to phase out the use of dental fillings containing mercury. This transition, targeting full implementation by 2027, responds to growing environmental and health concerns regarding mercury exposure. The agency, which serves approximately 2.8 million Native Americans and Alaska Natives, has seen a substantial decrease in the use of these fillings, from 12% in 2005 to just 2% in 2023.

This decision by the U.S. Department of Health and Human Services, overseeing the IHS, aligns with global efforts to reduce hazardous heavy metals. Secretary Robert F. Kennedy Jr. stated this is a "commonsense step" to protect patients. While the U.S. Food and Drug Administration notes that evidence does not link mercury fillings to long-term negative health outcomes, they recommend high-risk individuals avoid them. The World Health Organization also supports phasing out dental amalgams, and the U.S. is a signatory to the Minamata Convention, which aims to address mercury's adverse effects by 2034.

Advocates emphasize that this change is long overdue, noting that many other developed nations have already banned mercury fillings. They point out that patients reliant on government services like IHS, Medicaid, or correctional facilities often lack the choice of mercury-free alternatives. The American Dental Association, while acknowledging the declining use, still considers mercury fillings a "safe, durable and affordable material."