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Effluent Guidelines

Dental Effluent Guidelines

EPA promulgated pretreatment standards in 2017 to reduce discharges of mercury from dental offices into publicly owned treatment worksHelppublicly owned treatment worksA treatment works that is owned by the state or municipality. (POTWs). The Dental Office Category regulation is codified at 40 CFR Part 441.

Dental offices discharge mercury present in amalgam used for fillings. Amalgam separators are a practical, affordable and readily available technology for capturing mercury and other metals before they are discharged into sewers that drain to POTWs. Once captured by a separator, mercury can be recycled.

EPA expects compliance with this final rule will annually reduce the discharge of mercury by 5.1 tons as well as 5.3 tons of other metals found in waste dental amalgam to POTWs.

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Mercury is a potent neurotoxin that bioaccumulates in fish and shellfish. Mercury pollution is widespread and a global concern that originates from many diverse sources such as air deposition from municipal and industrial incinerators and combustion of fossil fuels.

Key facts about dental clinics and mercury:
  • Dental clinics are the main source of mercury discharges to POTWs.
  • EPA estimates about 103,000 dental offices use or remove amalgam in the United States; almost all of these send their wastewater to POTWs.
  • Dentists discharge approximately 5.1 tons of mercury each year to POTWs; most of this mercury is subsequently released to the environment.

Mercury-containing amalgam wastes may find their way into the environment when new fillings are placed or old mercury-containing fillings are drilled out and waste amalgam materials that are flushed into chair-side drains enter the wastewater stream. Mercury entering POTWs frequently partitions into the sludge, the solid material that remains after wastewater is treated. Mercury from waste amalgam therefore can make its way into the environment from the POTW through the incineration, landfilling, or land application of sludge or through surface water discharge.

Frequent Questions

For Dental Offices

For Control Authorities

Reporting Requirements

Dental offices that place or remove amalgam must operate and maintain an amalgam separator and must not discharge scrap amalgam or use certain kinds of line cleaners. Existing and new sources must submit a one-time compliance report to their pretreatment Control Authority. See the Federal Register notice for details.

Who is my Control Authority?

Your Control Authority is either a local wastewater utility, a state environmental agency, or a U.S. EPA regional office.

Dental offices in Alabama, Connecticut, Mississippi, Nebraska or Vermont

Your Control Authority is your state agency.

Dental offices in all other states

Contact your EPA regional office, your local wastewater utility, or your state agency Pretreatment Coordinator to find out who your Control Authority is.

Sample Compliance Report

This compliance report is an example. Your Control Authority may have a different form. Contact your Control Authority to determine which form to use.

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Correction Notices

These Federal Register notices are corrections to the CFR text. The July 5, 2017 notice updates the June 26, 2017 notice.

Final Rule

Additional documents related to this rulemaking can be found on EPA’s docket at The Docket ID Number is EPA-HQ-OW-2014-0693.

Proposed Rule

Additional Information

For additional information regarding the Dental Effluent Guidelines final rule, please contact Paul Shriner ( or 202-566-1076.

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