dental amalgam is safe and has held, "the removal of amalgam restorations from the non-allergic patient for the alleged purpose of removing toxic substances from the body, when such treatment is performed solely at the recommendation or suggestion of the dentist, is improper and unethical". Under the comments of the American Dental Association before the FDA's Dental Products Panel of the Medical Devices Advisory Committee, the ADA supports the 2009 FDA ruling on dental amalgam. ADA states, "dental amalgam has an established record of safety and effectiveness, which the scientific community has extensively reviewed and affirmed." The ADA also supports the 2017 EPA wastewater regulation and is providing information and assistance to its members in implementation of amalgam separators. The ADA asserts the best scientific evidence supports the safety of dental amalgam. Clinical studies have not established an occasional connection between dental amalgam and adverse health effects in the general population. Dental Material Commission In 2002, Dr. Maths Berlin of The Dental Material Commission published an overview and assessment of the scientific literature published between November 1997 and 2002 for the Swedish Government on amalgam and its possible environmental and health risks. A final report was submitted to the Swedish Government in 2003 and included his report as an annex to the full report. In the final report from 2003, Berlin states that the 1997 summary had found "... no known epidemiological population study has demonstrated any adverse health effects in amalgam". He reports that researchers have been able to show effects of mercury at lower concentrations than before and states, "... the safety margin that it was thought existed with respect to mercury exposure from amalgam has been erased." He recommends eliminating amalgam in dentistry for medical and environmental reasons as soon as possible. Food and Drug Administration After FDA's deliberations and review of hundreds of scientific studies relating to the safety of dental amalgam, the FDA concluded, "clinical studies have not established a causal link between dental amalgam and adverse health effects in adults and children age six and older." The FDA concluded that individuals age six and older are not at risk of mercury-associated health effects from mercury vapor exposure that come from dental amalgam. In 2009, the FDA issued a final rule which classified dental amalgam as a "Class II" (moderate risk) device, placing it in the same category as composite resins and gold fillings. In