Each MELISA lab will offer their own set of testing panels. Below is an indication of what the testing panels may look like.

Dental panels

Various materials are used to manufacture fillings, crowns, pins, root-fillings, implants etc. Below are listed metals commonly present in dental restorations. Information about the exact type of restoration used should be included in dental records.

Panel A - Amalgam fillings
Copper, Inorganic mercury, Nickel, Silver, Tin

Panel B - Non-noble crowns
Beryllium, Cobalt, Chromium, Manganese, Molybdenum, Nickel, Tungsten

Panel C - Noble or gold crowns
Gallium, Gold, Indium, Iridium, Palladium, Platinum, Ruthenium, Silver

Panel D - Amalgam & crowns
Beryllium, Cadmium, Cobalt, Copper, Chromium, Gallium, Gold, Indium, Inorganic mercury, Iridium, Manganese, Methylmercury, Molybdenum, Nickel, Palladium, Platinum, Ruthenium, Silver, Tin, Tungsten

Panel E - Titanium implant
Aluminium, Nickel, Titanium dioxide, Titanium sulphate, Vanadium

Orthopedic panels

Various alloys are used to manufacture hip and knee replacements, spinal implants, plates, screws, nails, pins, clips etc. Below are listed commonly used alloys and their typical compositions. Information about the exact type of implant used during surgery should be included in medical records.

Panel F - Cobalt Chrome/Stainless steel
Chromium, Cobalt, Manganese, Molybdenum, Nickel, Tungsten

Panel G - Titanium alloy/Nitinol
Aluminium, Nickel, Titanium dioxide, Titanium sulphate, Vanadium

Panel H - Zirconium-based alloys
Chromium, Niobium, Tin, Zirconia*

Panel I - Spinal implants
Aluminium, Chromium, Cobalt, Manganese, Molybdenum, Nickel, Niobium, Tantalum, Titanium dioxide, Titanium sulphate, Tungsten, Vanadium

Panel J - Comprehensive surgical/orthopedic
Aluminium, Beryllium, Chromium, Cobalt, Manganese, Molybdenum, Nickel, Niobium, Tantalum, Tin, Titanium dioxide, Titanium sulphate, Tungsten, Vanadium, Zirconia*

* The clinical relevance of a positive Zirconia test has not been established