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Dental amalgam and mercury.

A Jokstad1, Y Thomassen, E Bye

  • 1Department of Anatomy, Dental Faculty, University of Oslo, Norway.

Pharmacology & Toxicology
|April 1, 1992
PubMed
Summary

Mercury exposure from dental amalgam restorations was assessed in Norwegians. Higher numbers of amalgam surfaces correlated with increased mercury in urine and exhaled air, suggesting significant absorption from dental work.

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Area of Science:

  • Environmental Health
  • Toxicology
  • Dental Materials Science

Background:

  • Dental amalgam restorations are a common source of mercury exposure.
  • Quantifying mercury absorption from dental amalgams is crucial for public health.
  • Previous studies have shown varying correlations between amalgam load and mercury levels.

Purpose of the Study:

  • To investigate mercury exposure levels in an urban Norwegian population.
  • To correlate mercury concentrations in blood, urine, and exhaled air with dental amalgam restorations.
  • To estimate daily mercury absorption from dental amalgams.

Main Methods:

  • Measured mercury concentrations in blood (HgB), urine (HgU), and exhaled air (HgAir) in 147 individuals.
  • Utilized cold vapour atomic absorption spectrometry for sample analysis.
  • Correlated mercury levels with the number and surface area of dental amalgam restorations.

Main Results:

  • Mean HgB: 24.8 nmol/l, HgU: 17.5 nmol/l, HgAir: 0.8 µg/m³.
  • HgU and HgAir showed significant correlations with the number of amalgam restorations and restored surfaces.
  • HgB exhibited poor correlation with mercury levels in urine/air and amalgam presence.
  • Individuals with >36 restored surfaces absorbed an estimated 10-12 µg Hg/day.

Conclusions:

  • Dental amalgam restorations are a significant source of mercury exposure, particularly evident in urine and exhaled air.
  • Blood mercury levels showed limited correlation, suggesting a need for further investigation into mercury speciation (organic vs. inorganic) for accurate assessment.
  • The findings indicate a quantifiable daily mercury absorption from extensive dental amalgam use.

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