Urinary mercury concentrations in Finnish dentists. 1989

T Lehto, and P Alanen, and T Rönnemaa, and H Helenius, and V Kallio

During the past few years the safety of amalgam as a dental filling material has been the subject of general public discussion. So far there has been no agreement of whether micromercurialism, a term for the symptoms caused by minute amounts of mercury released from dental fillings, exists or not. Dentists may take mercury into their bodies from amalgam in their dental fillings and from handling it while working. We therefore included determination of urinary mercury concentrations in a comprehensive medical examination programme involving 136 dentists from South-Western Finland. We investigated factors possibly related to observed levels of mercury. The factor most closely related to high urinary mercury levels was use of amalgam by the dentist. Dentists who did not use amalgam had urinary mercury concentrations similar to those in Finns not occupationally exposed to mercury. Their "normal" excretion of mercury into the urine reflected the numbers of their dental fillings made from amalgam. The urinary concentrations of mercury of the dentists who used amalgam in their work were statistically highly significantly elevated. None of the values observed was close to the upper level for safety set by the WHO. However, since only one dentist in eight who used amalgam in their work had urinary mercury levels similar to those in Finns non-exposed to mercury at work, our findings suggest that every dentist should constantly take due care when using amalgam.

UI MeSH Term Description Entries
D008297 Male Males
D008628 Mercury A silver metallic element that exists as a liquid at room temperature. It has the atomic symbol Hg (from hydrargyrum, liquid silver), atomic number 80, and atomic weight 200.59. Mercury is used in many industrial applications and its salts have been employed therapeutically as purgatives, antisyphilitics, disinfectants, and astringents. It can be absorbed through the skin and mucous membranes which leads to MERCURY POISONING. Because of its toxicity, the clinical use of mercury and mercurials is diminishing.
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011364 Professional Practice The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care. Practice, Professional,Practices, Professional,Professional Practices
D003723 Dental Amalgam An alloy used in restorative dentistry that contains mercury, silver, tin, copper, and possibly zinc. Amalgam, Dental,Amalgams, Dental,Dental Amalgams
D003793 Dental Restoration, Permanent A restoration designed to remain in service for not less than 20 to 30 years, usually made of gold casting, cohesive gold, or amalgam. (Jablonski, Dictionary of Dentistry, 1992) Dental Fillings, Permanent,Dental Filling, Permanent,Dental Permanent Filling,Dental Permanent Fillings,Dental Restorations, Permanent,Filling, Dental Permanent,Filling, Permanent Dental,Fillings, Dental Permanent,Fillings, Permanent Dental,Permanent Dental Filling,Permanent Dental Fillings,Permanent Dental Restoration,Permanent Dental Restorations,Permanent Filling, Dental,Permanent Fillings, Dental,Restoration, Permanent Dental,Restorations, Permanent Dental
D003815 Dentists Individuals licensed to practice DENTISTRY. Dentists, Pediatric,Dentists, Prosthetic,Dentists, Restorative,Periodontists,Prosthodontists,Dentist,Dentist, Pediatric,Dentist, Prosthetic,Dentist, Restorative,Pediatric Dentist,Pediatric Dentists,Periodontist,Prosthetic Dentist,Prosthetic Dentists,Prosthodontist,Restorative Dentist,Restorative Dentists
D004781 Environmental Exposure The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals. Exposure, Environmental,Environmental Exposures,Exposures, Environmental
D005260 Female Females
D005387 Finland A country in northern Europe, bordering the Baltic Sea, Gulf of Bothnia, and Gulf of Finland, between Sweden and Russia. The capital is Helsinki. Aland Islands,Åland Islands

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