期刊论文详细信息
BMC Oral Health
Dental amalgam and urinary mercury concentrations: a descriptive study
Carlos Quiñonez2  Harry Ames1  Alexandra Nicolae2 
[1] Alberta Dental Association and College, Suite 101, 8230-105 Street NW, T6E 5H9, Edmonton, AB, Canada;Community Dental Health Services Research Unit, University of Toronto, 124 Edward Street, M5G 1G6, Toronto, ON, Canada
关键词: Urinary levels;    Mercury;    Dental amalgam;   
Others  :  1125972
DOI  :  10.1186/1472-6831-13-44
 received in 2012-08-16, accepted in 2013-08-29,  发布年份 2013
PDF
【 摘 要 】

Background

Dental amalgam is a source of elemental and inorganic mercury. The safety of dental amalgam in individuals remains a controversial issue. Urinary mercury concentrations are used to assess chronic exposure to elemental mercury. At present, there are no indications of mercury-associated adverse effects at levels below 5 μg Hg/g creatinine (Cr) or 7 μg Hg/L (urine). The purpose of the present study is to determine the overall urinary mercury level in the Canadian general population in relation to the number of dental amalgam surfaces.

Methods

Data come from the 2007/09 Canadian Health Measures Survey, which measured urinary mercury concentrations in a nationally representative sample of 5,418 Canadians aged 6–79 years. Urinary mercury concentrations were stratified by sex, age, and number of dental amalgam surfaces.

Results

The overall mean urinary mercury concentration varied between 0.12 μg Hg/L and 0.31 μg Hg/L or 0.13 μg Hg/g Cr and 0.40 μg Hg/g Cr. In general, females showed slightly higher mean urinary mercury levels than men. The overall 95th percentile was 2.95 μg Hg/L, the 99th percentile was 7.34E μg Hg/L, and the 99.9th percentile was 17.45 μg Hg/L. Expressed as μg Hg/g Cr, the overall 95th percentile was 2.57 μg Hg/g Cr, the 99th percentile was 5.65 μg Hg/g Cr, and the 99.9th percentiles was 12.14 μg Hg/g Cr. Overall, 98.2% of participants had urinary mercury levels below 7 μg Hg/L and 97.7% had urinary mercury levels below 5 μg Hg/g Cr. All data are estimates for the Canadian population. The estimates followed by the letter “E” should be interpreted with caution due to high sampling variability (coefficient of variation 16.6%-33.3%).

Conclusions

The mean urinary mercury concentrations in the general Canadian population are significantly lower than the values considered to pose any risks for health.

【 授权许可】

   
2013 Nicolae et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150218033642683.pdf 236KB PDF download
【 参考文献 】
  • [1]Clarkson TW, Magos L: The toxicology of mercury and its chemical compounds. Crit Rev Toxicol 2006, 36(8):609-662.
  • [2]Lyttle HA, Bowden GH: The level of mercury in human plaque and interaction in vitro between biofilms of streptococcus mutans and dental amalgam. J Dent Res 1993, 72:1320-1324.
  • [3]Report on Human Biomonitoring of Environmental Chemicals in Canada: Results of the Canadian health measures survey cycle 1 (2007–2009). http://www.hc-sc.gc.ca/ewh-semt/pubs/contaminants/chms-ecms/index-eng.php webcite
  • [4]Bernardo M, Luis H, Martin MD, Leroux BG, Rue T, Leitão J, et al.: Survival and reason for failure of amalgam versus composite posterior restorations placed in a randomized clinical trial. J Am Dent Assoc 2007, 138:775-783.
  • [5]The safety of dental amalgam. http://www.hc-sc.gc.ca/dhp-mps/pubs/md-im/dent_amalgam-eng.php webcite
  • [6]Jones DW: Exposure or absorption and the crucial question of limits for mercury. J Can Dent Assoc 1999, 65(1):42-46.
  • [7]Jones DW: A Scandinavian tragedy. Br Dent J 2008, 205(5):233-234.
  • [8]Memorandum of Understanding: Respecting the implementation of the Canada-wide standard on mercury for dental amalgam waste. 2002. http://www.ec.gc.ca/mercure-mercury/B25DC35E-025C-4255-B0A5-62813A6D7BD5/EC_CDA_MOU.pdf webcite
  • [9]Petersen PK, et al.: Future use of materials for dental restoration. Geneva, Switzerland: Report of the Meeting Convened at WHO HQ; 2009. http://www.who.int/oral_health/publications/dental_material_2011.pdf webcite
  • [10]Federal Register Vol.74, No.148/Tuesday, August 4, 2009/Rules and Regulations, pp 38686–38714. http://www.gpo.gov/fdsys/pkg/FR-2009-08-04/pdf/FR-2009-08-04.pdf webcite
  • [11]Umweltbundesamt: Health and environmental hygiene reference and Human Biomonitoring (HBM). http://www.umweltbundesamt.de/gesundheit-e/monitor/definitionen.htm webcite
  • [12]Dye BA, Schober SE, Dillon CF, Jones RL, Fryar C, McDowell M, Sinks TH: Urinary mercury concentrations associated with dental restorations in adult women aged 16–49 years: Unites States, 1999–2000. Occup Environ Med 2005, 62:368-375.
  • [13]Factor-Litvak P, Hasselgren G, Jacobs D, Begg M, Kline J, Geier J, Mervish N, Schoenholtz S, Graziano J: Mercury derived from dental amalgams and neuropsychological function. Environ Health Perspectives 2003, 111:719-723.
  • [14]Kingman A, Albertini T, Brown LJ: Mercury concentrations in urine and whole blood associated with amalgam exposure in a US military population. J Dent Res 1998, 77(3):461-471.
  • [15]DeRouen T, Martin MD, Leroux BG, Townes BD, Woods JS, Leitão J, Castro-Caldas A, et al.: Neurobehavioral effects of dental amalgam in children: a randomized clinical trial. JAMA 2006, 295(15):1784-1792.
  • [16]Bellinger DC, Trachtenberg F, Barregard L, Tavares M, Cernichiari E, Daniel D, et al.: Neuropsychological and renal effects of dental amalgam in children: a randomized clinical trial. JAMA 2006, 295(15):1775-1783.
  • [17]Department of Health and Human Services: Centers for disease control and prevention, fourth national report on human exposure to environmental chemicals. http://www.cdc.gov/exposurereport/pdf/FourthReport.pdf webcite
  • [18]Giroux S: Canadian health measures survey: sampling strategy overview. : Supplement to Health Reports, Vol. 18, Catalogue no. 82–003. Statistics Canada; 2007. http://www.statcan.gc.ca/pub/82-003-s/2007000/article/10363-eng.pdf webcite
  • [19]Wong SL, Lye EJD: Lead, mercury and cadmium levels in Canadians. : Health Reports, Vol. 19, No. 4, Catalogue no. 82-003-XPE.Statistics Canada; 2008. http://www.statcan.gc.ca/pub/82-003-x/82-003-x2008004-eng.pdf webcite
  • [20]Report on the findings of the oral health component of the Canadian health measures survey 2007–2009. http://www.fptdwg.ca/assets/PDF/CHMS/CHMS-E-tech.pdf webcite
  • [21]Lie A, Gundersen N, Korsgaard KJ: Mercury in urine – sex, age and geographic differences in a reference population. Scand J Work Environ Health 1982, 8(2):129-33.
  • [22]Suzuki T, Hongo T, Abe T, Matsuo N, Inoue N: Urinary mercury level in Japanese school children: influence of dental amalgam and fish eating habits. Sci Total Environ 1993, 136(3):213-227.
  • [23]Apostoli P, Cortesi I, Mangili A, Elia G, Drago I, Gagliardi T, et al.: Assessment of reference values for mercury in urine: the results of an Italian polycentric study. Sci Total Environ 2002, 289(1–3):13-24.
  • [24]Levy M, Schwartz S, Dijak M, Weber JP, Tardif R, Rouah F: Childhood urine mercury excretion: dental amalgam and fish consumption as exposure factors. Environ Res 2004, 94(3):283-290.
  • [25]Passos CJ, Mergler D, Lemire M, Fillion M, Guimarães JR: Fish consumption and bioindicators of inorganic mercury exposure. Sci Total Environ 2007, 373(1):68-76.
  • [26]Berdouses E, Vaidyanathan TK, Dastane A, Weisel C, Houpt M, Shey Z: Mercury release from dental amalgams: an in vitro study under controlled chewing and brushing in an artificial mouth. J Dent Res 1995, 74(5):1185-1193.
  • [27]Barregard L, Sallsten G, Jarvholm B: People with high mercury uptake from their own dental amalgam fillings. Occup Environ Med 1995, 52:124-128.
  • [28]Barregard L: Mercury from dental amalgam: looking beyond the average. Occup Environ Med 2005, 62:352-353.
  • [29]Richardson GM, Wilson R, Allard D, Purtill C, Douma S, Graviere J: Mercury exposure and risks from dental amalgam in the US population, post-2000. Sci Total Environ 2011, 409:4257-68.
  • [30]Beazoglou T, Eklund S, Heffley D, Meiers J, Brown LJ, Bailit H: Economic impact of regulating the use of amalgam restorations. Public Health Rep 2007, 122:657-663.
  • [31]Jones DW: Has dental amalgam been torpedoed and sunk? J Dent Res 2008, 87(2):101-102.
  • [32]Mercury: Your health and the environment. A resource tool. http://www.hc-sc.gc.ca/ewh-semt/alt_formats/hecs-sesc/pdf/pubs/contaminants/mercury/mercur-eng.pdf webcite
  • [33]Dental Amalgam: Frequently asked questions. http://www.cda-adc.ca/en/oral_health/faqs_resources/faqs/dental_amalgam_faqs.asp webcite
  文献评价指标  
  下载次数:0次 浏览次数:8次