Articles

Archive for category: Mercury Toxicity

Cysteine Metabolism and Metal Toxicity

Categories: Mercury Toxicity, ResearchAuthor:

Chronic, low level exposure to toxic metals is an increasing global problem. The symptoms associated with the slow accumulation of toxic metals are multiple and rather nondescript, and overt expression of toxic effects may not appear until later in life. The sulfhydryl-reactive metals (mercury, cadmium, lead, arsenic) are particularly insidious and can affect a vast array of biochemical and nutritional processes. The primary mechanisms by which the sulfhydryl-reactive metals elicit their toxic effects are summarized. The pro-oxidative effects of the metals are compounded by the fact that the metals also inhibit antioxidative enzymes and deplete intracellular glutathione. The metals also have the potential to disrupt the metabolism and biological activities of many proteins due to their high affinity for free sulfhydryl groups. Cysteine has a pivotal role in inducible, endogenous detoxication mechanisms in the body, and metal exposure taxes cysteine status. The protective effects of glutathione and the metallothioneins are discussed in detail. Basic research pertaining to the transport of toxic metals into the brain is summarized, and a case is made for the use of hydrolyzed whey protein to support metal detoxification and neurological function. Metal exposure also affects essential element status, which can further decrease antioxidation and detoxification processes. Early detection and treatment of metal burden is important for successful detoxification, and optimization of nutritional status is paramount to the prevention and treatment of metal toxicity.

Quig D. Altern Med Rev. 1998 Aug; 3(4):262-70. 9727078 PubMed.

High Mercury Emissions from Dental Clinics Despite Amalgam Separators

Categories: Mercury Amalgam Fillings Research, Mercury Toxicity, ResearchAuthor:

Mercury (Hg) as amalgam has been used as a dental filling material for more than 150 years. Thereby, dentists and their patients have been directly exposed to Hg, and the public and the environment indirectly exposed via Hg emissions from incinerators and Hg in waste water from households and dental clinics. Here we present actual Hg emissions via waste water from 12 dental clinics equipped with the same type of amalgam separator based on sedimentation. All waste water was collected for four consecutive working days, initially at ordinary operating conditions and a second time after a thorough revision and cleaning of the discharge system. The results indicate that mercury emissions from dental clinics can be reduced by an improved design of the discharge system, a sensible use of high pressure water cleaning, and regular maintenance, including replacement of amalgam separators and filters at certain intervals. The study also indicates that banning Hg in dentistry is the one long-term way to stop Hg emissions from dental amalgam.

Hylander LD, Lindvall A, Gahnberg L. Sci Total Environ. 2006 Jun 1;362(1-3):74-84. Epub 2005 Jul 28. 16054673 PubMed

Dentist’s Exposure to Elemental Mercury Vapor During Clinical Work with Amalgam

Categories: Mercury Toxicity, ResearchAuthor:

Continuous measurements of mercury vapor in the breathing zone of the dentist were made under ordinary clinical conditions. Fifty old amalgam fillings were removed and replaced by new ones. The mercury vapor measurements were performed by means of atomic absorption spectrophotometry. On the basis of the type of suction device used, the measurements were divided into seven groups, each of which consisted of a series of measurements. During the cutting, filling, and polishing operations the mean mercury vapor levels in the breathing zone of the dentist were in the range of 1-2 micrograms Hg m-3 air when proper mercury hygiene measures were taken. This is far below the currently valid threshold limit value (30 micrograms Hg m-3 air) in Sweden. The saliva extractor and the dental mirror-evacuator did not influence the mercury vapor levels when used together with the high-volume evacuator. However, when only a saliva extractor was used, the cutting of amalgam fillings caused highly fluctuating mercury vapor levels, which were 2-15 times higher than the threshold limit value.

Pohl L, Bergman M. Acta Odontol Scand. 1995 Feb;53(1):44-8. 7740931 PubMed

Dental Amalgam and Mercury in Dentistry

Categories: General Dentistry, Mercury Amalgam Fillings Research, Mercury Toxicity, ResearchAuthor:

Mercury in dentistry has re-emerged as a contentious issue in public health, predominantly because so many people are inadvertently exposed to mercury in order to obtain the benefits of dental amalgam fillings, and the risks remain difficult to interpret. Evidence on the health effect of dental amalgams comes from studies of the association between their presence and signs or symptoms of adverse effects or health changes after removal of dental amalgam fillings. Policy will also reflect prudent and cautious approaches, encouraging minimization of exposure to mercury in potentially more sensitive population groups. Wider environmental concerns and decreasing tolerance of exposure to other mercury compounds (for example, methylmercury in seafoods) will ensure the use of mercury in dentistry remains an issue, necessitating dentists keep their patients informed of health risks and respect their choices.

Spencer AJ. Aust Dent J. 2000 Dec;45(4):224-34. 11225523 PubMed.

Blood Mercury Levels of Dental Students and Dentists at a Dental School

Categories: General Dentistry, Mercury Amalgam Fillings Research, Mercury Toxicity, ResearchAuthor:

To determine the blood mercury levels in dental students and clinical teaching staff in a dental school using amalgam as a restorative material. There were statistically significant increases (p<0.001) in plasma mercury concentration between measurements in all groups at the end of the academic year. Red cell mercury levels were also consistently elevated. Although the highest levels of mercury were recorded in persons working with amalgam, increased levels were also found in subjects working in the teaching classrooms but not with amalgam (controls and first year students). Increased mercury levels appeared to be due to background exposure from spillage of mercury and amalgam residues on floors. Increased mercury hygiene and regular control of working atmosphere should be implemented to prevent mercury exposure in the dental pre-clinical laboratory.

Tezel H, Ertas OS, Erakin C, Kayali A. Br Dent J. 2001 Oct 27;191(8):449-52 11720018 PubMed.

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