Dülgergil C Türksel, Erdemir Ebru Olgun, Ercan Ertugrul, Erdemir Ali
Associate Professor, University of Kirikkale, Dental School, Department of Operative Dentistry, Kirikkale, TURKEY.
Eur J Dent. 2007 Apr;1(2):119-22.
A case of uncommon occupational dental erosion was reported in an individual who had worked in the war industry for twenty years. This occupation involved daily, at least 8 hours, inhalation of chromic acid being used for cleaning of barrel of cannons. The erosion manifested as dental sensitivity with excessive cervical erosion even with pulpal exposure in certain teeth. Moreover, due to the adverse effect of the chemical against to gingival and/or periodontal tissues, the lesions were extremely harmful with respect to the exposed root-cementum. After proper periodontal therapy, cervical lesions were treated conservatively with a compomer based restorative material without cavity preparation. Although today it is not common due to the well-controlled working conditions, occupational combined dental and medical problems via airborne fumes and/or elements can be seen at workers in chemical factories. A cumulative biohazardous effect is generally seen as not only medical but also dental disorders.
据报道，一名在军工行业工作了20年的个体出现了罕见的职业性牙齿侵蚀病例。该职业每天至少有8小时会吸入用于清洗炮管的铬酸。牙齿侵蚀表现为牙齿敏感，伴有严重的颈部侵蚀，某些牙齿甚至出现牙髓暴露。此外，由于这种化学物质对牙龈和/或牙周组织的不良影响，这些病变对暴露的牙根牙骨质极为有害。经过适当的牙周治疗后，颈部病变采用基于复合体的修复材料进行保守治疗，无需制备洞形。尽管如今由于工作条件得到良好控制，这种情况并不常见，但在化工厂工作的工人中，仍可通过空气传播的烟雾和/或元素看到职业性牙齿和医学综合问题。累积的生物危害效应通常不仅表现为医学疾病，还表现为牙齿疾病。
