Kasraei Sh, Mortazavi H, Vahedi M, Bakianian Vaziri P, Assary Mj
Associate Professor, Department of Restorative Dentistry, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.
J Dent (Tehran). 2010 Spring;7(2):55-63. Epub 2010 Jun 30.
Exposure to mercury can occur in occupational and environmental settings. During clinical work with dental amalgam, the dental personnel are exposed to both metallic mercury and mercury vapor. The aim of the present study was to investigate blood mercury level (BML) and its determinants among dentists practicing in Hamadan city, Iran.
This cross sectional study was done on all dental practitioners of Hamadan (n=43). Dentists were asked to complete a questionnaire, and then 5 ml blood samples were obtained from them. After preparation, mercury concentration of each sample was measured by cold vapor atomic absorption device. Pearson correlation test and regression models served for statistical analysis.
The mean blood concentration of mercury was 6.3 μg/l (SD=1.31 range 4.15-8.93). BML was positively associated with age, years in practice, working hours per day, number of amalgam restorations per day, number of amalgam removal per week, sea food consumption, working years in present office, using amalgam powder, using diamond bur for amalgam removal, dry sterilization of amalgam contaminated instruments, and deficient air ventilation.
BML of dentists in Hamadan was higher than standards. Working hours and number of amalgam restorations per day were significantly correlated with blood mercury.
在职业和环境中都可能接触到汞。在使用牙科汞合金进行临床工作时,牙科工作人员会接触到金属汞和汞蒸气。本研究的目的是调查伊朗哈马丹市执业牙医的血汞水平(BML)及其决定因素。
对哈马丹市所有牙科从业者(n = 43)进行了这项横断面研究。要求牙医填写一份问卷,然后采集他们5毫升的血样。制备后,用冷蒸气原子吸收装置测量每个样本的汞浓度。采用Pearson相关检验和回归模型进行统计分析。
汞的平均血浓度为6.3μg/l(标准差 = 1.31,范围4.15 - 8.93)。BML与年龄、从业年限、每日工作时长、每日汞合金修复体数量、每周汞合金去除数量、海鲜摄入量、在现工作单位的工作年限、使用汞合金粉末、使用金刚石钻去除汞合金、汞污染器械的干式消毒以及通风不足呈正相关。
哈马丹市牙医的BML高于标准。每日工作时长和每日汞合金修复体数量与血汞显著相关。