Mensi Carolina, Ciullo Francesco, Barbieri Gino Pietro, Riboldi Luciano, Somigliana Anna, Rasperini Giulio, Pesatori Angela Cecilia, Consonni Dario
Department of Preventive Medicine, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Am J Ind Med. 2017 May;60(5):443-448. doi: 10.1002/ajim.22716.
Asbestos was used in dentistry as a binder in periodontal dressings and as lining material for casting rings and crucible. However, until now, only one case of malignant mesothelioma with occupational exposure to asbestos in dental practice has been reported. We present 4 pleural mesotheliomas out of 5344 cases identified in Lombardy, Italy, in 2000-2014. Three men had been working as dental laboratory technicians, with asbestos exposure for 10, 34, and 4 years, and one woman had been helping her husband for 30 years in manufacturing dental prostheses. The men described the use of asbestos as a lining material for casting rings, while the woman was not able to confirm this use. We confirm the association of malignant mesothelioma with dental technician work. Dental technicians suffering from mesothelioma should be questioned about past occupational asbestos exposure.
石棉曾在牙科领域用作牙周敷料的黏合剂以及铸圈和坩埚的衬里材料。然而，截至目前，仅报告过1例在牙科诊疗过程中因职业接触石棉而引发恶性间皮瘤的病例。我们呈现了2000年至2014年在意大利伦巴第地区确诊的5344例病例中的4例胸膜间皮瘤。其中3名男性曾是牙科实验室技术员，接触石棉的时长分别为10年、34年和4年，还有1名女性在协助其丈夫制造假牙长达30年。这些男性称曾将石棉用作铸圈的衬里材料，而该女性无法证实这一用途。我们证实了恶性间皮瘤与牙科技术员工作之间的关联。对于罹患间皮瘤的牙科技术员，应询问其过去的职业性石棉接触情况。
