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汞合金淘汰,一个环境安全关注点:巴基斯坦普通牙医中的横断面研究。

Amalgam phase-out, an environmental safety concern: a cross-sectional study among general dental practitioners in Pakistan.

机构信息

Department of Operative Dentistry, University of Lahore, Lahore, Pakistan.

Periodontology Department, University of Lahore, Lahore, Pakistan.

出版信息

East Mediterr Health J. 2022 Jan 31;28(1):69-73. doi: 10.26719/emhj.21.068.

DOI:10.26719/emhj.21.068
PMID:35165880
Abstract

BACKGROUND

Amalgam has been the gold standard for restorations in posterior teeth. Mercury, a major component of dental amalgam, is considered an environmental pollutant. The Minamata Convention on mercury recomends a reduction in the use of mercury-containing products. Since Pakistan is a signatory to the Convention, the same amalgam phase-out limitations are implemented in Pakistan.

AIMS

To identify and assess the use of amalgam and its waste management by dentists in Pakistan post-Minamata Convention guidelines.

METHODS

A cross-sectional study was conducted in Lahore among 520 general dental practitioners in 2019.

RESULTS

The sample size for the study was calculated as 500; the questionnaire was distributed among 550 dentists. Dental amalgam was used by only 41.6% of the dentists in their practice; 55.0% perceived it to be a health risk. Most of the dentists (76.3%) were unaware of the proper disposal protocols for dental amalgam and 76.5% were unaware of any guidelines regarding amalgam use and disposal.

CONCLUSION

Although there is a gap in knowledge among the dentists regarding amalgam disposal, dentists in Pakistan are reducing their use of dental amalgam in accordance with the guidelines of the Minamata Convention.

摘要

背景

汞合金一直是后牙修复的金标准。汞是牙科汞合金的主要成分,被认为是一种环境污染物。《关于汞的水俣公约》建议减少含汞产品的使用。由于巴基斯坦是该公约的签署国,因此巴基斯坦也实施了相同的汞合金淘汰限制。

目的

根据《水俣公约》,确定并评估巴基斯坦牙医在汞合金及其废物管理方面的使用情况。

方法

2019 年,在拉合尔对 520 名普通牙科医生进行了横断面研究。

结果

研究的样本量计算为 500;问卷调查分发给 550 名牙医。只有 41.6%的牙医在实践中使用汞合金;55.0%的人认为它存在健康风险。大多数牙医(76.3%)不知道牙科汞合金的正确处理协议,76.5%的牙医不知道任何关于汞合金使用和处理的准则。

结论

尽管牙医在汞合金处理方面存在知识差距,但巴基斯坦的牙医正在按照《水俣公约》的准则减少对牙科汞合金的使用。

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East Mediterr Health J. 2022 Jan 31;28(1):69-73. doi: 10.26719/emhj.21.068.
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