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牙科领域预防石棉暴露所致职业危害。专家小组提案

Prevention of Occupational Hazards Due to Asbestos Exposure in Dentistry. A Proposal from a Panel of Experts.

作者信息

Anaya-Aguilar Carmen, Bravo Manuel, Magan-Fernandez Antonio, Del Castillo-Salmerón Ramon, Rodríguez-Archilla Alberto, Montero Javier, Rosel Eva, Puche Paco, Anaya-Aguilar Rosa

机构信息

Department of Economy and Business Administration, University of Málaga, Campus El Ejido, 29071 Málaga, Spain.

Department of Preventive and Community Dentistry, Faculty of Dentistry, University of Granada, Campus de Cartuja s/n, 18071 Granada, Spain.

出版信息

Int J Environ Res Public Health. 2022 Mar 8;19(6):3153. doi: 10.3390/ijerph19063153.

DOI:10.3390/ijerph19063153
PMID:35328844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8955252/
Abstract

Asbestos in all its forms is a Group 1 material agent with proven carcinogenic effects in the human being since 1977. Exposure to asbestos can be considered unsafe. The use of asbestos in the field of dentistry had a common use in the manufacture of dental prostheses in the 1960s and 1970s. Taking into account the long induction period of this agent and the plausibility for being a risk factor in dentistry, the objective of this study is to propose a plan for the prevention of occupational risks due to asbestos exposure in dentistry by means of the contribution of a panel of experts. An Expert Panel (EP) approach was used in which a group of nine experts identified and documented the use of asbestos in the dental profession. EP was created and followed the protocol in accordance with the EuropeAid Assessment Guidelines. As a result of this study, EP documented the common use and sources of asbestos in dentistry in prosthetic materials, dental dressings, and in the coating of casting cylinders. EP also created a consensus document on the priority measures for the Plan for the Prevention of Risks from Asbestos in Dentistry, based on previous reports from the European Commission Senior Labour Inspectors' Committee. The document concluded that obtainment of information, receiving specific training on the subject and performing epidemiological studies, and the proper risk assessments were the priority measures to adopt.

摘要

自1977年以来,所有形式的石棉都是第1类物质媒介,已证实对人类具有致癌作用。接触石棉可被视为不安全行为。20世纪60年代和70年代,石棉在牙科领域常用于制造假牙。考虑到这种媒介的长诱导期以及它作为牙科危险因素的合理性,本研究的目的是通过一个专家小组的贡献,提出一项预防牙科中石棉暴露所致职业风险的计划。采用了专家小组(EP)方法,由一组九名专家确定并记录了石棉在牙科行业的使用情况。专家小组已成立,并按照欧洲援助评估指南的方案开展工作。作为这项研究的结果,专家小组记录了石棉在牙科领域在修复材料、牙科敷料和铸造筒涂层中的常见用途和来源。专家小组还根据欧盟委员会高级劳动监察员委员会以前的报告,就牙科石棉风险预防计划的优先措施编制了一份共识文件。该文件得出结论,获取信息、接受关于该主题的特定培训并开展流行病学研究以及进行适当的风险评估是应采取的优先措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/c22284f41149/ijerph-19-03153-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/c9a746a61db5/ijerph-19-03153-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/2a145754f1f7/ijerph-19-03153-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/c22284f41149/ijerph-19-03153-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/c9a746a61db5/ijerph-19-03153-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/2a145754f1f7/ijerph-19-03153-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ce/8955252/c22284f41149/ijerph-19-03153-g003.jpg

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本文引用的文献

1
Potential airborne asbestos exposures in dentistry: a comprehensive review and risk assessment.牙科领域中潜在的空气传播石棉暴露:全面综述与风险评估。
Crit Rev Toxicol. 2021 Apr;51(4):301-327. doi: 10.1080/10408444.2021.1910624. Epub 2021 Jun 1.
2
Global Asbestos Disaster.全球石棉灾难。
Int J Environ Res Public Health. 2018 May 16;15(5):1000. doi: 10.3390/ijerph15051000.
3
Pleural malignant mesothelioma in dental laboratory technicians: A case series.牙科实验室技术人员中的胸膜恶性间皮瘤:病例系列
Am J Ind Med. 2017 May;60(5):443-448. doi: 10.1002/ajim.22716.
4
Malignant mesothelioma due to asbestos exposure in dental tape.因牙科胶带接触石棉导致的恶性间皮瘤。
Am J Ind Med. 2017 May;60(5):437-442. doi: 10.1002/ajim.22696. Epub 2017 Feb 28.
5
Pleural mesothelioma in relation to meteorological conditions and residential distance from an industrial source of asbestos.胸膜间皮瘤与气象条件及与石棉工业源的居住距离的关系。
Occup Environ Med. 2013 Aug;70(8):588-90. doi: 10.1136/oemed-2012-101198. Epub 2013 May 21.
6
An investigation into asbestos related disease in the dental industry.牙科行业中与石棉相关疾病的调查。
Br Dent J. 2009 May 23;206(10):515-6. doi: 10.1038/sj.bdj.2009.413.
7
[Diagnosis of respiratory diseases caused by asbestos].[石棉所致呼吸道疾病的诊断]
Arch Bronconeumol. 2008 Apr;44(4):177-9.
8
Asbestos dressing.石棉敷料
Br Dent J. 2008 Mar 8;204(5):224. doi: 10.1038/bdj.2008.174.
9
Modeling mesothelioma risk associated with environmental asbestos exposure.模拟与环境石棉暴露相关的间皮瘤风险。
Environ Health Perspect. 2007 Jul;115(7):1066-71. doi: 10.1289/ehp.9900.
10
Global use of asbestos and the incidence of mesothelioma.全球石棉使用情况与间皮瘤发病率
Int J Occup Environ Health. 2004 Jan-Mar;10(1):22-5. doi: 10.1179/oeh.2004.10.1.22.