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无汞牙科时代路线图:我们准备好了吗?

Roadmap to mercury-free dentistry era: Are we prepared?

作者信息

Pradhan Sanchit, Srivastava Anupriya

机构信息

Department of Public Health Dentistry, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.

Department of Orthodontics and Dentofacial Orthopedics, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.

出版信息

Dent Res J (Isfahan). 2022 Sep 26;19:77. eCollection 2022.

PMID:36407775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9667485/
Abstract

From the perspectives of longevity, mechanical performance, and economics, amalgam has long been considered the material of choice, especially for certain types of restorations in posterior teeth, including replacement therapy for existing amalgam fillings. In spite of numerous advantages over other filling materials, its use has been decreasing in recent years and the alternative tooth-colored filling materials are increasingly used. There is a trend towards minimal interventional, adhesive, techniques in dentistry, which are based on adhesion to tooth structure by chemical interaction and/or micromechanical retention. At the same time, the quality and durability of alternative materials have improved. Mercury is the metallic element of concern used in dental amalgam. Mercury is a well-documented toxicant, with reasonably well-defined characteristics for the major forms of exposure, involving elemental mercury as well as organic and inorganic mercury compounds. Looking into the kind of practice and its popularity among dentists and the patients in India, even we have to comply with the use of amalgam by implementing the best possible ways to minimize the extent of damage to nature.

摘要

从寿命、机械性能和经济性的角度来看,汞合金长期以来一直被视为首选材料,特别是用于后牙的某些类型修复,包括现有汞合金填充物的替换治疗。尽管与其他填充材料相比有许多优点,但其使用近年来一直在减少,替代的牙齿颜色填充材料越来越多地被使用。牙科领域有一种朝着微创、粘结技术发展的趋势,这些技术基于通过化学相互作用和/或微机械固位与牙齿结构的粘结。与此同时,替代材料的质量和耐用性也有所提高。汞是牙科汞合金中令人担忧的金属元素。汞是一种有充分记录的有毒物质,对于主要暴露形式,包括元素汞以及有机和无机汞化合物,其特性有相当明确的界定。审视印度牙科医生和患者的这种做法及其受欢迎程度,我们甚至必须通过实施尽可能最佳的方法来减少对自然的损害程度,从而遵守汞合金的使用规定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3253/9667485/6b21d26d012b/DRJ-19-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3253/9667485/6b21d26d012b/DRJ-19-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3253/9667485/6b21d26d012b/DRJ-19-77-g001.jpg

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Roadmap to mercury-free dentistry era: Are we prepared?无汞牙科时代路线图:我们准备好了吗?
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本文引用的文献

1
The Mercury Problem in Artisanal and Small-Scale Gold Mining.手工和小规模采金业中的汞问题。
Chemistry. 2018 May 11;24(27):6905-6916. doi: 10.1002/chem.201704840. Epub 2018 Feb 5.
2
Eco-friendly green dentistry: The future of dentistry?环保绿色牙科:牙科的未来?
Contemp Clin Dent. 2016 Oct-Dec;7(4):423-425. doi: 10.4103/0976-237X.194096.
3
Mercury exposure and health impacts among individuals in the artisanal and small-scale gold mining community: a comprehensive review.个体手工和小规模金矿开采社区中的汞暴露及其对健康的影响:一项综合综述
Environ Health Perspect. 2014 Jul;122(7):667-72. doi: 10.1289/ehp.1307864. Epub 2014 Mar 28.
4
Residential proximity to environmental hazards and adverse health outcomes.居住环境与健康危害和不良健康结果的关系。
Am J Public Health. 2011 Dec;101 Suppl 1(Suppl 1):S37-52. doi: 10.2105/AJPH.2011.300183. Epub 2011 Oct 25.
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Toxic emissions from crematories: a review.火葬场的有毒排放物:综述。
Environ Int. 2010 Jan;36(1):131-137. doi: 10.1016/j.envint.2009.09.006. Epub 2009 Oct 12.