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无汞牙科之路:对过去、现在和未来的洞察。

Pathway to mercury-free dentistry: an insight into past, present, and future.

作者信息

Dudeja Pooja, Dudeja Krishan Kumar, Grover Shibani, Singh Harpreet, Jabin Zohra

机构信息

Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Rohini, DelhiIndia.

Principal Consultant, Dental Wellness Centre, NoidaIndia.

出版信息

Eur Oral Res. 2023 May 4;57(2):60-67. doi: 10.26650/eor.20231050091.

DOI:10.26650/eor.20231050091
PMID:37525858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10387142/
Abstract

PURPOSE

The popularity of dental amalgam arises from its excellent long-term performance, ease of use, and low cost. However, there is a concern about the potential adverse health effects arising from exposure to mercury in amalgam. This review article critically discusses the safety of dental amalgam as a restorative material and our preparedness for a mercury-free road ahead.

MATERIALS AND METHODS

A database search was performed on PubMed and Google scholar using the keywords: "mercury-free dentistry", "mercury toxicity", "amalgam substitutes", "amalgam mercury toxicity". Inclusion and exclusion criteria were specified clearly. Relevant literature was also searched in the dental textbooks.

RESULTS

Around 40 articles, highlighting mercury exposure among dental professionals and patients were included. Despite the overwhelming body of scientific evidence demonstrating amalgam to be a safe restorative material, concerns about the toxic effects of mercury persist.

CONCLUSION

The real challenge is to find a suitable amalgam substitute and to follow the mercury hygiene measures closely.

摘要

目的

牙科汞合金因其出色的长期性能、易用性和低成本而广受欢迎。然而,人们担心接触汞合金中的汞可能会对健康产生不利影响。这篇综述文章批判性地讨论了牙科汞合金作为一种修复材料的安全性以及我们对未来无汞之路的准备情况。

材料与方法

在PubMed和谷歌学术上使用关键词“无汞牙科”“汞毒性”“汞合金替代品”“汞合金汞毒性”进行数据库搜索。明确规定了纳入和排除标准。还在牙科教科书中搜索了相关文献。

结果

纳入了约40篇强调牙科专业人员和患者汞暴露情况的文章。尽管有大量科学证据表明汞合金是一种安全的修复材料,但对汞毒性作用的担忧依然存在。

结论

真正的挑战是找到合适的汞合金替代品并严格遵循汞卫生措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/717889bc281b/eor-057-060-e006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/7e3085f992e6/eor-057-060-e001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/5a5bf4bbfcb8/eor-057-060-e002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/405fbea9597f/eor-057-060-e003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/f8cbaad686c2/eor-057-060-e004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/52517d9ec1d0/eor-057-060-e005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/717889bc281b/eor-057-060-e006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/7e3085f992e6/eor-057-060-e001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/5a5bf4bbfcb8/eor-057-060-e002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/405fbea9597f/eor-057-060-e003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/f8cbaad686c2/eor-057-060-e004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/52517d9ec1d0/eor-057-060-e005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/10387142/717889bc281b/eor-057-060-e006.jpg

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本文引用的文献

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Mercury, dentistry, minamata convention and research opportunities.
Indian J Dent Res. 2019 Nov-Dec;30(6):819. doi: 10.4103/ijdr.IJDR_924_19.
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Toxicity of mercury: Molecular evidence.汞的毒性:分子证据。
Chemosphere. 2020 Apr;245:125586. doi: 10.1016/j.chemosphere.2019.125586. Epub 2019 Dec 16.
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Mercurial Necrosis Resulting from Amalgam Fillings.汞合金填充物导致的汞中毒性坏死。
Am J Dent Sci. 1899 Jul;33(3):97-118.
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The Chemistry and Physiological Action of Mercury as Used in Amalgam Filling.用于汞合金补牙的汞的化学性质及生理作用。
Am J Dent Sci. 1882 Feb;15(10):433-445.
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Replacing dental amalgam by mercury-free restorative materials; it's time to take action.用无汞修复材料替代牙科汞合金;是时候采取行动了。
Daru. 2018 Sep;26(1):1-3. doi: 10.1007/s40199-018-0212-6. Epub 2018 Aug 21.
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The Minamata Convention and the phase down of dental amalgam.《水俣公约》与牙科汞合金的逐步淘汰。
Bull World Health Organ. 2018 Jun 1;96(6):436-438. doi: 10.2471/BLT.17.203141. Epub 2018 May 14.
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A Review of Mercury Exposure and Health of Dental Personnel.牙科工作人员汞暴露与健康综述。
Saf Health Work. 2017 Mar;8(1):1-10. doi: 10.1016/j.shaw.2016.05.007. Epub 2016 Jun 8.
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Determination of Mercury Exposure among Dental Health Workers in Nakhon Si Thammarat Province, Thailand.泰国那空是贪玛叻府牙科保健工作者汞暴露情况的测定
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Environmental mercury exposure, semen quality and reproductive hormones in Greenlandic Inuit and European men: a cross-sectional study.格陵兰岛因纽特人和欧洲男性的环境汞暴露、精液质量和生殖激素:一项横断面研究。
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Mercury toxicity and treatment: a review of the literature.汞中毒及其治疗:文献综述。
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