Schuurs A H, Davidson C L
Unité Cariologie et Endodontologie, Academisch Centrum Tandheelkunde Amsterdam ACTA.
Rev Belge Med Dent (1984). 1993;48(4):8-16.
Mercury and its compounds arising from many sources, among which dental amalgams, are present everywhere, usually in low concentrations. Mercury is absorbed by inhalation, ingestion and skin from the air, diet and water. A large proportion of the population absorbs also mercury vapour and amalgam particles from amalgam restorations. Mercury may lead to allergic and may cause toxic reactions. Presumably due to the mass media and instigated by acupuncturists, an unknown number of patients ascribe a large diversity of complaints to their amalgam restorations. Many of the complaints do, however, not fit the symptoms of mercury poisoning. If the amalgam restorations underlie the complaints indeed, the material has to be banned. Moreover, for the Netherlands estimated 70-120 million restorations of amalgam should be replaced by fillings of another material. The question then is which material(s) must be used to perform such an almost impossible large and expensive task.
汞及其化合物来源众多,其中牙科汞合金随处可见,通常浓度较低。汞可通过吸入、摄入以及皮肤接触,从空气、饮食和水中进入人体。很大一部分人还会从汞合金修复体中吸收汞蒸气和汞合金颗粒。汞可能引发过敏反应,并可能导致中毒反应。大概是由于大众媒体的影响以及针灸师的鼓动,数量不明的患者将各种各样的不适归咎于他们的汞合金修复体。然而,许多不适症状并不符合汞中毒的症状。如果这些不适症状确实是由汞合金修复体引起的,那么这种材料就必须被禁止使用。此外,据估计,荷兰有7000万至1.2亿个汞合金修复体需要用其他材料的填充物来替换。那么问题就来了,必须使用哪种材料来完成这项几乎不可能完成的、规模巨大且成本高昂的任务。