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

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Oral Research Pub Date : 2023-05-04 DOI:10.26650/eor.20231050091

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

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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.

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通往无汞牙科之路:洞察过去、现在和未来。

目的:牙科用汞合金因其优良的长期性能、易于使用和低成本而广受欢迎。然而，人们对接触汞合金中的汞可能产生的不利健康影响表示关切。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和我们为未来无汞道路所做的准备。材料和方法:使用关键词:“无汞牙科”、“汞毒性”、“汞合金替代品”、“汞合金汞毒性”，在PubMed和Google scholar上进行数据库检索。明确了纳入和排除标准。并在牙科教科书中检索相关文献。结果:纳入了大约40篇文章，重点介绍了牙科专业人员和患者的汞暴露。尽管大量的科学证据表明汞合金是一种安全的修复材料，但对汞的毒性影响的担忧仍然存在。结论:寻找合适的汞合金替代品并严格执行汞卫生措施是目前面临的挑战。

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