본문 바로가기
KERD
논문KCI 등재

Association between Amalgam Tooth Fillings and Blood Mercury Levels in Children

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류치의학

초록

The notion that dental amalgam is a potential source of mercury exposure remains a controversial issue. However,there are few epidemiological analyses that have addressed whether this occurs in children. We aimed in our current study to identify the relationship between dental amalgam filling surfaces and the blood mercury levels in a cohort of 711South Korean children aged between 8-9 years. Oral examinations were conducted to detect the number of amalgam filling surfaces on the teeth of these individuals. Blood samples were also taken from these children to assess the levels of mercury accumulation in the body. The amalgam filling surfaces were classified into four groups based on their number: 0 (n = 368), 1-5 (n = 219), 6-10 (n = 89), and 11+ (n =35). The blood mercury levels in the children with more than 10 amalgam surfaces was 0.47 μg/L higher on average than those with no amalgam surfaces after adjusting for the frequency of fish or seafood consumption, age, and gender (P < 0.05). We found from our data that a higher number of dental amalgam fillings correlated with a higher blood mercury level in Korean children. Further studies are needed to investigate whether these elevated mercury levels exert neurotoxic or nephrotoxic effects.

Abstract

The notion that dental amalgam is a potential source of mercury exposure remains a controversial issue. However,there are few epidemiological analyses that have addressed whether this occurs in children. We aimed in our current study to identify the relationship between dental amalgam filling surfaces and the blood mercury levels in a cohort of 711South Korean children aged between 8-9 years. Oral examinations were conducted to detect the number of amalgam filling surfaces on the teeth of these individuals. Blood samples were also taken from these children to assess the levels of mercury accumulation in the body. The amalgam filling surfaces were classified into four groups based on their number: 0 (n = 368), 1-5 (n = 219), 6-10 (n = 89), and 11+ (n =35). The blood mercury levels in the children with more than 10 amalgam surfaces was 0.47 μg/L higher on average than those with no amalgam surfaces after adjusting for the frequency of fish or seafood consumption, age, and gender (P < 0.05). We found from our data that a higher number of dental amalgam fillings correlated with a higher blood mercury level in Korean children. Further studies are needed to investigate whether these elevated mercury levels exert neurotoxic or nephrotoxic effects.

참고문헌 (30)

  1. Abraham JE, "The effect of dental amalgam restorations on blood mercury levels", J Dent Res, 63, pp.71~73 (1984)
  2. Agency for Toxic Substances and Disease Registry (ATSDR), "Toxicological profile for mercury Department of Public Health Service" (1999)
  3. Bates MN, "Mercury amalgam dental fillings: an epidemiologic assessment", Int J Hyg Environ Health, 209, pp.309~316 (2006)
  4. Bergdahl IA, "and inorganic mercury in serum--correlation to fish consumption and dental amalgam in a cohort of women born in 1922", Environ Res, 77, pp.20~24 (1998)
  5. Bjorkman L, "Mercury in human brain, blood, muscle and toenails in relation to exposure: an autopsy study", Environ Health, 6, pp.30~ (2007)
  6. Clarkson TW, "The toxicology of mercury--current exposures and clinical manifestations", N Engl J Med, 349, pp.1731~1737 (2003)
  7. Clarkson TW, "Mechanisms of mercury disposition in the body", Am J Ind Med, 50, pp.757~764 (2007)
  8. Counter SA, "Mercury exposure in children: a review", Toxicol Appl Pharmacol, 198, pp.209~230 (2004)
  9. DeRouen TA, "Neurobehavioral effects of dental amalgam in children: a randomized clinical trial", JAMA, 295, pp.1784~1792 (2006)
  10. Dodes JE, "The amalgam controversy. An evidence-based analysis", J Am Dent Assoc, 132, pp.348~356 (2001)
  11. Dye BA, "Urinary mercury concentrations associated with dental restorations in adult women aged 16-49 years: United States, 1999-2000", Occup Environ Med, 62, pp.368~375 (2000)
  12. Factor-Litvak P, "Mercury derived from dental amalgams and neuropsychologic function", Environ Health Perspect, 111, pp.719~723 (2003)
  13. Ganss C, "Relation between mercury concentrations in saliva, blood, and urine in subjects with amalgam restorations", Clin Oral Investig, 4, pp.206~211 (2000)
  14. Ha M, "Low blood levels of lead and mercury and symptoms of attention deficit hyperactivity in children: a report of the children's health and environment research (CHEER)", Neurotoxicology, 30, pp.31~36 (2009)
  15. Halbach S, "Blood and urine mercury levels in adult amalgam patients of a randomized controlled trial: interaction of Hg species in erythrocytes", Environ Res, 107, pp.69~78 (2008)
  16. Innis SM, "Increased levels of mercury associated with high fish intakes among children from Vancouver, Canada", J Pediatr, 148, pp.759~763 (2006)
  17. Kingman A, "Mercury concentrations in urine and whole blood associated with amalgam exposure in a US military population", J Dent Res, 77, pp.461~471 (1998)
  18. MacIntyre CR, "Risks and benefits of universal neonatal vaccination", J Paediatr Child Health, 37, pp.215~217 (2001)
  19. MacIntyre CR, "Immunization myths and realities: responding to arguments against immunization", J Paediatr Child Health, 39, pp.487~491 (2003)
  20. Maserejian NN, "Dental amalgam exposure and urinary mercury levels in children: the New England Children's Amalgam Trial", Environ Health Perspect, 116, pp.256~262 (2008)
  21. Melchart D, "Treatment of health complaints attributed to amalgam", J Dent Res, 87, pp.349~353 (2008)
  22. Minoia C, "Measuring mercury exposure in children", Pediatr Int, 50, pp.839~840 (2008)
  23. Murata K, "Delayed brainstem auditory evoked potential latencies in 14-year-old children exposed to methylmercury", J Pediatr, 144, pp.177~183 (2004)
  24. Olstad ML, "Correlation between amalgam restorations and mercury concentrations in urine", J Dent Res, 66, pp.1179~1182 (1987)
  25. Scott A, "The national survey of adverse reactions to dental materials in the UK: a preliminary study by the UK Adverse Reactions Reporting Project", Br Dent J, 196, pp.471~477 (2004)
  26. Shenker BJ, "Immune function effects of dental amalgam in children: a randomized clinical trial", J Am Dent Assoc, 139, pp.1496~1505 (2008)
  27. Tsuji JS, "Evaluation of mercury in urine as an indicator of exposure to low levels of mercury vapor", Environ Health Perspect, 111, pp.623~630 (2003)
  28. Vahter M, "Longitudinal study of methylmercury and inorganic mercury in blood and urine of pregnant and lactating women, as well as in umbilical cord blood", Environ Res, 84, pp.186~194 (2000)
  29. Woods JS, "The contribution of dental amalgam to urinary mercury excretion in children", Environ Health Perspect, 115, pp.1527~1531 (2007)
  30. "World Health Organization. Oral Health Surveys; Basic Methods. 4th ed" (1997), WHO

관련 논문AI추천

이 간행물의 다른 논문 (7건)