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Influence of adhesive systems on the bonding of dental amalgam to glass ionomer cement.

STATEMENT OF PROBLEM: Dental amalgam restorations have traditionally been retained in cavity preparations by surgical procedures called retention form. In this procedure healthy dental structure is usually removed to create adequate retention. The increasing use of bonding systems for restorative procedures may result in more conservative cavity preparations. PURPOSE: The purpose of this study was to evaluate the tensile bond strength of the amalgam to glass ionomer cement under the influence of three adhesive systems (Panavia-EX, Vidrion F fresh mix, and Alpha Seal). MATERIAL AND METHODS: The bonded assemblies were stored in an environment of 100% relative humidity and 37 degrees C for 24-hour and 30-day storage periods. The test specimen was loaded in tension to failure on a universal testing machine with a crosshead speed of 6 mm/min. RESULTS: The results revealed that in the 24-hour period without acid etch fresh Vidrion F and Panavia Ex adhesives were stronger than autopolymerizing sealant. Panavia Ex adhesive was stronger in the 24-hour period with acid etch. CONCLUSIONS: The 30-day period with acid etch revealed no statistical difference among the adhesives. In the 30-day period without acid etch, the fresh Vidrion F adhesive recorded the greatest tensile bond strength.

Adhesives↗

[Amount of mercury from dental amalgam filling released into the atmosphere by cremation].

Mercury in dental amalgam filling is released into the atmosphere by cremation and is a suspected source of mercury pollution. The amount of mercury released was measured at three crematoriums. First, mercury levels in the atmosphere were measured. Mercury existed mainly in the gaseous form in ambient air. The concentration of atmospheric mercury at the three crematoriums (S, T and M) ranged from 4.3 to 19.7ng/m3, which was nearly identical to levels in our university surveyed as the control area and also to the levels of atmospheric mercury in general in Japan. Secondly, the amount of mercury release from T crematorium was estimated using official published statistical data in Japan and calculated as follows: sigma[(age specific number of dead that were cremated) x (the number of restored teeth by age category) x (mercury content per amalgam filling (0.6 g))] x (prevalence rate of restoration with amalgam). The amount of mercury released from this crematorium was estimated to be approximately 9.4 kg per year, or a daily release of 26 g into the ambient air. These results indicate that mercury release by cremation is similar to that from other man-made sources.

Air Pollutants↗

The effect of dental amalgam restorations on blood mercury levels.

Mercury levels in blood and in mouth air before and after chewing were measured in 47 persons with and 14 persons without dental amalgam restorations. Questionnaires relating to exogenous sources of mercury exposure were administered to both groups. Differences in the mouth air mercury levels before and after chewing were statistically significant in the group with amalgams, but not in the group without amalgams. Analysis of the data from the questionnaires indicated that little or no exogenous exposure to mercury occurred among the two groups. Blood mercury concentrations were positively correlated with the number and surface area of amalgam restorations and were significantly lower in the group without dental amalgams.

Adult↗

Evaluation of key parameters in a potentiostatic corrosion test for dental amalgam.

OBJECTIVES: Participation in a Round Robin study of potentiostatic corrosion test guidelines for dental amalgam was undertaken for the purpose of developing an accurate set of draft guidelines. METHODS: Dispersalloy, sybraloy, aristalloy, phasealloy, and tytin were used as the amalgam specimens. They were prepared following the guidelines, then coupled to a copper wire, cemented into glass tubes, and polished to a 600-grit finish. A corrosion cell was prepared using a carbon counter-electrode, a standard calomel electrode (SCE) as the reference electrode, and amalgam as the working electrode. A 37 degrees C solution of 10 g/l NaCl with a minimum volume of 300 ml was used. Within 5 min of polishing, the open circuit potential (OCP) was recorded for 10 min. Next, the specimen was polarized to 0 mV versus SCE, and the currents were recorded for a 24-h time period. Corrosion results were analyzed statistically with one-way ANOVA (p < 0.05) and the multiple comparisons Student-Newman-Keuls post-hoc test. RESULTS: Problems that occurred with evaporation, beaker size, carbon electrode length, SCE cap removal, glass tube fracture, polishing technique, and fresh electrolyte are easily avoidable with further explanation or reminder notes. Observations made concerning starting time, initial OCP recording, millivoltage, and solution temperature were determined to be necessary for the accuracy of test results. Analysis of results should include clarification of units, and graph interpretations. Finally, the number of specimens per amalgam should be increased from one to three so that statistical analysis can be performed. Using three specimens per amalgam, the method revealed corrosion susceptibility as measured by the improved test: aristalloy > sybraloy > (dispersalloy, phasealloy, tytin). SIGNIFICANCE: Having run the initially proposed guidelines, a number of clarifying changes were made so that the corrosion susceptibilities of five dental amalgams could be clearly differentiated.

American Dental Association↗

Effects of palladium addition on emission of mercury vapor from dental amalgam.

OBJECTIVES: The purpose of this investigation was to test the hypothesis that palladium causes a reduction in mercury emission when added to dental amalgam during condensation. METHODS: Mercury vapor release was measured in a closed bottle system and an Intraoral Flow device(IOF). Conventional amalgam restorations were modified by addition of various palladium pellets. 1.57 mm diameter palladium pellets with different porosities were fabricated. These pellets were then placed in amalgam restoration using typical condensation and carving procedures. The samples were stored in a closed bottle and mercury measurements were taken from the bottles at 30 min, 1, 3, 5, 24 and 48 h and 7 days after trituration using a Jerome 411 Mercury Vapor Analyzer (Arizona Instrument Corp., Jerome, AZ). The palladium pellets identified as the most effective in mercury vapor reduction were further tested in an IOF device. Data were analyzed by two-way ANOVA followed by Tukey HSD pairwise analysis for significant findings (alpha = 0.05). RESULTS: The palladium containing amalgams when tested in the closed bottle system yielded significantly lower (p < 0.05) mercury vapor release than the controls. Pellets fabricated with the highest porosity yielded the greatest reduction in overall mercury vapor release. In the IOF device the overall amount of mercury vapor released from the palladium containing amalgams was also significantly less than the control (p < 0.05). SIGNIFICANCE: Mercury vapor emission from dental amalgam was greatly reduced by adding palladium pellets to amalgam during condensation. These techniques require only slight modifications of the standard operative procedures.

Air Pollutants, Occupational↗

Effect of mercury from dental amalgams on mercury concentration in urine.

A study was conducted to determine the mercury concentration in urine after placement of dental amalgam restorations. The 24-h urine mercury levels in 10 children with a mean age of 8 years were determined before the amalgam restorations had been placed, and after placement. The urinary mercury content was measured by the cold vapor atomic fluorescence method. Mercury levels in the urine samples before placement of the amalgam restorations were below the detection limit, and the values obtained after placement, although detectable, were far below the limits stipulated by the World Health Organization. Under the conditions of this study, it is considered that the mercury levels released from dental amalgams are not high enough to cause any systemic toxic effect.

Body Burden↗

Significant mercury deposits in internal organs following the removal of dental amalgam, & development of pre-cancer on the gingiva and the sides of the tongue and their represented organs as a result of inadvertent exposure to strong curing light (used to solidify synthetic dental filling material) & effective treatment: a clinical case report, along with organ representation areas for each tooth.

Because of the reduced effectiveness of antibiotics against bacteria (e.g. Chlamydia trachomatis, alpha-Streptococcus, Borrelia burgdorferi, etc.) and viruses (e.g. Herpes Family Viruses) in the presence of mercury, as well as the fact that the 1st author has found that mercury exists in cancer and pre-cancer cell nuclei, the presence of dental amalgam (which contains about 50% mercury) in the human mouth is considered to be a potential hazard for the individual's health. In order to solve this problem, 3 amalgam fillings were removed from the teeth of the subject of this case study. In order to fill the newly created empty spaces in the teeth where the amalgams had formerly existed, a synthetic dental-filling substance was introduced and to solidify the synthetic substance, curing light (wavelength range reportedly between 400-520 nm) was radiated onto the substance in order to accelerate the solidifying process by photo-polymerization. In spite of considerable care not to inhale mercury vapor or swallow minute particles of dental amalgam during the process of removing it by drilling, mercury entered the body of the subject. Precautions such as the use of a rubber dam and strong air suction, as well as frequent water suctioning and washing of the mouth were insufficient. Significant deposits of mercury, previously non-existent, were found in the lungs, kidneys, endocrine organs, liver, and heart with abnormal low-voltage ECGs (similar to those recorded 1-3 weeks after i.v. injection of radioisotope Thallium-201 for Cardiac SPECT) in all the limb leads and V1 (but almost normal ECGs in the precordial leads V2-V6) the day after the procedures were performed. Enhanced mercury evaporation by increased temperature and microscopic amalgam particles created by drilling may have contributed to mercury entering the lungs and G.I. system and then the blood circulation, creating abnormal deposits of mercury in the organs named above. Such mercury contamination may then contribute to intractable infections or pre-cancer. However, these mercury deposits, which commonly occur in such cases, were successfully eliminated by the oral intake of 100 mg tablet of Chinese parsley (Cilantro) 4 times a day (for average weight adults) with a number of drug-uptake enhancement methods developed by the 1st author, including different stimulation methods on the accurate organ representation areas of the hands (which have been mapped using the Bi-Digital O-Ring Test), without injections of chelating agents. Ingestion of Chinese parsley, accompanied by drug-uptake enhancement methods, was initiated before the amalgam removal procedure and continued for about 2 to 3 weeks afterwards, and ECGs became almost normal. During the use of strong bluish curing light to create a photo-polymerization reaction to solidify the synthetic filling material, the adjacent gingiva and the side of the tongue were inadvertently exposed. This exposure to the strong bluish light was found to produce pre-cancerous conditions in the gingiva, the exposed areas of the tongue, as well as in the corresponding organs represented on those areas of the tongue, and abnormally increased enzyme levels in the liver. These abnormalities were also successfully reversed by the oral intake of a mixture of EPA with DHA and Chinese parsley, augmented by one of the non-invasive drug-uptake enhancement methods previously described by the 1st author, repeated 4 times each day for 2 weeks.

Body Burden↗

Effect of oxygen on the corrosion of dental amalgam.

The anodic and cathodic polarization of five dental amalgams were determined as a function of oxygen concentration in Ringer's solution and artificial saliva. The results indicate an anodic polarization behaviour dependent on Cl ion concentration and a corrosion potential determined primarily by oxygen concentration. At high oxygen concentrations the corrosion rates of traditional and copper enriched amalgams were equivalent.

Copper↗

Copper in dental amalgams.

The relationship between microstructure and physical and electro-chemical properties of the copper-containing dental amalgams has been discussed in an attempt to understand the role of copper in currently used dental amalgams.

Chemical Phenomena↗

Influence of liquid films on mercury vapor loss from dental amalgam.

OBJECTIVES: The aim of this study was to determine the effect of aqueous liquid films on Hg emission from of dental amalgam. METHODS: Amalgam specimens (4 mm dia. x 4 mm long) made from ten alloys were uniformly abraded on wet ASTM 600 grit SiC paper, quickly dried and covered by liquid films of a thickness that approximated the thickness of saliva films on tooth surfaces in vivo. Distilled water and two formulations of artificial saliva were tested. After abrasion and film placement, the specimens were immediately inserted in a plastic tube which was then closed. After 30 min, the Hg vapor that had collected in the tube was measured using a Jerome 411Hg analyzer. Hg emission from abraded surfaces exposed to air was also measured and used for comparative purposes. The test results were compared using ANOVA and Tukey's contrast test (p=0.05). RESULTS: Hg emission from abraded surfaces under liquid films was one to two orders of magnitude less than Hg emission from abraded surfaces exposed to air. SIGNIFICANCE: In vitro measurement of Hg vapor emission from abraded surfaces exposed to air should not be used to estimate directly the Hg vapor release from dental amalgam restorations in vivo.

Air Pollutants↗

Blood mercury following DMPS administration to subjects with and without dental amalgam.

The use of DMPS as a diagnostic tool in patients with symptoms allegedly caused by mercury from dental amalgam fillings is disputed. We have previously shown that the mercury concentrations in urine cannot be used in such a way. In the present study, we wished to evaluate the effect on blood mercury levels (B-Hg) following intravenously injected DMPS in four groups of subjects: 19 controls without amalgam experience; 21 healthy controls with amalgam fillings; 20 patients with self-reported symptoms from existing dental amalgams; and 20 patients who had removed amalgam fillings. A single dose of DMPS (2 mg/kg) was injected. Blood samples were collected prior to the injection and after 15, 30, 120 min, and after 24 h, and mercury was analyzed by cold vapor atomic absorption spectrophotometry. All groups showed an initial drop of 24 to 30% in the blood levels, approaching baseline values (2.5-5.5 microg/l) after 2 h. The subjects with no amalgam experience had the lowest mercury values. There was no significant difference between the three groups with such experience. There were no significant differences between the two groups with amalgam fillings present. Patients with symptoms allegedly caused by amalgam were not different from the control groups. There were indications that part of the urinary mercury excreted during the first 30 min originated from blood.

Adult↗

The influence of dental amalgam on the blood count.

The purpose of this research was to determine the influence of dental amalgam on the blood count of the holder of amalgam fillings. The experiments were performed on 30 Wistar rats. One group of rats received 8 mg of fragmented dental amalgam daily incorporated in their food during 60 days (group S2) and group S3 received amalgam fillings in their anterior teeth, which remained for 60 days. Both experiment groups (S2 and S3) were compared to one another as well as to control group (S1). From all animals of all experiment groups blood samples were drawn during the experiment in particular periods and complete blood count and differential blood count was performed. The findings of particular indicators of the complete blood count and differential blood count of all experiment rats groups S1, S2 and S3 do not deviate from the physiological values regarding age and sex of the observed animals.

Animals↗