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PubMed1981

Dental amalgams.

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Dental Amalgam↗
PubMed2001

Mercury-reactive lymphocytes in peripheral blood are not a marker for dental amalgam associated disease.

OBJECTIVES: The popular press and publications associated with alternative medicine increasingly report that chronic ill health, particularly myalgic encephalitis like conditions, are associated with mercury amalgam fillings. There are no scientifically proven definitive tests to support these claims. One of the more scientific tests in vogue is to assess the level of blood-borne mercury-reactive lymphocytes and to conclude that patients with high levels have developed a hypersensitivity reaction to mercury. The objective of this study was to determine the diagnostic value of this test. METHODS: This study represents an open comparison of mercury-reactive lymphocyte levels in healthy control individuals with those in patients complaining of symptoms associated with adverse effects of dental metal amalgam fillings. The healthy control group consisted of 51 male and female individuals, aged between 12 and 82 years, with and without dental amalgam fillings. The patient group consisted of 70 male and female individuals, aged between 12 and 87 years, and with the exception of one patient, with three or more mercury amalgam fillings of more than 1 year's duration. In vitro lymphocyte responses to mercury, and to nickel, as an example of a metal commonly associated with hypersensitivity reactions, and to more conventional protein antigens were determined. RESULTS: In the blood of patients and controls, there were similar levels of specifically reactive lymphocytes to all of the in vitro stimulating agents, but there were significantly higher numbers of sub-normal and non-responders within the patient group. CONCLUSIONS: The incidence and quantity of mercury-reactive lymphocytes in the blood are not pathogenic markers of illness associated with dental metal amalgams, but may rather reflect exposure to mercury. The clinical relevance of the decreased in vitro lymphocyte responses in the patient group needs further investigation.

Adolescent↗
PubMed1979

A survey of the elemental composition of alloy for dental amalgam.

Analyses of 51 alloys (conventional, 41, and high-copper, 10) currently available in Australia were made. A rapid and precise procedure was developed that relied on wet-way methods for silver and tin while copper, zinc, mercury, indium and low-level constituents, such as lead, cadmium and antimony, were determined by atomic absorption spectroscopy. The conventional alloys, with two minor exceptions, all complied with the compositional requirements of modern standards and little quantitative variations was noted when the range of the major component was compared with the values obtained in two surveys made over thirty years ago. The high-copper contained, among other factors, an average copper concentration about four times that of conventional alloys. Rather surprising were the contents of mercury, indium, and cadmium found in some of the alloys as well as the low-level concentration of lead, and in a few cases antimony. Other elements were not detected by the sensitive technique used. It is justifiable to recommend that the maximum zinc content to be permitted in zinc-free type alloys should not be greater than 0.01%, and this value was subsequently incorporated in the revised Australian standard 2110-1977: Alloy for Dental Amalgam.

Antimony↗
PubMedDate not supplied

Dental amalgam fillings and the amount of organic mercury in human saliva.

We studied differences in the amounts of organic and inorganic mercury in saliva samples between amalgam and nonamalgam human study groups. The amount of organic and inorganic mercury in whole saliva was measured in 187 adult study subjects. The mercury contents were determined by cold-vapor atomic absorption spectrometry. The amount of organic and inorganic mercury in paraffin-stimulated saliva was significantly higher (p<0.001) in subjects with dental amalgam fillings (n = 88) compared to the nonamalgam study groups (n = 43 and n = 56): log(e) (organic mercury) was linearly related to log(e) (inorganic mercury, r(2) = 0.52). Spearman correlation coefficients of inorganic and organic mercury concentrations with the number of amalgam-filled tooth surfaces were 0.46 and 0.27, respectively. Our results are compatible with the hypothesis that amalgam fillings may be a continuous source of organic mercury, which is more toxic than inorganic mercury, and almost completely absorbed by the human intestine.

Adult↗
PubMed1995

Mercury, dental amalgam fillings and intellectual abilities in Inuit school children in Greenland.

The hair mercury concentration of 125 Greenland pupils aged 12 to 17 was recorded and compared with the pupils' marks in selected school subjects. Mercury values ranged from 0.2 to 15.9 microgram per gram (micrograms/g) and 20% of the pupils had more than 6 micrograms/g. There was no correlation between a high mercury concentration score and poor results in school. Correlation of the number of dental amalgam fillings with mercury concentration showed a weak trend but no significant relation. Eating habits were significantly correlated with mercury concentration. Girls had a significantly higher number of amalgam fillings than boys, and had a significantly higher mercury concentration. Modern Inuit and the mummified Qilaqitsoq Inuit from the 15th century had largely identical levels of mercury in the hair irrespective of today's higher exposure to global environmental contamination. This is believed to result from a change in eating habits away from the traditional Greenland food towards a more continental diet.

Adolescent↗