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New science challenges old notion that mercury dental amalgam is safe
Mercury dental amalgam has a long history of ostensibly safe use despite its continuous release of mercury vapor. Two key studies known as the Children’s Amalgam Trials are widely cited as evidence of safety. However, four recent reanalyses of one of these trials now suggest harm, particularly to bo...
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Published in: | Biometals 2014-02, Vol.27 (1), p.19-24 |
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description | Mercury dental amalgam has a long history of ostensibly safe use despite its continuous release of mercury vapor. Two key studies known as the Children’s Amalgam Trials are widely cited as evidence of safety. However, four recent reanalyses of one of these trials now suggest harm, particularly to boys with common genetic variants. These and other studies suggest that susceptibility to mercury toxicity differs among individuals based on multiple genes, not all of which have been identified. These studies further suggest that the levels of exposure to mercury vapor from dental amalgams may be unsafe for certain subpopulations. Moreover, a simple comparison of typical exposures versus regulatory safety standards suggests that many people receive unsafe exposures. Chronic mercury toxicity is especially insidious because symptoms are variable and nonspecific, diagnostic tests are often misunderstood, and treatments are speculative at best. Throughout the world, efforts are underway to phase down or eliminate the use of mercury dental amalgam. |
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Two key studies known as the Children’s Amalgam Trials are widely cited as evidence of safety. However, four recent reanalyses of one of these trials now suggest harm, particularly to boys with common genetic variants. These and other studies suggest that susceptibility to mercury toxicity differs among individuals based on multiple genes, not all of which have been identified. These studies further suggest that the levels of exposure to mercury vapor from dental amalgams may be unsafe for certain subpopulations. Moreover, a simple comparison of typical exposures versus regulatory safety standards suggests that many people receive unsafe exposures. Chronic mercury toxicity is especially insidious because symptoms are variable and nonspecific, diagnostic tests are often misunderstood, and treatments are speculative at best. Throughout the world, efforts are underway to phase down or eliminate the use of mercury dental amalgam.</description><identifier>ISSN: 0966-0844</identifier><identifier>EISSN: 1572-8773</identifier><identifier>DOI: 10.1007/s10534-013-9700-9</identifier><identifier>PMID: 24420334</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Biochemistry ; Biomedical and Life Sciences ; Cell Biology ; Child ; Chronic Disease ; Dental Amalgam - adverse effects ; Dental Amalgam - analysis ; Dental Amalgam - chemistry ; Dental Amalgam - standards ; Dental amalgams ; Dental caries ; Dental research ; Epidemiology ; Genes ; Genetic variance ; Genetics ; Health Policy ; Humans ; Life Sciences ; Medicine/Public Health ; Mercury ; Mercury - adverse effects ; Mercury - analysis ; Mercury - standards ; Mercury - toxicity ; Mercury Poisoning - diagnosis ; Mercury Poisoning - etiology ; Mercury vapor ; Microbiology ; Patient Safety ; Pharmacology/Toxicology ; Plant Physiology ; Safety ; Subpopulations ; Toxicity</subject><ispartof>Biometals, 2014-02, Vol.27 (1), p.19-24</ispartof><rights>The Author(s) 2014</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-8e9bd6eafeaa9f2f521a75d97d2e6f3676ba21817bf7b37f2eb22abdf41849953</citedby><cites>FETCH-LOGICAL-c503t-8e9bd6eafeaa9f2f521a75d97d2e6f3676ba21817bf7b37f2eb22abdf41849953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24420334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Homme, Kristin G.</creatorcontrib><creatorcontrib>Kern, Janet K.</creatorcontrib><creatorcontrib>Haley, Boyd E.</creatorcontrib><creatorcontrib>Geier, David A.</creatorcontrib><creatorcontrib>King, Paul G.</creatorcontrib><creatorcontrib>Sykes, Lisa K.</creatorcontrib><creatorcontrib>Geier, Mark R.</creatorcontrib><title>New science challenges old notion that mercury dental amalgam is safe</title><title>Biometals</title><addtitle>Biometals</addtitle><addtitle>Biometals</addtitle><description>Mercury dental amalgam has a long history of ostensibly safe use despite its continuous release of mercury vapor. Two key studies known as the Children’s Amalgam Trials are widely cited as evidence of safety. However, four recent reanalyses of one of these trials now suggest harm, particularly to boys with common genetic variants. These and other studies suggest that susceptibility to mercury toxicity differs among individuals based on multiple genes, not all of which have been identified. These studies further suggest that the levels of exposure to mercury vapor from dental amalgams may be unsafe for certain subpopulations. Moreover, a simple comparison of typical exposures versus regulatory safety standards suggests that many people receive unsafe exposures. Chronic mercury toxicity is especially insidious because symptoms are variable and nonspecific, diagnostic tests are often misunderstood, and treatments are speculative at best. Throughout the world, efforts are underway to phase down or eliminate the use of mercury dental amalgam.</description><subject>Biochemistry</subject><subject>Biomedical and Life Sciences</subject><subject>Cell Biology</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Dental Amalgam - adverse effects</subject><subject>Dental Amalgam - analysis</subject><subject>Dental Amalgam - chemistry</subject><subject>Dental Amalgam - standards</subject><subject>Dental amalgams</subject><subject>Dental caries</subject><subject>Dental research</subject><subject>Epidemiology</subject><subject>Genes</subject><subject>Genetic variance</subject><subject>Genetics</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Medicine/Public Health</subject><subject>Mercury</subject><subject>Mercury - adverse effects</subject><subject>Mercury - analysis</subject><subject>Mercury - standards</subject><subject>Mercury - toxicity</subject><subject>Mercury Poisoning - diagnosis</subject><subject>Mercury Poisoning - etiology</subject><subject>Mercury vapor</subject><subject>Microbiology</subject><subject>Patient Safety</subject><subject>Pharmacology/Toxicology</subject><subject>Plant Physiology</subject><subject>Safety</subject><subject>Subpopulations</subject><subject>Toxicity</subject><issn>0966-0844</issn><issn>1572-8773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kU1v1DAQhi0EotvCD-CCLHHhEjr-SBxfkFBVClJVLu3ZmiTj3VROXOykqP8er7ZUBYmTD_PM63f0MPZOwCcBYE6zgFrpCoSqrAGo7Au2EbWRVWuMesk2YJumglbrI3ac8y0AFKx5zY6k1hKU0ht2fkW_eO5Hmnvi_Q5DoHlLmccw8DkuY5z5ssOFT5T6NT3wgeYFA8cJwxYnPmae0dMb9spjyPT28T1hN1_Pr8--VZc_Lr6ffbms-hrUUrVku6GhsoBovfS1FGjqwZpBUuNVY5oOpWiF6bzplPGSOimxG7wWrba2Vifs8yH3bu0mGvpSJmFwd2mcMD24iKP7ezKPO7eN905ZqEVjS8DHx4AUf66UFzeNuacQcKa4ZidqoXQrDeiCfvgHvY1rmst5TmgrJYhW7ilxoPoUc07kn8oIcHtJ7iDJFUluL8ntS7x_fsXTxh8rBZAHIJdR0ZGeff3f1N9PtZ1A</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Homme, Kristin G.</creator><creator>Kern, Janet K.</creator><creator>Haley, Boyd E.</creator><creator>Geier, David A.</creator><creator>King, Paul 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science challenges old notion that mercury dental amalgam is safe</title><author>Homme, Kristin G. ; Kern, Janet K. ; Haley, Boyd E. ; Geier, David A. ; King, Paul G. ; Sykes, Lisa K. ; Geier, Mark R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-8e9bd6eafeaa9f2f521a75d97d2e6f3676ba21817bf7b37f2eb22abdf41849953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Cell Biology</topic><topic>Child</topic><topic>Chronic Disease</topic><topic>Dental Amalgam - adverse effects</topic><topic>Dental Amalgam - analysis</topic><topic>Dental Amalgam - chemistry</topic><topic>Dental Amalgam - standards</topic><topic>Dental amalgams</topic><topic>Dental caries</topic><topic>Dental research</topic><topic>Epidemiology</topic><topic>Genes</topic><topic>Genetic variance</topic><topic>Genetics</topic><topic>Health 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subjects | Biochemistry Biomedical and Life Sciences Cell Biology Child Chronic Disease Dental Amalgam - adverse effects Dental Amalgam - analysis Dental Amalgam - chemistry Dental Amalgam - standards Dental amalgams Dental caries Dental research Epidemiology Genes Genetic variance Genetics Health Policy Humans Life Sciences Medicine/Public Health Mercury Mercury - adverse effects Mercury - analysis Mercury - standards Mercury - toxicity Mercury Poisoning - diagnosis Mercury Poisoning - etiology Mercury vapor Microbiology Patient Safety Pharmacology/Toxicology Plant Physiology Safety Subpopulations Toxicity |
title | New science challenges old notion that mercury dental amalgam is safe |
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