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Mercury Exposure and Health Status of Dentists in Morocco, Casablanca—Settat Region

DOI: 10.4236/oalib.1111907, PP. 1-19

Keywords: Mercury, Health Status, Dentists, Amalgam

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Abstract:

Introduction: Mercury exposure was a globally recognized health problem. In odontology, dental amalgam is the primary source of mercury, and dental staff were exposed to both metallic and vapor mercury. However, the harmful effects of this chronic low-dose exposure were still a matter of debate. Objectives: The study aimed to evaluate mercury exposure in dental clinics in the Casablanca region, identify sources of exposure, determine its impact on dentists’ health, and assess the management of dental amalgam waste. Method: This cross-sectional study utilized online and paper-based questionnaires distributed to dentists in the Casablanca—Settat region. The sample size was accidental. Results: Out of 93 responding dentists, only 17 used dental amalgam, while 71 performed amalgam filling removal. Among them, 50% (8) used encapsulated amalgam, 25% (4) bulk amalgam, and 25% (4) used both forms. Safety measures during amalgam handling included the use of a rubber dam 23.7%, surgical suction 63.4%, irrigation 67.7%, and venti-lation 62.5%. Regarding waste management, 84.7% believe waste sorting was mandatory, 38.5% stored amalgam waste in sealed containers, 52.2% sorted it with cytotoxic waste and only 29.8% collaborated with waste management companies. Only 14.3% of dentists attributed their health issues to amalgam handling despite experiencing symptoms related to amalgam toxicity, which appeared on an average of 7.27 years. Discussion: The placement, removal of amalgam, and improper amalgam waste management remained significant factors in mercury exposure, leading to various somatic, oral, and psychological issues. Adhering to the latest recommendations on amalgam use and waste management is essential. Conclusion: Mercury exposure in dental clinics was undeniable. Despite a low response rate, our study conducted in 14 urban areas of the Casablanca—Settat region was fairly representative of current practices and the overall health of practitioners in the private sector.

References

[1]  FDI World Dental Federation (1997) WHO Consensus Statement on Dental Amal-gam.
[2]  Homme, K.G., Kern, J.K., Haley, B.E., Geier, D.A., King, P.G., Sykes, L.K., et al. (2014) New Science Challenges Old Notion That Mercury Dental Amalgam Is Safe. BioMetals, 27, 19-24. https://doi.org/10.1007/s10534-013-9700-9
[3]  World Health Organization (2005) Mercury in Health Care.
[4]  Björkman, L., Musial, F., Alræk, T., Werner, E.L., Weidenhammer, W. and Hamre, H.J. (2020) Removal of Dental Amalgam Restorations in Patients with Health Complaints Attributed to Amalgam: A Prospective Cohort Study. Journal of Oral Rehabilitation, 47, 1422-1434. https://doi.org/10.1111/joor.13080
[5]  Attiya, N., Fattahi, R., El-Haidani, A., Lahrach, N., Amarouch, M. and Filali-Zegzouti, Y. (2020) Exposition au mercure et état de santé des médecins dentistes de deux régions du centre du Ma-roc: Enquête transversale descriptive. Pan African Medical Journal, 36, Article 110. https://doi.org/10.11604/pamj.2020.36.110.19623
[6]  Jokstad, A. and Fan, P. (2006) Amalgam Waste Management. International Dental Journal, 56, 147-153. https://doi.org/10.1111/j.1875-595x.2006.tb00087.x
[7]  Schach, V., Jahan-bakht, S., Livardjani, F. and Flesch, F. (2003) Le risque mercuriel dans les cabinets dentaires: Histoire ancienne ou future proche?
[8]  Bjørklund, G., Hilt, B., Dadar, M., Lindh, U. and Aaseth, J. (2019) Neurotoxic Effects of Mercury Exposure in Dental Personnel. Basic & Clinical Pharmacology & Toxicology, 124, 568-574. https://doi.org/10.1111/bcpt.13199
[9]  Mjör, I.A., Shen, C., Eliasson, S.T. and Richter, S. (2002) Placement and Replacement of Restorations in General Dental Practice in Iceland. Operative Dentistry, 27, 117-123.
[10]  Chisini, L.A., Collares, K., Bastos, J.L.D., Peres, K.G., Peres, M.d.A., Horta, B.L., et al. (2019) Skin Color Affect the Replacement of Amalgam for Composite in Posterior Restorations: A Birth-Cohort Study. Brazilian Oral Research, 33, e54. https://doi.org/10.1590/1807-3107bor-2019.vol33.0054
[11]  Bouard, B., Sawicki, B., Choucroun, Durand, P. and Baron, R. (2003) Exposition professionnelle au mercure des assistantes dentaires.
[12]  Pierre, C., Besnault, C. and Pradelle-Plasse, N. (1999) Obturation par un matériau: Amalgame.
[13]  Chaari, N., Kerkeni, A., Saadeddine, S., Neffati, F., Khalfallah, T. and Akrout, M. (2009) L’imprégnation mercurielle des dentistes et de leurs assistants dans la ville de Mo-nastir, Tunisie. Revue de Stomatologie et de Chirurgie Maxillo-faciale, 110, 139-144. https://doi.org/10.1016/j.stomax.2009.01.008
[14]  Kasraei, S., Mortazavi, H., Vahedi, M., Bakianian Vaziri, P. and Assary, M. (2010) Blood Mercury Level and Its Determinants among Dental Practitioners in Hamadan, Iran. Journal of Dentistry, 7, 55-63.
[15]  Möller-Madsen, B., Hansen, J.C. and Kragstrup, J. (1988) Mercury Con-centrations in Blood from Danish Dentists. European Journal of Oral Sciences, 96, 56-59. https://doi.org/10.1111/j.1600-0722.1988.tb01408.x
[16]  Chang, S.-B., Siew, C. and Gruninger, S.E. (1992) Factors Affecting Blood Mercury Concentrations in Practicing Dentists. Journal of Dental Research, 71, 66-74. https://doi.org/10.1177/00220345920710011101
[17]  Battistone, G.C., Heffer-ren, J.J., Miller, R.A. and Outright, D.E. (1976) Mercury: Its Relation to the Dentist’s Health and Dental Practice Characteristics. The Journal of the American Dental Asso-ciation, 92, 1182-1188. https://doi.org/10.14219/jada.archive.1976.0173
[18]  Ye, B., Kim, B., Jeon, M., Kim, S., Kim, H., Jang, T., et al. (2016) Evaluation of Mercury Exposure Level, Clinical Diagnosis and Treatment for Mercury Intoxication. Annals of Occupational and Envi-ronmental Medicine, 28, 5. https://doi.org/10.1186/s40557-015-0086-8
[19]  Naleway, C., Chou, H., Muller, T., Dabney, J., Roxe, D. and Siddiqui, F. (1991) On-Site Screening for Urinary Hg Concentrations and Correlation with Glomerular and Renal Tubular Function. Journal of Public Health Dentistry, 51, 12-17. https://doi.org/10.1111/j.1752-7325.1991.tb02169.x
[20]  Lindstedt, G., Gott-berg, I., Holmgren, B., Jonsson, T. and Karlsson, G. (1979) Individual Mercury Expo-sure of Chloralkali Workers and Its Relation to Blood and Urinary Mercury Levels. Scandinavian Journal of Work, Environment & Health, 5, 59-69. https://doi.org/10.5271/sjweh.2665
[21]  Gerrard Miquel, R.D.M. and Revol, H. (2001) Fait au nom de l’Office parlementaire d’évaluation des choix sci-ent. 
[22]  Moen, B., Hollund, B. and Riise, T. (2008) Neurological Symptoms among Dental Assistants: A Cross-Sectional Study. Journal of Occupational Medicine and Toxicology, 3, Article No. 10. https://doi.org/10.1186/1745-6673-3-10
[23]  Ritchie, K.A., Gilmour, W.H., Mac-donald, E.B., Burke, F.J.T., McGowan, D.A., Dale, I.M., et al. (2002) Health and Neu-ropsychological Functioning of Dentists Exposed to Mercury. Occupational and Envi-ronmental Medicine, 59, 287-293. https://doi.org/10.1136/oem.59.5.287
[24]  Wojcik, D.P., Godfrey, M.E., Christie, D. and Haley, B.E. (2006) Mercury Toxicity Presenting as Chronic Fatigue, Memory Impairment and Depression: Diagnosis, Treatment, Susceptibility, and Outcomes in a New Zealand General Practice Setting (1994-2006). Neuro Endocrinology Letters, 27, 415-423.
[25]  Neghab, M., Choobineh, A., Hassan Zadeh, J. and Ghaderi, E. (2011) Symptoms of Intoxication in Dentists Associated with Exposure to Low Levels of Mercury. Industrial Health, 49, 249-254. https://doi.org/10.2486/indhealth.ms1214
[26]  Thygesen, L.C., Flachs, E.M., Hanehøj, K., Kjuus, H. and Juel, K. (2011) Hospital Admissions for Neurological and Renal Diseases among Dentists and Dental Assistants Occupationally Exposed to Mercury. Occupational and Environmental Medicine, 68, 895-901. https://doi.org/10.1136/oem.2010.064063
[27]  Osborne, D. and Croucher, R. (1994) Levels of Burnout in General Dental Practitioners in the South-East of Eng-land. British Dental Journal, 177, 372-377. https://doi.org/10.1038/sj.bdj.4808616
[28]  Puriene, A., Aleksejuniene, J., Pet-rauskiene, J., Balciuniene, I. and Janulyte, V. (2008) Self-Reported Occupational Health Issues among Lithuanian Dentists. Industrial Health, 46, 369-374. https://doi.org/10.2486/indhealth.46.369
[29]  Zwicker, J.D., Dutton, D.J. and Em-ery, J.C.H. (2014) Longitudinal Analysis of the Association between Removal of Den-tal Amalgam, Urine Mercury and 14 Self-Reported Health Symptoms. Environmental Health, 13, Article No. 95. https://doi.org/10.1186/1476-069x-13-95
[30]  Mum-taz, R., Khan, A.A., Noor, N. and Humayun, S. (2010) Amalgam Use and Waste Man-agement by Pakistani Dentists: An Environmental Perspective. Eastern Mediterra-nean Health Journal, 16, 334-339. https://doi.org/10.26719/2010.16.3.334
[31]  Commission Staff Working Docu-ment et Impact Assessment (2016) Ratification and Implementation by the EU of the Minamata Convention on Mercury Accompanying the Document Proposal for a Reg-ulation of the European Parliament and of the Council on Mercury, and Repealing Regulation.
[32]  Batchu, H., Rakowski, D., Fan, P.L. and Meyer, D.M. (2006) Evalu-ating Amalgam Separators Using an International Standard. The Journal of the American Dental Association, 137, 999-1005. https://doi.org/10.14219/jada.archive.2006.0322
[33]  Faye, D., Mbacké Lo, C.M. and Kanouté, A. (2014) Waste Management from Dental Care in the Health Districts of Dakar, Senegal. Médecine et Santé Tropicales, 24, 403-408. https://doi.org/10.1684/mst.2014.0402
[34]  Chardon, B. (2022) Déchets hospi-taliers et risque pour la santé.
[35]  Ramesh, K., Ramesh, M. and Krishnan, R. (2019) Management and Disposal of Mercury and Amalgam in the Dental Clinics of South India: A Cross-Sectional Study. Journal of Pharmacy and Bioallied Sciences, 11, S151-S155. https://doi.org/10.4103/jpbs.jpbs_280_18
[36]  Manyani, A., Rhalem, N., Ennibi, O., Soulaymani, A., Hmimou, R. and Soulaymani-Bencheikh, R. (2019) Gestion des déchets médicaux et pharmaceutiques produits au niveau des cabinets dentaires privés et publics des provinces de Rabat et Kénitra. Toxicologie Analytique et Clinique, 31, S68-S69. https://doi.org/10.1016/j.toxac.2019.03.105

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