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Journal of Environmental Pathology, Toxicology and Oncology

 

ISSN for PRINT: 0731-8898

Institutional price:

$672.00

Issues per year:

4

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Best Paper Award Selection - Editorial Board Site

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2007, Volume26

Issue 4

  89 pages  

   

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Issue price - $187.00  

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  • Need for Informed Consent for Dentists Who Use Mercury Amalgam Restorative Material as Well as Technical Considerations in Removal of Dental Amalgam Restorations
  • Richard F. Edlich
    Biomedical Engineering and Emergency Medicine, University of Virginia Health System, Trauma Specialists LLP, Legacy Verify Level I Shock Trauma Center for Pediatrics and Adults, Legacy Emanuel Hospital, Portland, OR, USA

    Jill Amanda Greene
    Washington State University, Vancouver, WA, USA

    Amy A. Cochran
    Clark College, Vancouver, WA, USA

    Angela R. Kelley
    Legacy Emanuel Hospital, Portland, OR, USA

    K. Dean Gubler
    Surgical Critical Care Director, Trauma Specialist LLP, Legacy Emanuel Hospital, Portland, Oregon, USA

    Brianna M. Olson
    Legacy Emanuel Hospital, Portland, OR, USA

    Mary Anne Hudson
    Public Health Nurse, Coos County Public Health Department, 1975 McPherson St. #, North Bend, Oregon, OR 97459, USA

    Dayna R. Woode
    Legacy Emanuel Hospital, Portland, OR, USA

    William B. Long III
    Trauma Specialists, LLP, Legacy Verified Level I Shock Trauma Center for Pediatrics and Adults, Legacy Emmanuel Hospital Portland, OR, USA

    Walter McGregor
    Biomark Technology Inc., Flemington, New Jersey, USA

    Carolyn Yoder
    Strategies for Trauma Awareness and Resilience, Harrisonburg, VA, USA

    Debra B. Hopkins
    IAOMT, Tacoma, WA, USA

    Jessica P. Saepoff
    Natural Dental Health Associates, Issaquah, WA, USA


    ABSTRACT

    Amalgam restorative material generally contains 50% mercury (Hg) in a complex mixture of copper, tin, silver, and zinc. It has been well documented that this mixture continually emits mercury vapor, which is dramatically increased by chewing, eating, brushing, and drinking hot liquids. Mercury has been demonstrated to have damaging effects on the kidney, central nervous system, and cardiovascular system, and has been implicated in gingival tattoos. While mercury amalgams may result in detrimental exposure to the patient, they can also be a danger in dental practices. In Europe, the federal governments of Norway, Finland, Denmark, and Sweden have enacted legislation requiring that dental patients receive informed consent information about the dental restorative material that will be used. In the United States, a few state governments have enacted informed consent legislation for dental patients receiving dental restorations. These state legislations were enacted by Maine, California, Connecticut, and Vermont. It is a sad tragedy that mercury is causing such health damage to many people. The American Dental Association has said for the past 150 years that the mercury in amalgam is safe and does not leak; however, no clinical studies were ever done and the Food and Drug Administration approved amalgam under a grandfather clause. Subsequent studies have shown this claim of safety not to be true. Over ten years ago, the Federation of American Societies for Experimental Biology Journal published a comprehensive article calling mercury restorative material a major source of mercury exposure to the U.S. population. The authors of this paper recommend that federal and state legislation be passed throughout our country to ensure that consent forms are given to patients receiving silver-mercury amalgam restorative material.

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