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Assessing the Environmental and Health Adverse Effects of Mercury Released From Dental Amalgam: A Literature Review

, Reyhaneh Aftabi, Parisa Jafari, , Marzieh Pirzadeh-Ashraf, · Journal of Advances in Environmental Health Research · 2021

This paper reviews the most available data on the possible adverse effects of mercury released from amalgam that comprises 50% pure mercury, 35% silver, 12-13 % tin, 2% copper, and up to 1% zinc, indium, platinum, and palladium. Despite the possible health risks of mercury from amalgam on the nervous, respiratory, renal, and endocrine systems, it is used in some countries; however, Sweden, Denmark, Canada, the United States, and Japan have long banned the use of amalgam. Amalgam restorations are one of the main mercury-releasing sources (1800-2700 tons per year) of contamination. During chewing, grinding, brushing of teeth, breaking down of amalgam, and as the temperature of the oral environment increases, mercury vapor will be released. The mercury vapor enters the atmosphere, wastewater in dental offices, all systemic organs, especially the lower respiratory tract and can affect the renal-urinary system or enters breast milk, fetus, and finally, transmits to infants. The mercury level released from amalgam in blood, urine, hair, and nail of large populations of dentists, dental assistants, and pregnant women is higher than the safe levels. The main neurological and psychological

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