Subject(s)
Mercury/adverse effects , Occupational Diseases/chemically induced , Occupational Exposure/adverse effects , Cognition Disorders/etiology , Dental Amalgam/adverse effects , Dental Assistants , Dental Staff , Female , Humans , Mercury Poisoning/complications , Norway , Occupational Diseases/complications , Surveys and QuestionnairesABSTRACT
OBJECTIVES: The aim of this study was to investigate whether women who have worked as dental personnel in Norway, a group with possible previous exposure to mercury vapor, have had an excess risk of having children with congenital malformations or other adverse pregnancy outcomes compared to the general population. METHODS: A cohort of female dental personnel was identified from the archives of the public dental healthcare and the national trade unions in Norway. Data on births and pregnancy outcomes during 1967-2006 were obtained from the Medical Birth Registry of Norway (MBRN). The final cohort of dental personnel consisted of 4482 dental assistants and 1011 dentists. All other women registered in the MBRN were assigned to the control group, in total 1,124,758. Excess risks of several adverse pregnancy outcomes for dental personnel compared to the general population were estimated. Analyses were conducted for the whole time period as well as stratified by 10-year periods. RESULTS: Female dental personnel had no observed increased occurrence of congenital malformations (including malformations of the central nervous system, dysplasia of the hip, clubfoot, malformations of the heart and great vessels), low birth weight, preterm birth, small for gestational age, changed gender ratio, multiple birth, stillbirth, or prenatal death. CONCLUSION: On a group level, we did not observe any excess risks of congenital malformations or other adverse pregnancy outcomes among female dental personnel in Norway during 1967-2006 compared to the general population.
Subject(s)
Dentistry , Pregnancy Outcome , Registries , Female , Humans , Pregnancy , Retrospective Studies , WorkforceABSTRACT
OBJECTIVES: Due to public concern in Scandinavian countries about the health situation of dental nurses, the Norwegian Ministry of Labor and Social Inclusion initiated a project to look at previous exposure to metallic mercury and its possible effects on dental personnel. The aims of this part of the study were to: (i) describe Norwegian dental personnel's exposure to mercury during the last 50 years, (ii) develop a model for scoring that reflects the cumulative exposure on an individual basis, and (iii) relate the calculated score to earlier measured levels of mercury in urine. METHODS: We obtained lists of previous and current dental employees in both the private and public sector and mailed them a questionnaire concerning their working conditions. We received a response from 655 dental nurses and 452 dentists. We also obtained urine mercury levels measured between 1970-1990 for 143 (22%) of the dental nurses and 130 (29%) of the dentists. RESULTS: The results revealed a widespread exposure to mercury in both the individual exposure score and the measured mercury values in urine. For most respondents, however, the level of exposure to mercury seemed to be low. The use of copper amalgam, which is heated before it is applied, is of particular concern as a significant source of mercury exposure in dental personnel. CONCLUSION: It seems evident that the exposure to mercury among dental personnel varies substantially; this is important to take into account when making exposure assessments for this group of workers.
