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This is the first study conducted to quantify the excretion and distribution of mercury (Hg) with time (days) in the biological samples collected from Hg dental amalgam users (MDA). The individuals, with Hg-based dental filling were selected, and their biological samples (red blood cells (RBCs), plasma, urine, hair, and nails) were collected on first, third, and 12th day of fillings. The concentrations of Hg observed in the biological samples of MDA were also correlated with the biological variables such as age, weight, restoration, fish consumption, number, and surface area of fillings. The concentrations of Hg in the biological samples of MDA were found 6-8 times higher than the non-amalgam users (control). The concentrations of Hg in the RBCs (4.39 μg/L), plasma (3.02 μg/L), and urine (22.5 μg/L) on first day of filling were found comparatively higher than the concentrations observed on third day (2.15, 1.46, and 12.3 μg/L for RBCs, plasma, urine, respectively) and 12th day (3.05, 2.5, 9.12 μg/L for RBCs, plasma, urine, respectively), while Hg concentrations were found lower in the hair and nails on third day of fillings (1.53 μg/g for hair and 2.35 μg/g for nails) as compared to the 12th day (2.95 μg/g for hair and 3.5 μg/g for nails). The correlations were found significant (p ˂ 0.05) between Hg concentrations in the biological samples of MDA and biological variables (the number of restoration, fish consumption, number, and surface area of fillings), while no significant (p ˃ 0.05) correlations were observed for Hg concentrations in the biological samples with age and weight of MDA. These observations unveil the fact that the use of Hg-based dental filling is the undesirable exposure to Hg which should be replaced by composite (a safer filling material).

In their paper that is published in Toxicology in Vitro, Rachmawati et al. have recently claimed that in spite of the growing concern about the safety of amalgam, negative reports about the health effects of dental amalgam are still scarce or controversial. Substantial evidence indicates that mercury release from dental amalgam fillings may adversely affect human health. Over the past years, we have shown that exposure to electromagnetic fields (EMFs) can increase the release of mercury from dental amalgam fillings. It is worth mentioning that the results of investigations on the microleakage of amalgam fillings following MRI have confirmed our results. Furthermore, exposure to X-rays as a part of the electromagnetic spectrum has also been linked to increased mercury release from dental amalgam fillings. Considering the explosive rise in human exposure to electromagnetic fields, the role of human exposure to EMF as a key factor in increasing the release of mercury from dental amalgam restorations cannot be simply ignored.

In the 1970s, a woman who was then in her thirties contacted her doctor with intermittent respiratory ailments, increasing fatigue, agitation and visual disturbances. She developed a complex array of symptoms involving multiple organ systems. More than 30 years would pass before the likely cause of the symptoms was identified.

This work evaluated the impact of exposure to mercury on the health of workers comparing dentists and dental assistants exposed to mercury by handling amalgam in a public dental clinic with a reference group which, in private offices, did not make use of the metal in their professional routine. Data collection included mercury levels in urine and air samples determined by cold vapor atomic absorption spectrometry, questionnaires and direct observation. The difference between urine and air samples in both groups was statistically significant while mercury levels in air and urine showed positive associations. Mercury concentration in urine correlated with gender, practice time, and age of workers. Half of those exposed had complaints compatible with mercury contamination. Among the exposed, the most common complaints were cognitive and neurocognitive symptoms. Correlations between symptoms and exposure time and also number of amalgam fillings placed per week were positive. Amalgam handling resulted in environmental and biological contamination by mercury.

The objective of this study was to assess the occupational exposure to mercury in dentistry and associated environmental emission in wastewater of Lahore, Pakistan. A total of ninety-eight blood samples were collected comprising 37 dentists, 31 dental assistants, and 30 controls. Results demonstrate that the dentistry personnel contained significantly higher mean concentration of mercury in their blood samples (dentists: 29.835 µg/L and dental assistants: 22.798 µg/L) compared to that of the controls (3.2769 µg/L). The mean concentration of mercury was found maximum in the blood samples of older age group (62.8 µg/L) in dentists and (44.3 µg/L) in dental assistants. The comparison of mercury concentration among dentists, dental assistants, and controls (pairing based on their ages) revealed that the concentration increased with the age and experience among the dentists and dental assistants. Moreover, the mercury concentration in all the studied dental wastewater samples, collected from twenty-two dental clinics, was found to be exceeding the recommended discharge limit of 0.01 mg/L. Therefore, we recommend that immediate steps must be taken to ensure appropriate preventive measures to avoid mercury vapors in order to prevent potential health hazards to dentistry personnel. Strong regulatory and administrative measures are needed to deal with mercury pollution on emergency basis.

PURPOSE:
High-density lipoprotein cholesterol (HDLC) is anti-inflammatory in the basal state and pro-inflammatory during the acute-phase response. Blood mercury also has an inflammatory property. Therefore, the aim of this study was to investigate the relationship between serum HDLC and blood mercury concentration in relation with metabolic syndrome (MS).

METHODS:
The data of 7616 subjects (3713 men and 3903 women), over 20 years of age, from 2008 to 2013, Korea National Health and Nutrition Examination Survey were selected for cross-sectional analyses. Correlation and regression of serum HDLC and blood mercury were initially done. We compared serum HDLC concentration according to blood mercury quartile after adjustment for relevant variables in subjects with MS.

RESULTS:
Mean blood mercury concentrations is 5.6 and 3.9 μg/dL in men and women, respectively. Blood mercury concentration in MS subjects was positively correlated with serum HDLC concentration, especially in men. In addition, HDLC concentration was significantly higher according to the higher blood mercury quartile.

CONCLUSION:
Serum HDLC was positively associated with blood mercury concentration in MS Korean men. Therefore, elevated blood mercury may be a factor to increase serum HDLC concentration in MS men.