Dental Amalgam Toxicity II

U ovom radu naveli smo moguće putove ulaska sastojaka oslobođenih iz amalgamskih ispuna u čovjekov organizam i njihov mogući patološki utjecaj. Opisani su mehanizmi djelovanja i navedena su istraživanja o utjecaju amalgamskog ispuna na sluznicu usne šupljine, parodont, pulpu, bubrege, živčani sustav, krvožilni sustav, imunološki i probavni sustav. Analizirana je moguća reakcija preosjetljivosti na amalgamski ispun, a navedeni su i nalazi o mogućem teratogenom učinku amalgamskog ispuna i mogućem štetnom utjecaju dentalnog amalgama (osobito otpadnoga dentalnog amalgama) na okoliš. Prema postojećim podatcima moglo bi se zaključiti da utjecaj amalgamskog ispuna na organizam još nije dostatno razjašnjen jer različita istraživanja daju suprotne nalaze. Ipak, budući da se živa iz odbačenoga dentalnoga amalgama može metilirati u okolišu (u ribljim škrgama i djelovanjem nekih mikroorganizama) u visokotoksičnu organsku živu, amalgam čini veliku opasnost za okoliš. Zato pozornost treba obratiti na prikupljanje, skladištenje i recikliranje otpadnoga materijala.This review describes possible ways of penetration of components released from the amalgam filling into the individual’s organism and their possible pathologic effect. Some activity mechanisms are described and research cited on the influence of amalgam filling on oral mucous,periodontal, pulp, kidneys, neural, cardiovascular, immunologic and digestive systems. Possible hipersensibility reaction to amalgam filling is analyzed. Furthermore, the results o f possible teratologic effect o f amalgam filling, as well as the effect o f dental amalgam (especially waste dental amalgam) on the environment, is discussed. According to existing data it can be concluded the that the influence of amalgam filling on the organism o f the individual has not yet been sufficiently explained, because the results o f investigations are contradictory. However, in the environment (within fish and bay activity o f some microorganisms) mercury from waste dental amalgam can be transformed into highly toxic organic mercury, which can be a great danger to the environment. Consequently, great attention should be paid to the collection, storage and recycling of waste dental amalgam