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[Exposure to metals in dental laboratories].

Dental care includes handling of different types of metal alloys usually classified as "noble" and "base" in relation to the presence or absence of either gold or other precious metals. It must be born in mind that exposure to metals in this activities is due not only to those metals present in the alloys but also to those contained in the other materials used during the processes of casting and finishing. The most important metals are the following: Al, Be, Cd, Cr, Co, Cu, Au, In, Hg, Mo, Ni, Pd, Pt, Si, Ag, Sn, Ti, W, Zn. In this paper we investigated the environmental exposure to metals in dental laboratories studying the environmental air concentration of metals in casting and finishing processes estimating the "quality" of the elements present by Particle Induces X-ray Emission (PIXE) and the "quantity" of the elements by electro thermic atomic absorption spectrophotometry (ET-AAS) and the concentration of the main metals in the blood and in the urine of exposed technicians by ET-AAS. These analyses permitted to detect all the metals present in the work environment and to quantify their concentration, which always resulted to be low (except some metals during short time operations). The biological monitoring revealed the existence of moderate absorption of these metals in the exposed workers but it is not possible for us to affirm if this phenomenon represents a real risk for the health of the technicians. Hence further epidemiological and health surveillance investigations are needed to verify morbidity and mortality of the subjects employed in this activity.

Adult↗

The isolation of fungi from laboratory dental pumice.

Samples of used dental laboratory pumice from the two dental laboratories were cultured for the isolation of fungi. The resulting supernatant fluid from sedimentation of each pumice sample after suspension in sterile saline was serially diluted and plated onto Sabouraud agar. After incubation, fungal colonies observed were enumerated, isolated, and identified. The mean number of fungal colonies recovered from 10 pumice samples in laboratories I and II was 51.0 X 10(2) and 22.6 X 10(2), respectively. In both laboratories the predominant fungi recovered were Aspergillus niger and Fusarium sp. Other fungi recovered included Cephalosporium and Penicillium species and A. flavus. Many of these organisms have been involved in human disease. It is suggested that the presence of fungi in used dental laboratory pumice presents an unhygienic condition in the dental laboratory and may place dental laboratory technicians and denture patients at increased risk of fungal sensitization and disease.

Aspergillus niger↗

Eye protection in dental laboratories.

Many dental laboratory procedures increase the chances of serious eye injury. This would include traumatic injuries due to projectiles or through exposure to harsh chemicals or heat and infections from contact with patient body fluids. To help assure a safer working environment, awareness of the need for eye protection must be established and maintained by all laboratory personnel. The purpose of this article are: 1) to list the applicable federal regulations concerning eye safety in dental laboratory workplaces; 2) to describe the various types of appropriate eyewear; and 3) to identify which protective devices best prevent exposure to specific types of hazards. The goal of this article is to help dental laboratories with their employee safety programs, especially concerning the selection of protective eyewear. Such programs must include engineering controls and work practice controls plus appropriate personal protective equipment. Laboratories today must comply with safety mandates in the most effective and efficient manner.

Equipment Design↗

Voluntary dental laboratory certification program. Council on Prosthetic Services and Dental Laboratory Relations.

Laboratory certification does not offer concrete guarantees of consistent high quality of products or services. It does, however, identify, for the dental profession, a competency and acceptability factor on which to base a predication of performance by the laboratory. Also, laboratory certification establishes a framework within which the dental laboratory industry can work to continue upgrading its facilities and personnel, demonstrates the concern of certified laboratories for continuing competence, and indicates to government and third-party payers a willingness to develop standards endorsed by the industry.

Certification↗