口腔修复诊室中义齿粉尘浓度检测与分析

doi:10.19439/j.sjos.2022.02.005

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (2): 138-141.doi: 10.19439/j.sjos.2022.02.005

口腔修复诊室中义齿粉尘浓度检测与分析

杨翔文, 钟群, 王珏

上海市口腔医院口腔修复科,上海市颅颌面发育与疾病重点实验室,上海 200001

收稿日期:2021-11-04 修回日期:2021-12-13 出版日期:2022-04-25 发布日期:2022-05-16
通讯作者: 王珏,E-mail: wangjue1974@sina.com
作者简介:杨翔文（1991-）,女,硕士研究生,E-mail：yang_xiangwen@fudan.edu.cn
基金资助:
上海市口腔医院临床研究专项基金（SSDC-2020-CR05）

Detection and analysis of dental dust concentration in the department of prosthodontics

YANG Xiang-wen, ZHONG Qun, WANG Jue

Department of Prosthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University; Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University. Shanghai 200001, China

Received:2021-11-04 Revised:2021-12-13 Online:2022-04-25 Published:2022-05-16

摘要/Abstract

摘要： 目的： 检测与分析口腔修复科义齿粉尘污染现况并提出有效的防护措施。方法： 使用个体粉尘采样泵,对口腔修复科常见的5种义齿材料（超硬树脂基托、高级人工牙、光敏塑料、钴铬合金和饰面瓷）所产生的粉尘进行呼吸性粉尘浓度检测,使用X射线衍射分析法（XRD）检测饰面瓷粉尘中游离二氧化硅呼吸性粉尘浓度,使用电感耦合原子发射光谱分析法（ICP-AES）检测钴铬合金粉尘中钴元素的胸廓性粉尘及铬元素的可吸入性粉尘浓度,并将测定结果与中国和美国的职业接触限值进行对比。结果： 口腔修复科5种常见粉尘的呼吸性粉尘浓度均远低于中国和美国制定的职业接触限值。饰面瓷中游离二氧化硅、钴铬合金中钴及化合物粉尘浓度均低于检测下限。铬及其化合物可检出,但其浓度也远低于职业接触限值。结论： 口腔修复诊室中存在粉尘污染问题,以重金属污染（如铬）为主,应采取通风吸尘及配戴专业口罩等防护措施。

关键词: 义齿粉尘, 粉尘浓度, 粉尘防治

Abstract: PURPOSE: To detect and analyze dental dust pollution in the department of prosthodontics and propose reasonable protective measures. METHODS: Individual dust sampling pumps were used to detect the concentration of respirable dust produced by five common dental materials (hard resin base, advanced artificial teeth, photosensitive plastic, cobalt-chromium alloy, veneering ceramics) in the department of prosthodontics. X-ray diffraction (XRD) was used to detect the concentration of free silica respirable dust in veneer porcelain dust. Inductively coupled atomic emission spectrometry (ICP-AES) was used to detect the thoracic dust of cobalt element and the inhalable dust concentration of chromium element in cobalt-chromium alloy dust. The results were compared with the occupational exposure limits set by China and the United States. RESULTS: The respiratory dust concentration of the five common dusts in the department of prosthodontics was far lower than occupational exposure limits set by China and the United States. The concentration of free silica in veneer porcelain, cobalt and its compounds in cobalt-chromium alloys were below the lower detection limit. Chromium and its compounds can be detected, and its concentration was also far below the occupational exposure limit. CONCLUSIONS: Problem of dust pollution in the department of prosthodontics exists, which is mainly caused by heavy metal pollution (such as chromium). Protective measures such as ventilation and wearing professional mask should be taken to protect the health of dental practitioners.

Key words: Dental dust, Dust concentration, Dust prevention

中图分类号:

R783.1

杨翔文, 钟群, 王珏. 口腔修复诊室中义齿粉尘浓度检测与分析[J]. 上海口腔医学, 2022, 31(2): 138-141.

YANG Xiang-wen, ZHONG Qun, WANG Jue. Detection and analysis of dental dust concentration in the department of prosthodontics[J]. Shanghai Journal of Stomatology, 2022, 31(2): 138-141.

参考文献

[1] 李进哲. 粉尘职业危害的防范措施[J]. 化学工程与装备, 2020, 3(3): 254-255.
[2] Soderholm SC.Proposed international conventions for particle size-selective sampling[J]. Ann Occup Hyg, 1989, 33(3): 301-320.
[3] Quintal-Méndez JR, Soledad AR, López-Hernández E, et al.Pulmonary alterations among workers in a dental prosthesis laboratory: exploring high dust concentrations and novel findings of bacterial genera in the workplace to achieve improved control[J]. J Occup Environ Med, 2020, 62(11): 930-936.
[4] Cokic SM, Ghosh M, Hoet P, et al.Cytotoxic and genotoxic potential of respirable fraction of composite dust on human bronchial cells[J]. Dent Mater, 2020, 36(2): 270-283.
[5] Iliadi A, Koletsi D, Eliades T, et al.Particulate production and composite dust during routine dental procedures. a systematic review with meta-analyses[J]. Materials (basel), 2020, 13(11): 2513-2513.
[6] Stoeva I.Respiratory symptoms of exposure to substances in the workplace among dental laboratory technicians[J]. Med Pr, 2020, 72(2): 105-111.
[7] Alavi A, Shakiba M, Nejad A, et al.Respiratory findings in dental laboratory technicians in rasht (north of iran)[J]. Tanaffos, 2011, 10(2): 44-49.
[8] Bozkurt N, Yurdasal B, Bozkurt A, et al.Respiratory systems of dental technicians negatively affected during 5 years of follow-up[J]. Balkan Med J, 2016, 33(4): 426-433.
[9] 卫星红, 唐秀秀, 张绍国, 等. 聚丙烯酸树脂系列中残留单体的测定[J]. 中国药品标准, 2021, 22(3): 208-215.
[10] Keul C, Seidl J, Güth J, et al.Impact of fabrication procedures on residual monomer elution of conventional polymethyl methacrylate (PMMA)-a measurement approach by UV/Vis spectrophotometry[J]. Clin Oral Investig, 2020, 24(12): 4519-4530.
[11] Ayaz EA, Durkan R, Koroglu A, et al.Comparative effect of different polymerization techniques on residual monomer and hardness properties of PMMA-based denture resins[J]. J Appl Biomater Funct Mater, 2014, 12(3): 228-233.
[12] 李岩, 黄博, 张少锋. 甲基丙烯酸甲酯单体对小鼠肝、肺、肾功能的影响[J]. 实用口腔医学杂志, 2008, 24(1): 53-56.
[13] Hoy RF, Chambers DC.Silica-related diseases in the modern world[J]. Allergy, 2020, 75(11): 2805-2817.
[14] Julander A, Hindsén M, Skare L, et al.Cobalt-containing alloys and their ability to release cobalt and cause dermatitis[J]. Contact Dermatitis, 2009, 60(3): 165-170.
[15] Kettelarij J, Midander K, Lidén C, et al.Neglected exposure route: cobalt on skin and its associations with urinary cobalt levels[J]. Occup Environ Med, 2018, 75(11): 837-842.
[16] Lison D.Human toxicity of cobalt-containing dust and experimental studies on the mechanism of interstitial lung disease (hard metal disease)[J]. Crit Rev Toxicol, 1996, 26(6): 585-616.
[17] Kettelarij JA, Lidén C, Axén E, et al.Cobalt, nickel and chromium release from dental tools and alloys[J]. Contact Dermatitis, 2013, 70(1): 3-10.
[18] Kettelarij J, Nilsson S, Midander K, et al.Snapshot of cobalt, chromium and nickel exposure in dental technicians[J]. Contact Dermatitis, 2016, 75(6): 370-376.
[19] Meding B, Wrangsjö K, Hosseiny S, et al.Occupational skin exposure and hand eczema among dental technicians-need for improved prevention[J]. Scand J Work Environ Health, 2006, 32(3): 219-224.
[20] 刘武忠, 王剑明, 张红, 等. 钴及其化合物对人体健康的影响[J]. 职业卫生与应急救援, 2016, 34(2): 111-113.
[21] Yatera K, Morimoto Y, Ueno S, et al.Cancer risks of hexavalent chromium in the respiratory tract[J]. J Uoeh, 2018, 40(2): 157-172.

口腔修复诊室中义齿粉尘浓度检测与分析

Detection and analysis of dental dust concentration in the department of prosthodontics

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