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Paknahad M, Khaleghi I, Mortazavi SMJ. Radiofrequency-Induced Heating of Amalgam Restorations and Dental Implants during 1.5T Magnetic Resonance Imaging. Front Dent 2024; 21:15. [PMID: 38993797 PMCID: PMC11236489 DOI: 10.18502/fid.v21i15.15393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 09/30/2023] [Indexed: 07/13/2024] Open
Abstract
Objectives: This study aimed to evaluate radiofrequency-induced heating of different amalgam restorations and dental implants during 1.5T magnetic resonance imaging (MRI). Materials and Methods: Standardized class I cavities (5 mm long, 3 mm wide, and 3 mm deep) were prepared on the occlusal surface of 45 extracted human third molars. The samples were restored by three different types of amalgam including Cinalux amalgam (non-gamma-2, spherical), GS-80 (non-gamma-2, admix), and GK-110 amalgam (non-gamma-2, admix in silver). As a separate intervention group (G4), five titanium mini drive-lock implants with 2mm diameter and 10mm length were also selected and mounted to the base of the Eppendorf tube with 3mm of the implants extending above the mounting putty. The box containing the specimens was placed parallel to the long axis of the standard head and neck coil of the MRI device (64MHz radio-frequency energy with 25kW amplifier, 1.5T). Temperature fluctuations of the metallic materials in each group were monitored during MRI scans using a calibrated thermometer. One-way ANOVA was used to compare temperature changes among the amalgam groups (P<0.05). Results: Temperature elevations ranged from 0.21°C to 0.70°C in amalgam restorations and from 0.35 to 0.47°C in dental implants. The temperature changes among the three amalgam agents were not statistically significant. Conclusion: According to our findings, the radiofrequency-induced heating of amalgam restorations and dental implants during MRI examination can be considered within acceptable ranges. Therefore, amalgam restorations and dental implants can be categorized as "MR safe" in terms of radiofrequency-induced heating during 1.5 T MRI.
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Affiliation(s)
- Maryam Paknahad
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Iman Khaleghi
- Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Mohammad Javad Mortazavi
- Ionizing and Non-Ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
- Department Medical Physics and Medical Engineering, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
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Allison JR, Chary K, Ottley C, Vuong QC, German MJ, Durham J, Thelwall P. The effect of magnetic resonance imaging on mercury release from dental amalgam at 3T and 7T. J Dent 2022; 127:104322. [PMID: 36228805 DOI: 10.1016/j.jdent.2022.104322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 10/07/2022] [Accepted: 10/09/2022] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES To measure mercury release from standardised hydroxyapatite/amalgam constructs during MRI scanning and investigate the impact of static field strength and radiofrequency (RF) power on mercury release. METHODS Amalgam was placed into 140 hydroxyapatite disks and matured for 14-days in artificial saliva. The solution was replaced, and samples split into five groups of 28 immediately prior to MRI. One group had no exposure, and the remainder were exposed to either a 3T or 7T MRI scanner, each at high and low RF power. Mercury concentration was measured by inductively coupled plasma mass spectrometry. Groups were compared using one-way ANOVA, and two-way ANOVA for main effects/ interaction of field strength/ RF power. RESULTS Mercury concentration was increased in the 7T groups (high/ low: 15.43/ 11.33 ng mL-1) and 3T high group (3.59) compared to control (2.44). MRI field strength significantly increased mercury release (p < .001) as did RF power (p = .030). At 3T, mercury release was 20.3 times lower than during maturation of dental amalgam, and for the average person an estimated 1.50 ng kg-1 of mercury might be released during one 3T investigation; this is substantially lower than the tolerable weekly intake of 4,000 ng kg-1. CONCLUSION Mercury release from amalgam shows a measurable increase following MRI, and the magnitude changes with magnetic field strength and RF power. The amount of mercury released is small compared to release during amalgam maturation. Amalgam mercury release during MRI is unlikely to be clinically meaningful and highly likely to remain below safe levels.
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Affiliation(s)
- James R Allison
- School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, UK; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK; Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK.
| | - Karthik Chary
- Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK; Centre for In Vivo Imaging, Newcastle University, Newcastle upon Tyne, UK
| | - Chris Ottley
- Department of Earth Sciences, Durham University, UK
| | - Quoc C Vuong
- Biosciences Institute, Faculty of Medical Sciences, Newcastle University, UK
| | - Matthew J German
- School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, UK; Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK
| | - Justin Durham
- School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, UK; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
| | - Peter Thelwall
- Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, UK; Centre for In Vivo Imaging, Newcastle University, Newcastle upon Tyne, UK
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Keshavarz M, Eslami J, Abedi-Firouzjah R, Mortazavi SA, Abbasi S, Mortazavi G. How Do Different Physical Stressors' Affect the Mercury Release from Dental Amalgam Fillings and Microleakage? A Systematic Review. J Biomed Phys Eng 2022; 12:227-236. [PMID: 35698539 PMCID: PMC9175125 DOI: 10.31661/jbpe.v0i0.2009-1175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Accepted: 12/12/2020] [Indexed: 06/15/2023]
Abstract
BACKGROUND Approximately 50% of dental amalgam is elemental mercury by weight. Accumulating body of evidence now shows that not only static magnetic fields (SMF) but both ionizing and non-ionizing electromagnetic radiations can increase the rate of mercury release from dental amalgam fillings. Iranian scientists firstly addressed this issue in 2008 but more than 10 years later, it became viral worldwide. OBJECTIVE This review was aimed at evaluating available data on the magnitude of the effects of different physical stressors (excluding chewing and brushing) on the release of toxic mercury from dental amalgam fillings and microleakage. MATERIAL AND METHODS The papers reviewed in this study were searched from PubMed, Google Scholar, and Scopus (up to 1 December 2019). The keywords were identified from our initial research matching them with those existing on the database of Medical Subject Headings (MeSH). The non-English papers and other types of articles were not included in this review. RESULTS Our review shows that exposure to static magnetic fields (SMF) such as those generated by MRI, electromagnetic fields (EMF) such as those produced by mobile phones; ionizing electromagnetic radiations such as X-rays and non- Ionizing electromagnetic radiation such as lasers and light cure devices can significantly increase the release of mercury from dental amalgam restorations and/or cause microleakage. CONCLUSION The results of this review show that a wide variety of physical stressors ranging from non-ionizing electromagnetic fields to ionizing radiations can significantly accelerate the release of mercury from amalgam and cause microleakage.
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Affiliation(s)
- Marzieh Keshavarz
- MSc, Department of Medical Physics and Engineering, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Jamshid Eslami
- PhD, Department of Anesthesiology, School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Razzagh Abedi-Firouzjah
- MSc, Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
| | | | - Samaneh Abbasi
- MSc Student, Department of Medical Physics and Engineering, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ghazal Mortazavi
- DDS, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Mortazavi SMJ, Dehghani Nazhvani A, Paknahad M. Synergistic Effect of Radiofrequency Electromagnetic Fields of Dental Light Cure Devices and Mobile Phones Accelerates the Microleakage of Amalgam Restorations: An in vitro Study. J Biomed Phys Eng 2019; 9:227-232. [PMID: 31214528 PMCID: PMC6538905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2016] [Accepted: 07/12/2016] [Indexed: 11/06/2022]
Abstract
BACKGROUND Previous studies have shown that exposure to electromagnetic fields produced by magnetic resonance imaging or mobile phones can lead to increased microleakage of dental amalgam. OBJECTIVE The aim of the present study was to investigate the effect of electromagnetic field of a commercial dental light cure device and a common GSM mobile phone on microleakage of amalgam restorations. MATERIALS AND METHODS Identical class V cavities were prepared on the buccal surfaces of 60 non-carious extracted human teeth. The samples were randomly divided into 4 groups of 20 samples each. The samples in the first group were not exposed to electromagnetic fields, while the second and the third groups were exposed to electromagnetic fields produced by a commercial light cure device, or mobile phone radiation (60 min), respectively. The fourth group was exposed to electromagnetic radiations emitted by both mobile phone for 60 min and light cure device. Then, teeth samples were scored for microleakage according to a standard dye penetration protocol by examination under a stereomicroscope. RESULTS The mean score of microleakage in the fourth group (light cure + mobile phone) was significantly higher than that of the control group (P =0.030). Moreover, the scores of microleakage in this group were significantly higher than that of the second group (light cure only) (P= 0.043). CONCLUSION Exposure of amalgam restorations to electromagnetic fields produced by both light cure devices and mobile phones can synergistically increase the microleakage of amalgam restorations.
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Affiliation(s)
- S M J Mortazavi
- Ionizing and Non-ionizing Radiation Protection Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
- Medical Physics and Medical Engineering Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - A Dehghani Nazhvani
- Biomaterial Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IR Iran
- Oral and Maxillofacial Pathology Department, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IR Iran
| | - M Paknahad
- Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IR Iran
- Department of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IR Iran
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Zarei S, Vahab M, Oryadi-Zanjani MM, Alighanbari N, Mortazavi SM. Mother's Exposure to Electromagnetic Fields before and during Pregnancy is Associated with Risk of Speech Problems in Offspring. J Biomed Phys Eng 2019; 9:61-68. [PMID: 30881935 PMCID: PMC6409372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 04/03/2017] [Indexed: 06/09/2023]
Abstract
BACKGROUND Rapid advances in technology, especially in the field of telecommunication, have led to extraordinary levels of mothers' exposures to radiofrequency electromagnetic fields (RF-EMFs) prior to or during pregnancy. OBJECTIVE The main goal of this study was to answer this question whether exposure of women to common sources of RF-EMFs either prior to or during pregnancy is related to speech problems in the offspring. MATERIALS AND METHODS In this study, mothers of 110 three-to-seven-year-old children with speech problems and 75 healthy children (control group) were interviewed. These mothers were asked whether they had exposure to different sources of EMFs such as mobile phones, mobile base stations, Wi-Fi, cordless phones, laptops and power lines. Chi square test was used to analyze the differences observed between the control and exposed groups. RESULTS Statistically significant associations were found between the use of cordless phone and offspring speech problems for both before pregnancy and during pregnancy maternal exposures (P=0.005 and P=0.014, respectively). However, due to high rate of mobile phone use in both groups, this study failed to show any link between mobile phone use and speech problems in offspring. Furthermore, significant associations were observed between living in the vicinity of power lines and speech problems again for both before pregnancy and during pregnancy maternal exposures (P=0.003 and P=0.002, respectively). However, exposure to other sources of non-ionizing radiation was not linked to speech problems. Moreover, exposure to ionizing radiation (e.g. radiography before and during pregnancy) was not associated with the occurrence of speech problems. CONCLUSION Although this study has some limitations, it leads us to this conclusion that higher-than-ever levels of maternal exposure to electromagnetic fields could be linked to offspring speech problems.
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Affiliation(s)
- S Zarei
- Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M Vahab
- Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
- Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
- Network of Childhood Speech and Language Disorders (NCSLD), Universal Scientific Education and Research Network (USERN), Tehran, Iran
| | - M M Oryadi-Zanjani
- Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
- Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
- Network of Childhood Speech and Language Disorders (NCSLD), Universal Scientific Education and Research Network (USERN), Tehran, Iran
| | - N Alighanbari
- Occupational Health Engineering Department, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - S Mj Mortazavi
- Medical Physics and Medical Engineering Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
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Mortazavi SMJ, Mortazavi SAR. Comment on ‘Cell phone use and ill health: is there a definite relationship?’. S Afr Fam Pract (2004) 2018. [DOI: 10.1080/20786190.2018.1432140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
| | - SAR Mortazavi
- School of Medicine, Shiraz University of Medical Sciences , Shiraz, Iran
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Mortazavi SMJ, Mortazavi G. Ex Vivo Mercury Release from Dental Amalgam. Radiology 2018; 289:273-274. [PMID: 30179106 DOI: 10.1148/radiol.2018181576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- S M J Mortazavi
- Biophotonics Laboratory, Department of Electrical Engineering, University of Wisconsin Milwaukee, 3200 N Cramer St, Milwaukee, WI 53211
| | - Ghazal Mortazavi
- Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran †
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Mortazavi SMJ. Comments on "Wi-Fi radiation exposures to children in kindergartens and schools - results should lessen parental concerns". Aust N Z J Public Health 2017; 42:112. [PMID: 29235700 DOI: 10.1111/1753-6405.12742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Annual review of selected scientific literature: Report of the committee on scientific investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2017; 118:281-346. [DOI: 10.1016/j.prosdent.2017.04.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Revised: 04/27/2017] [Accepted: 04/27/2017] [Indexed: 01/19/2023]
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Bjørklund G, Bengtsson U, Chirumbolo S, Kern JK. Concerns about environmental mercury toxicity: do we forget something else? ENVIRONMENTAL RESEARCH 2017; 152:514-516. [PMID: 27616662 DOI: 10.1016/j.envres.2016.08.038] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Revised: 08/20/2016] [Accepted: 08/24/2016] [Indexed: 05/24/2023]
Affiliation(s)
- Geir Bjørklund
- Council for Nutritional and Environmental Medicine (CONEM), Toften 24, 8610 Mo i Rana, Norway.
| | - Ulf Bengtsson
- Ret. Department of Management and Engineering, Linköping University, Linköping, Sweden
| | - Salvatore Chirumbolo
- Department of Neurological and Movement Sciences, University of Verona, Verona, Italy
| | - Janet K Kern
- Institute of Chronic Illnesses, Inc, and CoMeD, Silver Spring, MD, USA; CONEM US Autism Research Group, Allen, TX, USA
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Mortazavi S, Mortazavi S, Paknahad M. Comment on "Long-term exposure to electromagnetic radiation from mobile phones and Wi-Fi devices decreases plasma prolactin, progesterone, and estrogen levels but increases uterine oxidative stress in pregnant rats and their offspring". Endocrine 2017; 55:324-325. [PMID: 27688012 DOI: 10.1007/s12020-016-1119-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2016] [Accepted: 09/07/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Smj Mortazavi
- Professor of Medical Physics, Ionizing and Non-ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sar Mortazavi
- Medical Student, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Paknahad
- Assistant Professor of Oral and Maxillofacial Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
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