Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran
Objectives: Dental clinics are one of the major producers of mercury-containing waste due to the use of dental amalgam. The atmospheric transport and persistence of mercury and its compounds in the environment, coupled with their high potential for bioaccumulation and detrimental effects on human...
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Tehran University of Medical Sciences
2024-11-01
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Series: | Frontiers in Dentistry |
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Online Access: | https://fid.tums.ac.ir/index.php/fid/article/view/5317 |
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author | Mahsa Eshrati Fatemeh Momeniha Nafiseh Momeni Elham Ahmadi Atieh Hashemian Homa Kashani Mojgan Alaeddini |
author_facet | Mahsa Eshrati Fatemeh Momeniha Nafiseh Momeni Elham Ahmadi Atieh Hashemian Homa Kashani Mojgan Alaeddini |
author_sort | Mahsa Eshrati |
collection | DOAJ |
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Objectives: Dental clinics are one of the major producers of mercury-containing waste due to the use of dental amalgam. The atmospheric transport and persistence of mercury and its compounds in the environment, coupled with their high potential for bioaccumulation and detrimental effects on human health and ecosystems, underscore the necessity for effective management of mercury waste. Due to the lack of comprehensive and integrated guidelines for the effective management of dental amalgam waste in Iran, the objective of this study was to adapt a guideline for the management of amalgam waste in dental settings within the country.
Materials and Methods: The method used was based on the adaptation principles presented by the Ministry of Health and Medical Education, and included searching and reviewing guidelines related to the management of amalgam waste in developed countries, extracting recommendations, revising the recommendations considering the local infra-structures and conditions, and receiving expert opinions and reaching consensus according to the RAND/UCLA Appropriateness Method.
Results: The final guideline includes 34 recommendations in 5 areas: manage-ment of the amalgam scraps, considerations for dental equipment, management of the extracted teeth containing amalgam restorations, management of the amalgam capsules, and considerations for placement and replacement of the amalgam restorations.
Conclusion: The use of this guideline in medical universities, public and private dental clinics, along with the supervisory role of the Ministry of Health and Medical Education, can be a way to minimize the environmental hazards of mercury.
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format | Article |
id | doaj-art-29374e326a4a40c688d030440c3885e5 |
institution | Kabale University |
issn | 2676-296X |
language | English |
publishDate | 2024-11-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Frontiers in Dentistry |
spelling | doaj-art-29374e326a4a40c688d030440c3885e52025-01-06T08:37:51ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2024-11-012110.18502/fid.v21i44.17053Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in IranMahsa Eshrati0Fatemeh Momeniha1Nafiseh Momeni2Elham Ahmadi3Atieh Hashemian4Homa Kashani5Mojgan Alaeddini6Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran2. Center for Solid Waste Research, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran 3. Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran4. Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran 5. Department of Operative Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran4. Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran 6. Department of Dental Biomaterials, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranDepartment of Research Methodology and Data Analysis, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, IranDental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran Objectives: Dental clinics are one of the major producers of mercury-containing waste due to the use of dental amalgam. The atmospheric transport and persistence of mercury and its compounds in the environment, coupled with their high potential for bioaccumulation and detrimental effects on human health and ecosystems, underscore the necessity for effective management of mercury waste. Due to the lack of comprehensive and integrated guidelines for the effective management of dental amalgam waste in Iran, the objective of this study was to adapt a guideline for the management of amalgam waste in dental settings within the country. Materials and Methods: The method used was based on the adaptation principles presented by the Ministry of Health and Medical Education, and included searching and reviewing guidelines related to the management of amalgam waste in developed countries, extracting recommendations, revising the recommendations considering the local infra-structures and conditions, and receiving expert opinions and reaching consensus according to the RAND/UCLA Appropriateness Method. Results: The final guideline includes 34 recommendations in 5 areas: manage-ment of the amalgam scraps, considerations for dental equipment, management of the extracted teeth containing amalgam restorations, management of the amalgam capsules, and considerations for placement and replacement of the amalgam restorations. Conclusion: The use of this guideline in medical universities, public and private dental clinics, along with the supervisory role of the Ministry of Health and Medical Education, can be a way to minimize the environmental hazards of mercury. https://fid.tums.ac.ir/index.php/fid/article/view/5317Dental AmalgamDental WastePractice Guideline |
spellingShingle | Mahsa Eshrati Fatemeh Momeniha Nafiseh Momeni Elham Ahmadi Atieh Hashemian Homa Kashani Mojgan Alaeddini Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran Frontiers in Dentistry Dental Amalgam Dental Waste Practice Guideline |
title | Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran |
title_full | Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran |
title_fullStr | Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran |
title_full_unstemmed | Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran |
title_short | Clinical Guide Adaptation for Amalgam Waste Management in Dental Settings in Iran |
title_sort | clinical guide adaptation for amalgam waste management in dental settings in iran |
topic | Dental Amalgam Dental Waste Practice Guideline |
url | https://fid.tums.ac.ir/index.php/fid/article/view/5317 |
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