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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Main Authors: Mahsa Eshrati, Fatemeh Momeniha, Nafiseh Momeni, Elham Ahmadi, Atieh Hashemian, Homa Kashani, Mojgan Alaeddini
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-11-01
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
description 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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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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