Mercury in Dental Amalgam, Online Retail, and the Minamata Convention on Mercury

China's municipal wastewater policies enhanced seafood safety and offset health risks from atmospheric mercury emissions in the past four decades

The neurotoxin methylmercury in seafood threatens food safety worldwide. China has implemented stringent wastewater policies, established numerous treatment facilities and enforced rigorous water quality standards to address pollution in its waterways. However, the impact of these policies on seafood safety and methylmercury exposure remains unknown. Here we developed a process-based model showing that, although mercury reductions from municipal wastewater policies accounted for only 9% of atmospheric mercury emissions during 1980-2022, these measures unexpectedly prevented102,000 - 6,600 + 11,000 mercury-related deaths and counteracted nearly two thirds of potential deaths from those emissions. Furthermore, these policies ensured that146 - 9 + 8 megatonnes of freshwater seafood met the World Health Organization and China's mercury-safety standards, preventing US $ 498 - 29 + 32 billion in economic losses. Finally, we explore how China, as the primary global seafood producer and exporter, could develop municipal wastewater policies at the regional level to reduce aquatic pollutants and unlock the health benefits of seafood consumption.

Determining the Failure Rate of Direct Restorations-Chart Review versus Electronic Health Record Reports

Amalgam and composite restorations are used to treat minor dental issues. University of Michigan, School of Dentistry Electronic Health Record (EHR) reports show a 2.31% failure rate for amalgam and 1.14% for composite. Our study aims to determine the true failure rates through manual EHR chart reviews. Patient data from the University of Michigan School of Dentistry were utilized-216 amalgam restorations from 2020 to 2022 and 350 composite restorations in 2021 were searched. We defined failure and retreatment as replacing a restoration with the same material and failure and alternate treatment as replacing restoration with an alternative treatment within one year. The failure rate refers to a combination of replacement with the same and alternative treatment material within one year. For Amalgam: 1.85% failed and were retreated; 7.87% failed and were received an alternate treatment. Composite: 9.71% failed and retreated; 2.86% failed and received alternate treatment. In total anterior composite: 10.5% retreated, 2.6% failed; posterior composite: 9.1% retreated, 3.0% failed. Our study revealed higher restoration failure rates than the reports extracted in the EHR. This highlights the need to foster a culture of precise documentation to align EHR reports with hand-search findings.

Nanocellulose-stabilized nanocomposites for effective Hg(II) removal and detection: a comprehensive review

Mercury pollution, with India ranked as the world's second-largest emitter, poses a critical environmental and public health challenge and underscores the need for rigorous research and effective mitigation strategies. Nanocellulose is derived from cellulose, the most abundant natural polymer on earth, and stands out as an excellent choice for mercury ion remediation due to its remarkable adsorption capacity, which is attributed to its high specific surface area and abundant functional groups, enabling efficient Hg(II) ion removal from contaminated water sources. This review paper investigates the compelling potential of nanocellulose as a scavenging tool for Hg(II) ion contamination. The comprehensive examination encompasses the fundamental attributes of nanocellulose, its diverse fabrication techniques, and the innovative development methods of nanocellulose-based nanocomposites. The paper further delves into the mechanisms that underlie Hg removal using nanocellulose, as well as the integration of nanocellulose in Hg detection methodologies, and also acknowledges the substantial challenges that lie ahead. This review aims to pave the way for sustainable solutions in mitigating Hg contamination using nanocellulose-based nanocomposites to address the global context of this environmental concern.

Heavy Metals as Catalysts in the Evolution of Antimicrobial Resistance and the Mechanisms Underpinning Co-selection

The menace caused by antibiotic resistance in bacteria is acknowledged on a global scale. Concerns over the same are increasing because of the selection pressure exerted by a huge number of different antimicrobial agents, including heavy metals. Heavy metals are non-metabolizable and recalcitrant to degradation, therefore the bacteria can expel the pollutants out of the system and make it less harmful via different mechanisms. The selection of antibiotic-resistant bacteria may be influenced by heavy metals present in environmental reservoirs. Through co-resistance and cross-resistance processes, the presence of heavy metals in the environment can act as co-selecting agents, hence increasing resistance to both heavy metals and antibiotics. The horizontal gene transfer or mutation assists in the selection of mutant bacteria resistant to the polluted environment. Hence, bioremediation and biodegradation are sustainable methods for the natural clean-up of pollutants. This review sheds light on the occurrence of metal and antibiotic resistance in the environment via the co-resistance and cross-resistance mechanisms underpinning co-selection emphasizing the dearth of studies that specifically examine the method of co-selection in clinical settings. Furthermore, it is advised that future research incorporate both culture- and molecular-based methodologies to further our comprehension of the mechanisms underlying bacterial co- and cross-resistance to antibiotics and heavy metals.

Experimental characterization and finite element investigation of SiO2 nanoparticles reinforced dental resin composite

In this study, a commercial dental resin was reinforced by SiO2 nanoparticles (NPs) with different concentrations to enhance its mechanical functionality. The material characterization and finite element analysis (FEA) have been performed to evaluate the mechanical properties. Wedge indentation and 3-point bending tests were conducted to assess the mechanical behavior of the prepared nanocomposites. The results revealed that the optimal content of NPs was achieved at 1% SiO2, resulting in a 35% increase in the indentation reaction force. Therefore, the sample containing 1% SiO2 NPs was considered for further tests. The morphology of selected sample was examined using field emission scanning electron microscopy (FE-SEM), revealing the homogeneous dispersion of SiO2 NPs with minimal agglomeration. X-ray diffraction (XRD) was employed to investigate the crystalline structure of the selected sample, indicating no change in the dental resin state upon adding SiO2 NPs. In the second part of the study, a novel approach called iterative FEA, supported by the experiment wedge indentation test, was used to determine the mechanical properties of the 1% SiO2-dental resin. Subsequently, the accurately determined material properties were assigned to a dental crown model to virtually investigate its behavior under oblique loading. The virtual test results demonstrated that most microcracks initiated from the top of the crown and extended through its thickness.

Scoping review on the association between early childhood caries and responsible resource consumption and production: exploring Sustainable Development Goal 12

BACKGROUND

The Sustainable Development Goal 12 (SDG12) promotes patterns that minimize waste and maximize resource utilization. It is therefore plausible that preventing Early Childhood Caries (ECC) and promoting oral health can contribute to sustainable consumption. In addition, sustainable consumption and production can contribute to the control of ECC. This scoping review aimed to explore the possible evidence on the link between ECC and the SDG12 targets.

METHODS

This scoping review identified articles on the link between resource consumption and production and caries according to the PRISMA-ScR guidelines. Three electronic databases (PubMed, Web of Science, and Scopus) were systematically searched in August 2023, using specific search terms. Studies written in English, with full text available, addressing dental caries and linked with waste minimization and resource utilization maximisation, with results that could be extrapolated to ECC in children less than 6 years of age) were included. Descriptive statistics were planned to summarize the categories of retrieved papers.

RESULTS

The initial search yielded 904 articles, with 863 screened for eligibility after the removal of duplicates. No studies were identified that reported data on an association between responsible consumption and production of resources factors and ECC.

CONCLUSION

This scoping review did not identify any articles published in English on evidence of the direct associations between ECC and SDG12 targets. However, there is a plausibility of such a link using minimum intervention dentistry for ECC management as a waste prevention and resource utilisation maximization strategy.

Edge-Enriched Molybdenum Disulfide Ultrathin Nanosheets with a Widened Interlayer Spacing for Highly Efficient Gaseous Elemental Mercury Capture

Transition metal sulfides have exhibited remarkable advantages in gaseous elemental mercury (Hg⁰) capture under high SO₂ atmosphere, whereas the weak thermal stability significantly inhibits their practical application. Herein, a novel N,N-dimethylformamide (DMF) insertion strategy via crystal growth engineering was developed to successfully enhance the Hg⁰ capture ability of MoS₂ at an elevated temperature for the first time. The DMF-inserted MoS₂ possesses an edge-enriched structure and an expanded interlayer spacing (9.8 Å) and can maintain structural stability at a temperature as high as 272 °C. The saturated Hg⁰ adsorption capacities of the DMF-inserted MoS₂ were measured to be 46.91 mg·g^-1 at 80 °C and 27.40 mg·g^-1 at 160 °C under high SO₂ atmosphere. The inserted DMF molecules chemically bond with MoS₂, which prevents possible structural collapse at a high temperature. The strong interaction of DMF with MoS₂ nanosheets facilitates the growth of abundant defects and edge sites and enhances the formation of Mo⁵⁺/Mo⁶⁺ and S₂^2- species, thereby improving the Hg⁰ capture activity at a wide temperature range. Particularly, Mo atoms on the (100) plane represent the strongest active sites for Hg⁰ oxidation and adsorption. The molecule insertion strategy developed in this work provides new insights into the engineering of advanced environmental materials.

Five-Year Clinical Performance of Complex Class II Resin Composite and Amalgam Restorations-A Retrospective Study

The aim of this retrospective study was to investigate the clinical performance of posterior complex resin composite (RC) and amalgam (AM) restorations after a five-year period. One hundred and nineteen complex Class II restorations placed by dental students were evaluated using the USPHS criteria. Data were analyzed using Chi-square, Mann-Whitney, and Wilcoxon tests at a 0.05 level of significance. After five years, the percentages of clinically satisfactory complex Class II RC and AM restorations were 78% and 76.8%, respectively. The main reasons for the failure of AM restorations included secondary caries (Bravo-10.1%), defective marginal adaptation (Charlie-8.7%), and fracture of the tooth (Bravo-7.2%). RC restorations presented failures related to the fracture of the restoration (Bravo-16%) and defective marginal adaptation (Charlie-8.2%). There was a significantly higher incidence of secondary caries for AM restorations (AM-10.1%; RC-0%; p = 0.0415) and a higher number of fractures for RC restorations (AM-4.3%; RC-16%; p = 0.05). Regarding anatomy, AM restorations presented a significantly higher number of Alfa scores (49.3%) compared to RC restorations (22.4%) (p = 0.0005). The results of the current study indicate that complex class II RC and AM restorations show a similar five year clinical performance.

Two Birds with One Stone: Copper-Based Adsorbents Used for Photocatalytic Oxidation of Hg0 (Gas) after Removal of PH3

Cu_X/TiO₂ adsorbents with CuO as the active component were prepared via a simple impregnation method for efficient purification of phosphine (PH₃) under the conditions of low temperatures (90 °C) and low oxygen concentration (1%). The PH₃ breakthrough capacity of optimal adsorbent (Cu₃₀/TiO₂) is 136.2 mg(PH₃)·g_sorbent^-1, and the excellent dephosphorization performance is mainly attributed to its abundant sur face-active oxygen and alkaline sites, large specific surface area, and strong interaction between CuO and the support TiO₂. Surprisingly, CuO is converted to Cu₃P after the dephosphorization by Cu_X/TiO₂. Since Cu₃P is a P-type semiconductor with high added value, the deactivated adsorbent (Cu₃P/TiO₂) is an efficient heterostructure photocatalyst for photocatalytic removal of Hg⁰ (gas) with the Hg⁰ removal performance of 92.64% under visible light. This study provides a feasible strategy for the efficient removal and resource conversion of PH₃ under low-temperature conditions and the alleviation of the environmental risk of secondary pollution.

Controllable Disordered Copper Sulfide with a Sulfur-Rich Interface for High-Performance Gaseous Elemental Mercury Capture

Copper sulfide (CuS) has received increasing attention as a promising material in gaseous elemental mercury (Hg⁰) capture, yet how to enhance its activity at elevated temperature remains a great challenge for practical application. Herein, simultaneous improvement in the activity and thermal stability of CuS toward Hg⁰ capture was successfully achieved for the first time by controlling the crystal growth. CuS with a moderate crystallinity degree of 68.8% showed a disordered structure yet high thermal stability up to 180 °C. Such disordered CuS can maintain its Hg⁰ capture activity stable during longtime test at a wide temperature range from 60 to 180 °C and displayed strong resistance to SO₂ (6%) and H₂O (8%). The significant improvement can be attributed to the synergistic effect of a moderately crystalline nature and a unique sulfur-rich interface. Moderate crystallinity guarantees the thermal stability of CuS and the presence of abundant defects, in which copper vacancy enhances significantly the Hg⁰ capture activity. The sulfur-rich interface enables CuS to provide plentiful highly active S_x^2- sites for Hg⁰ adsorption. The interrelation between structure, reactivity, and thermal stability clarified in this work broadens the understanding toward Hg⁰ oxidation and adsorption over CuS and provides new insights into the rational design and engineering of advanced environmental materials.

Mercury removal using various modified V/Ti-based SCR catalysts: A review

Growing levels of mercury pollution has made countries urgently need a suitable mercury treatment technology. Among various technologies, heterogeneous oxidative mercury removal via different modified V/Ti-based SCR catalysts is considered as a promising approach due to excellent economic value and removal efficiency. Although various related modification experiments have been worked in recent years, the research on the performance, including activity and resistance, and mechanism of catalysts still needs to be improved, so it is necessary to summarize these experiments to guide further work. This article will review many modifications start from the V/Ti catalyst. Not only the performance of these catalysts, but also a lot of speculation about the mercury removal mechanism are include in our research. In addition, the characteristics of some modified catalysts have been linked with their oxidation mechanism and structural changes by comparing many studies, and finally attributed to some special properties of the corresponding modifiers. We expect this study will clarify the research progress of modified V/Ti-based SCR catalysts in mercury removal, and guide future modification so that some properties of the catalyst can be improved in a targeted manner.

Blood and Urinary Biomarkers of Antipsychotic-Induced Metabolic Syndrome

Metabolic syndrome (MetS) is a clustering of at least three of the following five medical conditions: abdominal obesity, high blood pressure, high blood sugar, high serum triglycerides, and low serum high-density lipoprotein (HDL). Antipsychotic (AP)-induced MetS (AIMetS) is the most common adverse drug reaction (ADR) of psychiatric pharmacotherapy. Herein, we review the results of studies of blood (serum and plasma) and urinary biomarkers as predictors of AIMetS in patients with schizophrenia (Sch). We reviewed 1440 studies examining 38 blood and 19 urinary metabolic biomarkers, including urinary indicators involved in the development of AIMetS. Among the results, only positive associations were revealed. However, at present, it should be recognized that there is no consensus on the role of any particular urinary biomarker of AIMetS. Evaluation of urinary biomarkers of the development of MetS and AIMetS, as one of the most common concomitant pathological conditions in the treatment of patients with psychiatric disorders, may provide a key to the development of strategies for personalized prevention and treatment of the condition, which is considered a complication of AP therapy for Sch in clinical practice.

Complete catalytic reaction of mercury oxidation on CeO2/TiO2 (001) surface: A DFT study

CeO₂/TiO₂ catalyst is a promising material for realizing the integration of denitrification and mercury removal to reduce mercury emissions. Oxidation mechanism of Hg⁰ on CeO₂/TiO₂ (001) surface in the presence of HCl and O₂ was studied by density functional theory (DFT). The results indicated that Hg⁰ was physically adsorbed on CeO₂/TiO₂ (001) surface. As an important intermediate, HgCl was adsorbed on the surface of CeO₂/TiO₂ (001) utilizing enhanced chemisorption, while the adsorption energy of HgCl₂ was only -57.05 kJ/mol. In the absence of HCl, mercury oxidation followed the Mars-Maessen mechanism with a relatively high energy barrier, and the product (HgO) was difficult to desorb, which hindered the reaction process. When HCl existed, reactive chlorine (Cl*) would be produced by the dissociation of HCl, and the mercury oxidation would follow the Langmuir-Hinshelwood mechanism. The co-existence of HCl and O₂ had no significant effect on the adsorption of Hg⁰, but reduced the reaction energy barrier and the final product (HgCl₂) was more easily desorbed from the catalyst surface. In addition, two complete cyclic reaction pathways for catalytic oxidation of Hg⁰ on CeO₂/TiO₂ (001) surface were constructed to clarify the detailed reaction process.

Influence of thermal and thermomechanical stimuli on a molar tooth treated with resin-based restorative dental composites

OBJECTIVES

In-vivo experimental techniques to understand the biomechanical behavior of a restored tooth, under varying oral conditions, is very limited because of the invasive nature of the study and complex tooth geometry structure. Therefore, 3D-Finite element analyses are used to understand the behavior of a restored tooth under varying oral conditions. In this study, the distribution of maximum principal stress (MaxPS) and the location of MaxPS on a restored tooth using six different commercially available dental resin composites under the influence of thermal and thermomechanical stimuli are performed.

METHODS

An intact tooth was scanned using µ-CT and segmented to obtain separate geometric models of the tooth, including enamel and dentine. Then, a class II mesial-occlusal-distal (MOD) cavity was constructed for the tooth model. The restored tooth model was further meshed and imported to the commercial Finite Element (FE) software ANSYS. Thermal hot and cold stimuli at 50 °C and 2 °C, respectively, were applied on the occlusal and lingual surface of the tooth model with the tooth's ambient temperature set at 37 °C. A uniform loading of 400 N was applied on the occlusal surface of the tooth to imitate the masticatory forces during the cyclic thermal stimuli.

RESULTS

The results of this study showed that the restorative materials with higher thermal conductivity showed a lower temperature gradient between the restoration and enamel, during the application of thermal stimuli, leading to a higher value of MaxPS on the restoration. Moreover, on applying thermal stimuli, the location of MaxPS at the restoration-enamel junction (REJ) changes based on the value of the coefficient of thermal expansion (CTE). The MaxPS distribution on the application of simultaneous thermal and mechanical stimuli was not only dependent on the elastic modulus of restorative materials but also their thermal properties such as the CTE and thermal conductivity. The weakest part of the restoration was at the REJ, as it experienced the peak stress level during the application of thermomechanical stimuli.

SIGNIFICANCE

The findings from this study suggest that restorative materials with lower values of elastic modulus, lower coefficient of thermal expansion and higher values of thermal conductivity result in lower stresses on the restoration. The outcomes from this study also suggest that the thermal and mechanical properties of a restorative material can have a considerable effect on the selection of restorative materials by dental clinicians over conventional restorative materials.

Mercury biomonitoring in German adults using volumetric absorptive microsampling

Mercury (Hg) is a global pollutant and a danger to human health. Human biomonitoring of Hg using a dried blood matrix instead of venous blood sampling for exposure assessment is of growing interest. This study aims to develop, validate, and evaluate the application of volumetric absorptive microsampling (VAMS) for Hg biomonitoring in humans. Sampling, drying, and storage conditions were evaluated during method development. Storage in pre-cleaned glass vials after drying for 2 h in a desiccator ensured analyte stability for at least 4 weeks. Sixty-eight paired capillary VAMS and venous blood samples from volunteers in Munich, Germany, were used for method validation. Hg levels in VAMS and venous blood samples were determined by direct mercury analysis. The limits of detection and quantitation for VAMS were 0.18 and 0.61 µg/l, respectively. However, sensitivity could be improved by using two microsamples for analysis instead of one. Hg levels in VAMS samples correlated very well with Hg levels in venous blood samples (R² = 0.958). Furthermore, VAMS showed a high accuracy (median recovery: 117%) and precision (median relative standard deviation: 8.7%), especially for Hg concentrations above 1.0 µg/l. In fact, accuracy and precision of VAMS improved with increasing Hg concentrations. In conclusion, VAMS in combination with direct mercury analysis is an accurate and viable alternative for human biomonitoring of Hg.

Mercury/oxygen reaction mechanism over CuFe2O4 catalyst

CuFe₂O₄ is regarded as a promising candidate of catalyst for Hg⁰ oxidation in industrial flue gas. However, the microcosmic reaction mechanism governing mercury oxidation on CuFe₂O₄ remains elusive. Herein, experiments and quantum chemistry calculations were conducted for understanding the chemical reaction mechanism of oxygen-assisted mercury oxidation on CuFe₂O₄. CuFe₂O₄ shows the optimal catalytic activity towards mercury oxidation at 150 ºC. The reactivity difference of different lattice oxygen species is associated with its atomic coordination environment. The lattice oxygen coordinating with two octahedral Cu atoms and a tetrahedral Fe atom shows higher catalytic activity towards mercury oxidation than other lattice oxygen atoms. The inverse spinel structure of CuFe₂O₄ is favorable for O₂ activation due to the Jahn-Teller effect, thereby promoting mercury oxidation. O₂ molecule preferably adsorbs on iron active site and dissociates into active oxygen species. Hg⁰ oxidation is a three-step reaction process: Hg⁰ adsorption, Hg(ads) → HgO(ads), and HgO desorption. The energy barrier of mercury oxidation by chemisorbed oxygen is lower than that of mercury oxidation by lattice oxygen. The chemisorbed oxygen preserves higher reactivity towards mercury oxidation than lattice oxygen. Hg(ads) → HgO(ads) is the rate-determining step of mercury oxidation by chemisorbed oxygen because of the higher energy barrier of 116.94 kJ/mol. This work could provide the theoretical guidance for the diversified structure design of highly-efficient catalysts used for elemental mercury oxidation.

Effective Decontamination and Remediation After Elemental Mercury Exposure: A Case Report in the United States

Elemental mercury exposure can result in significant toxicity. Source decontamination and remediation are often required after larger elemental mercury exposures, but the details of these processes are infrequently reported. In the case described herein, a 64-year-old woman and her husband were exposed to elemental mercury in their home after the husband purchased it online for the purpose of recreational barometer calibration. After the mercury reportedly spilled during the calibration process, a vacuum cleaner was used to decontaminate the affected surface; this led to extensive mercury contamination of the home. The couple was relocated from the home while remediation occurred over the course of several weeks. Vacuum cleaning of an elemental mercury spill can lead to extensive volatilization and recirculation of mercury vapor. For smaller mercury spills, careful removal of visible mercury beads by using an eyedropper, cardboard, and masking tape is recommended. Larger spills require professional decontamination and remediation and may necessitate involvement of governmental resources. Vacuum cleaning should not be used as an initial method of decontamination after elemental mercury exposure. Careful attention to source decontamination can reduce the emotional and financial costs associated with extensive remediation after elemental mercury exposure.

Strategies toward development of antimicrobial biomaterials for dental healthcare applications

Several approaches for elimination of oral pathogens are being explored at the present time since oral diseases remain prevalent affecting approximately 3.5 billion people worldwide. Need for antimicrobial biomaterials in dental healthcare include but is not restricted to designing resin composites and adhesives for prevention of dental caries. Constant efforts are also being made to develop antimicrobial strategies for clearance of endodontic space prior root canal treatment and for treatment of periimplantitis and periodontitis. This article discusses various conventional and nanotechnology-based strategies to achieve antimicrobial efficacy in dental biomaterials. Recent developments in the design and synthesis of antimicrobial peptides and antifouling zwitterionic polymers to effectively lessen the risks of antimicrobial drug resistance are also outlined in this review. Further, the role of contemporary strategies such as use of smart biomaterials, ionic solvent-based biomaterials and quorum quenchers incorporated biomaterials in the elimination of dental pathogens are described in detail. Lastly, we mentioned the approach of using polymers to print custom-made three-dimensional antibacterial dental products via additive manufacturing technologies. This review provides a critical perspective on the chemical, biomimetic, and engineering strategies intended for developing antimicrobial biomaterials that have the potential to substantially improve the dental health.