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Dental chair a possible source of neurotoxic mercury waste

March 27, 2008

Mercury is a large component of dental fillings, but it is not believed to pose immediate health risks in that form. When exposed to sulfate-reducing bacteria, however, mercury undergoes a chemical change and becomes methylated, making it a potent, ingestible neurotoxin.

While the major source of neurotoxic mercury comes from coal-fired electric power plants, researchers at the University of Illinois at Chicago and at Urbana-Champaign say mercury entering drain water from dental clinics and offices is also a source.

"We found the highest levels of methyl mercury ever reported in any environmental water sample," said Karl Rockne, associate professor of environmental engineering at UIC and corresponding author of the study that appeared online March 12 in the journal Environmental Science and Technology.

Working with James Drummond, UIC professor of restorative dentistry, Rockne gathered waste water samples in collection tanks generated from both a single-chair dentist's office and a 12-chair dental clinic to check for methyl mercury.

Water collected was allowed to settle. Clear layers above the settled particles were then analyzed for presence of methyl mercury. Fine, slow-settling particles of mercury get into the waste water mostly after dentists use high-speed drills to remove old amalgam fillings. The numerous fine particles the drilling produces provide an ample source of exposed mercury surfaces, making them prime targets for sulfur-reducing bacteria that commonly live in anaerobic conditions and are known to methylate mercury.

"It appears to be produced partially, if not fully in the waste water, and it's being produced very rapidly," said Rockne, adding that it was significant this was happening before the particles were getting into sewers, where sulfur-reducing bacteria thrive.

The finding raised the question whether the culprit bacteria were living in the mouths of dental patients. "We don't have the answer," Rockne said.

Based on their sample studies, the researchers estimate that 2-5 kilograms, or up to 11 pounds, of methyl mercury could be entering the public water supply of the United States each year from dental waste water. While this may not seem like much, methyl mercury is highly toxic in minute amounts.

When in waterways, methyl mercury tends to get biomagnified up the food chain, moving from algae and phytoplankton to fish and, ultimately, to humans.

While surprised by the level of contaminants found in the study, Rockne says follow-up research is necessary -- then, possibly, some basic engineering.

"Amalgam separators are a good first step, but maybe something else is necessary downstream to prevent further methylation and prevent further soluble mercury from getting through the system," he said.

"We have to take more steps to prevent the problem from occurring in the first place," he said. "We're dealing with a pipe -- a control point. As an engineer, I see this as a problem that is tractable -- something we can definitely do something about."

University of Illinois at Chicago