Abstract
Purpose
The aim of the study was to evaluate the health status and to assess the risk of adverse health effects among dental professionals occupationally exposed to formaldehyde in dental materials.
Methods
A questionnaire survey was carried out with 78 participants: 30 occupationally exposed to formaldehyde as dental professionals and 48 non-exposed healthy referents. All participants were clinically examined, including a review of the participant’s medical history. Skin patch testing with formaldehyde and glutaraldehyde was performed.
Results
A significantly increased incidence and relative risk of manifestation of subjective symptoms from the upper respiratory tract, respiratory system and the skin were established in the group of occupationally exposed dental professionals. No significantly increased incidence of suppressed resistance to upper respiratory tract infectious diseases as a possible immunotoxic effect of formaldehyde was established by studying occupational exposure. Occupationally induced contact allergy to formaldehyde was found to have a significantly higher incidence and relative risk among dental professionals. A significantly higher prevalence of sensitization among women was observed.
Conclusions
The study documented well the irritant and skin-sensitizing effect of formaldehyde in materials used in dental practice; the results suggest a stronger skin-sensitizing potential of formaldehyde compared with glutaraldehyde.
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References
Aalto-Korte K., Kuuliala O., Suuronen K., Alanko K., Occupational contact allergy to formaldehyde and formaldehyde releasers. Contact Dermatitis, 2008, 5, 280–289
Bostrom C.E., Almen J, Steen B, Westerholm R., Human exposure to urban air pollution. Environ Health Perspect, 1994, 102, 39–47
White J.M.L., White I.R., de Groot A.C., Cosmetics and Skin Care Products. Contact Dermatitis, 2011, 6, 591–605
Wilhelmsson B., Holmström M., Possible mechanisms of formaldehyde-induced discomfort in the upper airways. Scand J Work Environ Health, 1992, 18, 403–407
el Sayed F., Seite-Bellezza D., Sans B., Bayle-Lebey P., Marguery M.C., Bazex J., Contact urticaria from formaldehyde in a root-canal dental paste. Contact Dermatitis, 1995, 33(5), 353
Fehr B., Huwyler T., Wüthrich B., Formaldehyde and paraformaldehyde allergy. Allergic reactions to formaldehyde and paraformaldehyde after tooth root treatments. Schweiz Monatsschr Zahnmed, 1992, 1, 94–97
Gawkrodger D.J., Investigation of reactions to dental materials. Br J Dermatol, 2005, 3, 479–485
Hauman C.H.J., Love R.M., Biocompatibility of dental materials used in contemporary endodontic therapy: a review. Part 2, Root-canal-filling materials. International Endodontic Journal, 2003, 36, 147–160
Cohen B.I., Pagnillo M.K., Musikant B.L., Dentsch A.S., Evaluation of the release of formaldehyde for three endodontic filling materials. Oral Health, 1998, 88, 37–39
Koch P., Occupational contact dermatitis from colophony and formaldehyde in banknote paper. Contact Dermatitis, 1995, 32, 371–37
Bernstein R.S., Stayner L.T., Elliott L.J., Kimbrough R., Falk H., Blade L., Inhalation exposure to formaldehyde: an overview of its toxicology, epidemiology, monitoring, and control. Am Ind Hyg Assoc J, 1984, 45(11), 778–785
Hazardous Substances Data Bank, HSDB, National Library of Medicine, 2009, http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?HSDB and search on CAS number
World Health Organization: International Agency for Research on Cancer Monographs on the Carcinogenic Risks to Humans, Formaldehyde, 2-Butoxyethanol and 1-tert-Butoxypropan-2-ol. Lyon, France: IARC, Vol. 88, 2006
Nosko M., Petrova E., Lyapina M., Madjunov N., Panev T., Dragova B., et al, Occupational risk in formaldehyde exposure. Probl Hyg, 2000, 1, 16–21 (in Bulgarian)
Nosko M., Petrova E., Lyapina M., Dragova B., Boev M., Pomakov J., et al, Toxic effects of formaldehyde on occupationally exposed. Hygiene and Public Health, 2001, 2–3, 40–44 (in Bulgarian)
Doty R.L., Cometto-Muňiz J.E., Jalowayski, A.A., Dalton P., Kendal-Reed M., Hodgson M., Assessment of upper respiratory tract and ocular irritative effects of volatile chemicals in humans. Crit Rev Toxicol, 2004, 34, 85–142
Lang I., Bruckner T., Triebig G., Formaldehyde and chemosensory irritation in humans: A controlled human exposure study. Regul Toxicol Pharmacol, 2008, 50, 23–36
Liu K.S., Huang F.Y., Hayward S.B., Wesolowski J.J., Sexton K., Irritant effects of formaldehyde exposure in mobile homes. Environ Health Perspect, 1991, 94, 91–94
Takahashi S., Tsuji K., Fujii K., Okazaki F., Takigawa T., Ohtsuka A., et al, Prospective study of clinical symptoms and skin test reactions in medical students exposed to formaldehyde gas. J Dermatol, 2007, 5, 283–289
Takigawa T., Usami M., Yamasaki Y., Wang B., Sakano N., Horike T., et al, Reduction of indoor formaldehyde concentrations and subjective symptoms in a gross anatomy laboratory. Bull Environ Contam Toxicol, 2005, 74, 1027–1033
De Groot A.C., Le Coz C.J., Lensen G.J., Flyvholm M.A., Maibach H.I., Coenraads P.J., Formaldehydereleasers: relationship to formaldehyde contact allergy. Part 2. Formaldehyde-releasers in clothes: durable press chemical finishes. Contact Dermatitis, 2010, 1, 1–9
Flyvholm M.A., Contact allergens in registered chemical products. Contact Dermatitis, 1991, 25, 49–56
Kiec-Swierczynska M. Occupational allergic contact dermatitis in Lodz: 1990–1994. Occup Med, 1996, 48, 205–208
Maibach H., Formaldehyde: effects on animal and human skin, In: Gibson J.E. (Eds.), Formaldehyde toxicity, Washington DC, Hemisphere Publishing Corporation, 1983
Rastogi S.C., A survey of formaldehyde in shampoos and skin creams on the Danish market. Contact Dermatitis, 1992, 27, 235–240
Reich H.C., Warshaw E.M., Allergic contact dermatitis from formaldehyde textile resins. Dermatitis, 2010, 2, 65–76
Pratt M.D., Belsito D.V., DeLeo V.A., Fowler J.F. Jr., Fransway A.F., Maibach H.I., et al, North American Contact Dermatitis Group patch test results, 2001–2002 study period. Dermatitis, 2004, 15(4), 176–183
Krzyzanowski M., Quackenboss J.J., Lebowitz M.D., Chronic respiratory effects of indoor formaldehyde exposure. Environ Res, 1990, 52, 117–125
Lyapina M., Zhelezova G., Petrova E., Boev M., Flow cytometric determination of neutrophil respiratory burst activity in workers exposed to formaldehyde. Intern Arch Occup Environ Health, 2004, 5, 335–340
Casset A., Purohit, A., Marchand, C., Le Calvé S., Donnay C., Uring-Lambert B., et al, The bronchial response to inhaled formaldehyde. Rev Mal Respir 2006, 23(1 Suppl), 3S25–3S34
CDC Final Report on Formaldehyde Levels in FEMA-Supplied Travel Trailers, Park Models and Mobile Homes. Centers for Disease Control and Prevention, 2008, http://www.cdc.gov/nceh/ehhe/trailerstudy/pdfs/FEMAFinalReport.pdf.
Delfino R., Epidemiologic evidence for asthma and exposure to air toxics: linkages between occupational, indoor, and community air pollution research. Environ Health Perspect, 2002, 110Suppl 4, 573–589
Salthammer T., Mentese S., Marutzky R., Formaldehyde in the Indoor Environment. Chem Rev, 2010, 4, 2536–2572
Andersen I., Mølhave L., Controlled human studies with formaldehyde, In: Gibson J.E. (Eds.), Formaldehyde toxicity, Washington DC, Hemisphere Publishing Corporation, 1983
Holmström M., Wilhelmsson B., Respiratory symptoms and pathophysiological effects of occupational exposure to formaldehyde and wood dust. Scand J Work Environ Health, 1988, 14, 306–311
Ballarin C., Sarto F., Giacomelli L., Bartolucci G.B., Clonfero E., Micronucleated cells in nasal mucosa of formaldehyde-exposed workers. Mutat Res, 1992, 280(1), 1–7
Boysen M., Zadig E., Digernes V., Abeler V., Reith A., Nasal mucosa in workers exposed to formaldehyde: a pilot study. Br J Ind Med, 1990, 47, 116–121
Ravis S.M., Shaffer M.P., Shaffer C.L., Glutaraldehyde-induced and formaldehyde-induced allergic contact dermatitis among dental hygienists and assistants. JADA, 2003, 134, 1072–1078
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Lyapina, M., Krasteva, A., Dencheva, M. et al. Health risk assessment of exposure to formaldehyde in dental materials. cent.eur.j.med 9, 332–338 (2014). https://doi.org/10.2478/s11536-013-0264-4
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DOI: https://doi.org/10.2478/s11536-013-0264-4