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Evaluation of Exposures and Health Concerns in a Dental Clinic [2020]
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2020/11/01
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Source: Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, HHE 2019-0134-3375, 2020 Nov
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Description:Request: We received a management request for a health hazard evaluation at a dental clinic. The request stated concerns about possible exposure to mercury vapors from amalgam, a metal alloy used for dental fillings. Workplace: The dental clinic provides dental care services to patients. Services include general dentistry, family dentistry, cosmetic dentistry, restorative dentistry, full-mouth reconstruction, and oral surgery services. At the time of our survey, the clinic employed 17 staff, including three dentists, dental hygienists, dental assistants, administrative staff, and a business administrator. In June 2019, we conducted a site visit to assess possible exposures during routine dental care, assess the ventilation systems in use, and informally interview clinic staff. During our survey in June 2019, we 1) Collected full-shift time-weighted average (TWA) samples on dental clinic employees while they performed their regular job duties and analyzed for elemental mercury content. 2) Collected full-shift TWA area samples in multiple locations in the dental clinic and analyzed for respirable dust, respirable silica, respirable metals, and volatile organic compound (VOC) concentrations. Full-shift TWA areas samples for VOCs were collected with two different samplers, placed side-by-side. 3) Collected instantaneous task-based and area air samples for VOCs during various tasks and procedures. 4) Assessed the heating, ventilation, and air-conditioning (HVAC) systems in use. 5) Informally interviewed clinic staff to learn about any health concerns potentially related to exposures at work. Our Key Findings: 1) All personal air samples for elemental mercury were below the NIOSH recommended exposure limit (REL) of 50 micrograms per cubic meter of air (ug/m3). 2) All area air samples for respirable dust, respirable silica, and respirable metals were low. 3) Some VOCs were higher in some locations or during specific tasks or procedures. 4) The laboratory area was under positive pressure relative to adjacent areas and could serve as a source of air contaminants. 5) Some employees reported eye and nose symptoms that were better when away from work. Our Recommendations: Recommendation 1: Reduce risk of entrainment of air from the laboratory into adjacent spaces. Recommendation 2: Encourage employees to minimize walking through the laboratory area while grinding or sandblasting tasks are being performed. Recommendation 3: Make N95 filtering-face piece respirators available for voluntary use and train employees on proper use of respiratory protection. Recommendation 4: Encourage employees to report any new, persistent, or worsening respiratory symptoms, particularly those with a work-related pattern, to their healthcare providers and, as instructed by their employer, to a designated individual at their workplace.
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Pages in Document:69 pdf pages
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Contributor:Beaty, Michael;Boylstein, Randy;Burns, Dru A.;Edwards, Nicole;Elbon, Barbara;LeBouf, Ryan;Tift, Brian;
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NIOSHTIC Number:nn:20061787
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NTIS Accession Number:PB2022-100357
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Citation:NIOSH [2020]. Evaluation of exposures and health concerns in a dental clinic. By Blackley BH,;Fechter-Leggett ED, Fortner AR. Morgantown, WV: U.S. Department of Health and Human;Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety;and Health, Health Hazard Evaluation Report 2019-0134-3375,;
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Federal Fiscal Year:2021
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Peer Reviewed:False
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