Abstract
Dental technicians are exposed to respirable particles during their everyday work. This study investigated particulate production during dental laboratory procedures. Real-time air sampling of dental laboratory production processes was carried out, including the use of a plaster hopper, trimming study models and the trimming and polishing of removable orthodontic appliances. Respirable dust volumes in mg/m3 were determined using real-time air sampler and were compared with the Workplace Exposure Limits (WELs) advised by the Control of Substances Harmful to Health regulations. The use of the plaster hopper produced the highest level of respirable dusts, which might exceed the recommended WELs for respirable dusts. Trimming study models and removable orthodontic appliances using suitable ventilation produced levels of respirable dusts, well below the WEL. Suitable ventilation adjacent to the plaster hoppers is advisable in order to reduce any inhalation risk to dental technicians.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 6 print issues and online access
$259.00 per year
only $43.17 per issue
Rent or buy this article
Get just this article for as long as you need it
$39.95
Prices may be subject to local taxes which are calculated during checkout


References
Brune D., and Beltesbrekke H. Dust in dental laboratories. Part I: types and levels in specific operations. J Prosthet Dent 1980: 43: 687–692.
Brune D., Beltesbrekke B.S., and Strand G. Dust in dental laboratories. Part II: measurement of particle size distributions. J Prosthet Dent 1980: 44: 82–87.
Centres for Disease Control and Prevention. Silicosis in dental laboratory technicians – five states. MMWR 2004: 53: 195–197.
Choudat D., Triem S., Weill B., Vicrey C., Ameille J., Brochard P., Letourneux M., and Rossignol C. Respiratory symptoms, lung function, and pneumoconiosis among self employed dental technicians. Br J Ind Med 1993: 50: 443–449.
CONCAWE. Conservation of Clean Air and Water in Europe, the health effects of PM2.5 (including ultrafine particles). Report no. 99/60, CONCAWE 1999.
De Vuyst P., Vande Weyer R., De Coster A., Marchandise F.X., Durmortier P., Ketelbant P, Jedwab J., and Yernault J.C. Dental technician's pneumoconiosis. A report of two cases. Am Rev Respir Dis 1986: 133: 316–320.
Froudarakis M.E., Voloudaki A., Bouros D., Drakonakis G., Hatzakis K., and Siafakas N.M. Pneumoconiosis among Cretan dental technicians. Respiration 1999: 66: 338–342.
Hu S.-W., Lin Y.-Y., Wu T.-C., Hong C.-C., Chan C.-C., and Lung S.-C.C. Workplace air quality and lung function among dental laboratory technicians. Am J Ind Med 2006: 49: 85–92.
Health and Safety Executive. EH40/2005 Workplace Exposure Limits. Containing the List of Workplace Exposure Limits for Use with the Control of Substances Hazardous to Health Regulations 2002 (as amended). HSE Books, Suffolk, UK, 2005.
Jacobsen N., Derand T., and Hensten-Pettersen A Profile of work-related health complaints among Swedish dental laboratory technicians. Community Dent Oral Epidemiol 1996: 24: 138–144.
Jacobsen N., and Pettersen A.H. Self-reported occupation-related health complaints among dental laboratory technicians. Quintessence 1993: 24: 409–415.
Johnston N.J., Price R., Day C.J., Sandy J.R., and Ireland A.J. Quantitative and qualitative analysis of particulate production during simulated clinical orthodontic debonds. Dent Mater 2009: 25: 1155–1162. Epub 17 May 2009.
Kim T.S., Kim H.A., Heo Y., Park Y., Park C.Y., and Roh Y.M. Level of silica in the respirable dust inhaled by dental technicians with demonstration of respirable symptoms. Ind Health 2002: 40: 260–265.
Kotloff R.M., Richman P.S., Greenacre J.K., and Rossman M.D. Chronic beryllium disease in a dental laboratory technician. Am Rev Respir Dis 1993: 147: 205–207.
Nayebzadeh A., Dufresne A., Harvie S., and Begin R. Mineralogy of lung tissue in dental laboratory technicians’ pneumoconiosis. AIHAJ 1999: 60: 349–353.
Radi S., Dalphin J.C., Manzoni P., Pernet D., Leboube M.P., and Viel J.F. Respiratory morbidity in a population of French dental technicians. Occup Environ Med 2002: 59: 398–404.
Rom W.N., Lockey J.E., Lee J.S., Kimball A.C., Bang K.M., Leaman H., Johns R.E., Perrota D., and Gibbons H.L. Pneumoconiosis and exposures of dental laboratory technicians. Am J Public Health 1984: 74: 1252–1257.
Selden A., Sahle W., Johansson L., Sorenson S., and Persson B. Three cases of dental technicians pneumoconiosis related to cobalt-chromium-molybdenum dust exposure. Chest 1996: 109: 837–842.
Selden A.I., Persson B., Bornberger-Dankvardt S.I., Winstrom L.E., and Bodin L.S. Exposure to cobalt chromium dust and lung disorders in dental technicians. Thorax 1995: 50: 769–772.
Sherson D., Maltbaek N., and Olsen O. Small opacities among dental laboratory technicians in Copenhagen. Br J Ind Med 1988: 45: 321–324.
Siltzbach L.E. The silicosis hazard in mechanical dentistry. JAMA 1939: 113: 1116–1119.
SKS. A step by step guide to air sampling. An introduction to the basics. 224-G1 Issue B August 2007.
Tuengerthal S., Kronenberger H., Meyer-Sydow J., Morgenroth H., Riemann H., and Schneider M. Radiological Findings in Chest X-Ray Examinations of Dental Technicians. Proceedings of the Sixth International Pneumoconiosis Conference 1983 ; Bochum. pp 1201–1210.
Acknowledgements
We would like to thank the Royal United Hospitals NHS Trust, Bath Research and Development Committee for their award of a small research grant that made this work possible.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Ireland, A., Wilson, A., Blythe, L. et al. Particulate production during orthodontic production laboratory procedures. J Expo Sci Environ Epidemiol 21, 536–540 (2011). https://doi.org/10.1038/jes.2011.26
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/jes.2011.26
Keywords
- particulates
- dental laboratory
- exposure limits
- respirable