Evidence map›Paper›PMID 22041415›Full record

ArticleJournal of the American Dental Association (1939)2011

Prenatal exposure to dental amalgam: evidence from the Seychelles Child Development Study main cohort.

Gene E Watson, Miranda Lynch, Gary J Myers, Conrad F Shamlaye, Sally W Thurston, Grazyna Zareba, Thomas W Clarkson, Philip W Davidson

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. A Meta-Analysis of Stressors from the Total Environment Associated with Children's General Cognitive Ability.International journal of environmental research and public health · 2020
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Dental associations with blood mercury in pregnant women.Community dentistry and oral epidemiology · 2016
    Article
  10. Article
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Gene E WatsonEastman Institute for Oral Health, Department of Environmental Medicine, and Department of Pharmacology and Physiology, School of Medicine and Dentistry, University of Rochester, N.Y., USA. gene_watson@urmc.rochester.edu
Miranda Lynch
Gary J Myers
Conrad F Shamlaye
Sally W Thurston
Grazyna Zareba
Thomas W Clarkson
Philip W Davidson
University of Rochester · US

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Martha Susiarjo · 1985 to 2026
$42.8M
TOXICITY OF METHYL MERCURY IN A FISH EATING POPULATIONR01ES010219 · NIEHS · UNIVERSITY OF ROCHESTER · PI VAN WIJNGAARDEN, EDWIN · 2000 to 2019
$11.8M
TRAINING IN ENVIRONMENTAL HEALTH SCIENCES BIOSTATISTICST32ES007271 · NIEHS · UNIVERSITY OF ROCHESTER · PI Sally W Thurston · 1992 to 2026
$3.9M
Mercury Vapor from Amalgam and Methylmercury Co-Exposure on NeurodevelopmentR01ES015578 · NIEHS · UNIVERSITY OF ROCHESTER · PI WATSON, GENE E · 2007 to 2011
$2.9M
NIEHS NIH HHS ES-01247NIEHS NIH HHS ES-05497NIEHS NIH HHS ES-15578NIEHS NIH HHS P30 ES001247NIEHS NIH HHS R01 ES010219NIEHS NIH HHS R01 ES015578NIEHS NIH HHS T32 ES007271
6 · The paper itself

Abstract

backgroundDental amalgams contain approximately 50 percent metallic mercury and emit mercury vapor during the life of the restoration. Controversy surrounds whether fetal exposure to mercury vapor resulting from maternal dental amalgam restorations has neurodevelopmental consequences.

methodsThe authors determined maternal amalgam restoration status during gestation (prenatal exposure to mercury vapor [Hg(0)]) retrospectively in 587 mother-child pairs enrolled in the Seychelles Child Development Study, a prospective longitudinal cohort study of the effects of prenatal and recent postnatal methylmercury (MeHg) exposure on neurodevelopment. They examined covariate-adjusted associations between prenatal maternal amalgam restoration status and the results of six age-appropriate neurodevelopmental tests administered at age 66 months. The authors fit the models without and with adjustment for prenatal and recent postnatal MeHg exposure metrics.

resultsThe mean number of maternal amalgam restorations present during gestation was 5.1 surfaces (range, 1-22) in the 42.4 percent of mothers who had amalgam restorations. The authors found no significant adverse associations between the number of amalgam surfaces present during gestation and any of the six outcomes, with or without adjustment for prenatal and postnatal MeHg exposure. Results of analyses with the secondary metric, prenatal amalgam occlusal point scores, showed an adverse association in boys only on a letter- and word-identification subtest of a frequently used test of scholastic achievement, whereas girls scored better on several other tests with increasing exposure.

conclusionsThis study's results provide no support for the hypothesis that prenatal Hg(0) exposure arising from maternal dental amalgam restorations results in neurobehavioral consequences in the child. These findings require confirmation from a prospective study of coexposure to MeHg and Hg(0).

Indexed as

Dental AmalgamPrenatal Exposure Delayed EffectsBirth WeightChild BehaviorChild DevelopmentChild LanguageChild, PreschoolCognitionCohort StudiesDental Restoration, PermanentDietFemaleFood ContaminationHairHumansIntelligenceDental AmalgamMercuryMethylmercury Compounds

Identifiers

PMID22041415
PMCPMC3245741
OpenAlexW1551119812

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.