Evidence map›Paper›PMID 41892796›Full record

ReviewDentistry journal2026

Dental Amalgam and Oral Biological Responses: A Narrative Review of Current Evidence.

Roxana-Cristina Mehedinti, Catalin-Bogdan Satala, Kamel Earar, Madalina Nicoleta Matei, Gabriel Valeriu Popa, Ada Stefanescu, Antoanela Magdalena Covaci, Roxana Adina Barascu Petrescu, Cristian Petcu, Dana Tutunaru

Abstract readReview
In one paragraph

Review in Dentistry journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

10 authors.

Roxana-Cristina MehedintiFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Catalin-Bogdan SatalaFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.ORCID 0000-0002-4466-6360
Kamel EararFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Madalina Nicoleta MateiFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Gabriel Valeriu PopaFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Ada StefanescuFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.ORCID 0000-0002-2726-137X
Antoanela Magdalena CovaciFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Roxana Adina Barascu PetrescuClinical County Emergency Hospital, 010024 Craiova, Romania.
Cristian PetcuClinical County Emergency Hospital, 010024 Craiova, Romania.
Dana TutunaruFaculty of Medicine and Pharmacy, Medical and Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dental amalgam remains widely used in restorative dentistry due to its durability and cost-effectiveness, yet concerns persist regarding potential biological effects related to mercury release. This narrative review critically synthesizes current evidence on oral mucosal alterations and salivary biomarker changes reported in association with amalgam restorations. Experimental research supports biological plausibility for oxidative and inflammatory responses to mercury exposure; however, most human evidence derives from observational studies demonstrating heterogeneous associations rather than consistent causal relationships. Reported variations in salivary biomarkers, including interleukin-8 and ceruloplasmin, are generally modest and influenced by confounding factors such as periodontal status, smoking, and systemic inflammation. Histopathological findings adjacent to amalgam restorations include epithelial and inflammatory changes, though many are nonspecific and comparable to other chronic irritative conditions. Overall, current clinical and epidemiological data do not indicate uniform or clinically significant adverse effects in the general population attributable solely to dental amalgam. Regulatory phase-down initiatives primarily reflect environmental and precautionary policies. Available evidence supports a balanced and evidence-based interpretation of amalgam-related biological findings in contemporary dental practice.

Indexed as

dental amalgamgingival pathologyinflammationmercury exposureoral mucosaoxidative stresssalivary biomarkers

Identifiers

PMID41892796
PMCPMC13025017

What OpenQuestion holds

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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.