Acta Odontol Scand. 2012 Jul 2. [Epub ahead of print]
Characterization of health complaints before and after removal of amalgam fillings - 3-year follow-up.
Lygre GB, Sjursen TT, Svahn J, Helland V, Lundekvam BF, Dalen K, Björkman L.
Source: Dental Biomaterials Adverse Reaction Unit, Uni Health, Uni Research , Bergen , Norway.
Abstract
Objective
Some patients attribute health complaints to amalgam fillings and report improvement of health after replacement of amalgam fillings. The aim of the present study was to characterize the changes of different health complaints after replacement of amalgam fillings and compare with an external reference group from the general population.
Materials and methods
The study group included 20 patients with health complaints attributed to amalgam fillings who were participants in the treatment group of a clinical trial at the Norwegian Dental Biomaterials Adverse Reaction Unit. The patients were asked to indicate the intensity of local and general health complaints on numeric rating scales (0–10) before removal of amalgam fillings and at follow-up 3 years after removal. Data from the patient group were compared with data from an external reference group (n = 441).
Results
Before treatment the mean intensity of complaints were on a higher level in the treatment group compared to the reference group. The most frequently reported complaints in the treatment group were gastrointestinal symptoms, fatigue, pain from muscles and joints, symptoms from ear/nose/throat and difficulty concentrating. From pre-treatment examination to the 3-year follow-up 20 of 23 health complaints decreased, being statistically significant for taste disturbances, pain from muscles and joints, gastrointestinal complaints, complaints from ear/nose/throat and fatigue.
Conclusions
The inter- individual variation of intensities of health complaints was considerable and the reduction of health complaints varied for the different complaints. Several factors may be of importance for the observed reduction of complaint intensity.
Introduction
A number of persons report to be concerned about potential health risks associated with amalgam fillings [1,2]. Patients with health complaints attributed to amalgam fillings comprise a heterogeneous group, with complaints ranging from local intra-oral complaints to multiple general health complaints associated with several organ systems [3–5]. However, it has been shown that, after removal of amalgam fillings, health complaints are not reduced to normal levels [6].
In a controlled before-and-after study with participants recruited from previously examined patients at the Dental Biomaterials Adverse Reaction Unit [7], a reduction of self-reported health complaints (measured by numeric rating scales for orofacial and general health complaints) was observed at follow-up at 3 years after replacement of all amalgam fillings.
Changes in index scores for intra-oral and general health complaints were significantly reduced from inclusion into the study to the 3-year follow-up.
Changes of the separate items within the index scores were not reported.
The aim of the present study was to further investigate and characterize the reduction of the different health complaints 3 years after replacement of amalgam fillings and compare with health complaints in an external reference group from the general population.
Conclusions
In a group of individuals with health complaints attributed to amalgam fillings the complaints were reduced after removal of the fillings. To which level the complaints were reduced varied for the different symptoms and the inter- ndividual variation of intensities of complaints was considerable. Several factors may be of importance for the observed reduction of complaint intensity.
Acta Odontologica Scandinavica has been published since 1939. The journal is sponsored by the Dental Associations and Dental Schools in Denmark, Finland, Iceland, Norway and Sweden. The editorial responsibility alternates among these countries. The journal provides high-quality dental research in the areas of preventive and community dentistry, periodontal and oral mucus membrane diseases, oral implants, temporomandibular disorders, material science, and clinical odontological sciences.