RESUMEN
Dental laboratory technicians may be exposed to a number of toxic materials including metal alloys that have been identified as potential health hazards. Particularly, alloys, such as vitallium, wisil, duralium and vironite which in dentistry are used in the production of crowns, bridges and dental prostheses. The most common constituents of these prostheses are cobalt (45-70%), chromium (25-30%), molybdenum, silica, nickle, tantalum and other metals in different amounts. The objectives of this paper are to describe the technology related to the production of dental prostheses, evaluating the most hazardous working jobs and reporting results concerning the monitoring of cobalt and chromium in the urine of 31 people employed in five laboratories of Bergamo, Italy, where workplace air monitoring has also been undertaken.
Asunto(s)
Contaminantes Ocupacionales del Aire/análisis , Aleaciones de Cromo , Cobalto/análisis , Prótesis Dental , Técnicos Dentales , Exposición Profesional/análisis , Adulto , Contaminantes Ocupacionales del Aire/orina , Cobalto/orina , Monitoreo del Ambiente , HumanosRESUMEN
The results are presented for a health control program using 236 male workers exposed to a cobalt inhalation risk. The study group consisted of grinders, producers of diamond tools, workers in metallurgical and mechanical industries (where Widia tools are processed and sharpened), and finally formerly exposed workers. All subjects received a clinical examination, the European Community for Coal and Steel questionnaire on respiratory complaints, a chest X-ray, pulmonary function test, electrocardiogram and determination of urinary cobalt; in 91 subjects, the metacholine bronchial provocation test was performed. Three cases of interstitial lung disease were identified. There were no cases with a significant alteration of ventilatory function while 20 cases (16 exposed and four formerly exposed workers) showed a reduced carbon monoxide transfer coefficient (TL,CO,sb/Va).
Asunto(s)
Cobalto/efectos adversos , Enfermedades Pulmonares Intersticiales/epidemiología , Metalurgia , Enfermedades Profesionales/epidemiología , Pruebas de Provocación Bronquial , Cobalto/orina , Estudios Transversales , Encuestas Epidemiológicas , Humanos , Enfermedades Pulmonares Intersticiales/inducido químicamente , Masculino , Enfermedades Profesionales/inducido químicamente , Prevalencia , Pruebas de Función RespiratoriaRESUMEN
A case of occupational allergic contact dermatitis with conjunctivitis and rhinitis due to tulips bulbs is described. The patient, aged 23, was employed in a florist storehouse. The dermatitis, affecting his hands, face, armpits, knees, elbows and ears, was accompanied by a rhinoconjunctivitis. Patch tests made with a tulip thin slice outcome positive results. The appearance, the way of arising and the results of the patch tests suggest the existence of an immediate type immunologic reaction (type I or IgE-dependent hypersensibility).