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Neuropsychological and Renal Effects of Dental Amalgam in Children
A Randomized Clinical Trial
David C. Bellinger, PhD, MSc;
Felicia Trachtenberg, PhD;
Lars Barregard, MD, PhD;
Mary Tavares, DMD, MPH;
Elsa Cernichiari, MS;
David Daniel, PhD;
Sonja McKinlay, PhD
JAMA. 2006;295:1775-1783.
Context No randomized trials have been published that address the concern that inhalation of mercury vapor released by amalgam dental restorations causes adverse health effects.
Objective To compare the neuropsychological and renal function of children whose dental caries were restored using amalgam or mercury-free materials.
Design and Setting The New England Children's Amalgam Trial was a 2-group randomized safety trial involving 5 community health dental clinics in Boston, Mass, and 1 in Farmington, Me, between September 1997 and March 2005.
Participants and Intervention A total of 534 children aged 6 to 10 years at baseline with no prior amalgam restorations and 2 or more posterior teeth with caries were randomly assigned to receive dental restoration of baseline and incident caries during a 5-year follow-up period using either amalgam (n=267) or resin composite (n =267) materials.
Main Outcome Measures The primary neuropsychological outcome was 5-year change in full-scale IQ scores. Secondary outcomes included tests of memory and visuomotor ability. Renal glomerular function was measured by creatinine-adjusted albumin in urine.
Results Children had a mean of 15 tooth surfaces (median, 14) restored during the 5-year period (range, 0-55). Assignment to the amalgam group was associated with a significantly higher mean urinary mercury level (0.9 vs 0.6 µg/g of creatinine at year 5, P<.001). After adjusting for randomization stratum and other covariates, no statistically significant differences were found between children in the amalgam and composite groups in 5-year change in full-scale IQ score (3.1 vs 2.1, P = .21). The difference in treatment group change scores was 1.0 (95% confidence interval, –0.6 to 2.5) full-scale IQ score point. No statistically significant differences were found for 4-year change in the general memory index (8.1 vs 7.2, P = .34), 4-year change in visuomotor composite (3.8 vs 3.7, P = .93), or year 5 urinary albumin (median, 7.5 vs 7.4 mg/g of creatinine, P = .61).
Conclusions In this study, there were no statistically significant differences in adverse neuropsychological or renal effects observed over the 5-year period in children whose caries were restored using dental amalgam or composite materials. Although it is possible that very small IQ effects cannot be ruled out, these findings suggest that the health effects of amalgam restorations in children need not be the basis of treatment decisions when choosing restorative dental materials.
Trial Registration clinicaltrials.gov Identifier: NCT00065988
Author Affiliations: Department of Neurology, Children's Hospital Boston, and Harvard Medical School and Department of Environmental Health, Harvard School of Public Health, Boston, Mass (Dr Bellinger); New England Research Institutes, Watertown, Mass (Drs Trachtenberg and McKinlay); Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital and Academy, Goteborg University, Goteborg, Sweden (Dr Barregard); The Forsyth Institute, Boston, Mass (Dr Tavares); Department of Environmental Medicine, University of Rochester School of Medicine, Rochester, NY (Ms Cernichiari); and the Department of Psychology, University of Maine at Farmington (Dr Daniel).
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