Dental Amalgam Restorations and Children’s Neuropsychological Function: The New England Children’s Amalgam Trial
2007

Dental Amalgam and Children's Brain Function

Sample size: 534 publication 10 minutes Evidence: high

Author Information

Author(s): David C. Bellinger, David Daniel, Felicia Trachtenberg, Mary Tavares, Sonja McKinlay

Primary Institution: New England Research Institutes

Hypothesis

Does exposure to mercury from dental amalgam affect children's neuropsychological function?

Conclusion

Children exposed to mercury from dental amalgam did not show significant differences in neuropsychological function compared to those treated with mercury-free materials.

Supporting Evidence

  • The mean urinary mercury concentration was higher in the amalgam group.
  • Few significant differences were found in neuropsychological test scores between the two groups.
  • The study included a large sample size of 534 children.

Takeaway

The study looked at kids who got fillings made of mercury and those who got fillings without it, and found that both groups did about the same on brain tests.

Methodology

A randomized controlled trial comparing neuropsychological function in children treated with dental amalgam versus composite materials over 5 years.

Potential Biases

Participants and dentists were not blinded to treatment assignment, which could introduce bias.

Limitations

The follow-up period may have been too short to detect long-term effects, and children with preexisting conditions were excluded.

Participant Demographics

Children aged 6-10, primarily non-Hispanic white, with a mix of urban and rural backgrounds.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1289/ehp.9497

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