Review Article

Clinical Effects of Mercury in Conservative Dentistry: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis of Randomized Controlled Trials

Table 2

Characteristics of the included studies.

Author and yearMethodsParticipantsInterventionOutcomesConclusions
Study designFollow-upCountry of study settingSample sizeMean age and genderMaterials usedSite of restorationRenalCNSSocial-behaviour.Others

Bellinger et al., 2006 [24]RCT5 yearsUSA5347.9 yearsDispersed phase amalgam; composite resinPosterior teethUrinary Hg;IQNAHair HgUrinary Hg was significantly higher level in the amalgam group; no significant differences for other outcomes.
287 M, 247 FUrinary AlbuminMemory
Visuomotor

Bellinger et al., 2008 [35]RCT5 yearsUSA5347.9 yearsDispersed phase amalgam; composite resinPosterior teethNANACBCL; BASCNAAmalgam group had significant improvement in “Total Problem Behaviour,” “Internalizing,” “Delinquent Behaviors,” “Activities,” and “Anxious/Depressed” domains (CBCL) and in “Personal adjustment” and “Emotional Symptom Index” domains (BASC).
287 M, 247 F

DeRouen et al., 2006 [32]RCT7 yearsPortugal50710.1 yearsDental amalgam; composite resinPosterior teethUrinary Hg;
Urinary Albumin
Attention/concentrationNANAUrinary Hg was significantly higher level in the amalgam group; no significant differences for other outcomes.
279 M, 228 FMemory
Motor/visuomotor

Halbach et al., 2007 [33]RCT1.5 yearsGermany164NRDental amalgam; composite resinNRUrinary HgNANATotal, organic, and inorganic Hg in plasma and red cellsNo statistically significant differences were found in any outcome.
NR

Lauterbach et al., 2008 [34]RCT7 yearsPortugal50710.1 yearsDental amalgam; composite resinPosterior teethNANHSs, NSSs, and positional tremorNANAStatistically significant higher rate of NSSs was found in the composite resin group at the second time point.
279 M, 228 F

Shenker et al., 2008 [36]RCT5 yearsUSA5347.9 yearsDispersed phase amalgam; composite resinPosterior teethNANANAWBC, T-cell, B-cell, and neutrophil and monocyte responsivenessNo statistically significant differences were found in any outcome.
287 M, 247 F

RCT = randomized controlled trial; M = male; F = female; Hg = mercury; IQ = intelligence quotient; NA = not available; CBCL = Child Behaviour Checklist; BASC = behaviour assessment system for children; NHS = neurological hard sign; NSS = neurological soft sign; WBC = white blood count.