List: Sorry for the long post, but I believe Bob Baratz makes several goods 
points here. Roger

Subj:    Re: [healthfraud] Chewing Gum Releases Mercury From Dental Fillings
Date:   12/27/00 11:11:24 PM EST
From:   [email protected] (Robert S. Baratz, MD, PhD)
To: [email protected] (healthfraud)

>>HF Participants: Comments please. Roger

>>Stockholm - Heavy gum chewers risk breaking down the amalgam in their
dental fillings and having dangerously high levels of mercury in their
blood and urine as a result, a study published in the Stockholm
newspaper Aftonbladet on Friday said.

>>The study was undertaken by the Sahlgrenska university hospital in
Gothenburg, west Sweden.

>>"In our study we found out that people who chewed gum for at least five
hours per day had significantly higher mercury levels in their urine and
blood," medical researcher Gerd Saellsten was quoted as saying.

>>The test group included 17 people with at least five amalgam fillings
who chewed gum an average of five hours per day, and consumed seven
pieces of gum.

>>The test group was compared with a control group of equal size
comprising people with the same number of fillings, but who chewed gum
only 30 minutes per week on average.

>>A comparison of quicksilver levels between the two groups yielded clear
differences.

>>The heavy gum chewers had twice the amount of mercury in their blood and
three times the level in their urine and breath exhalation than did the
infrequent chewers.

>>The mercury levels rose in proportion to the number of amalgam fillings
the subjects had, the study showed.

>>Mercury damages the brain, central nervous system and kidneys in humans.
@@@@@@@@@@@


Amalgam--does it shine, and if so, how much of the time, and better yet, is
it mine?


OK, some comments on gum chewing and the report referred to in the above
post.


1.  Not published in a scientific journal.  The local newspaper is hardly
the place for a scientific publication.

Evaluation of a bit of science requires access to the materials and methods
and the data, so the study can be scrutinized for design, methodology and
accuracy.  We don't have any of that cited here, and thus can't evaluate the
"study".

2.  Studies done in the past which were controlled and accurately monitored
showed that gum chewers do release a tiny bit more mercury than those who
don't chew gum.  But the amounts in either case were not "toxic" or even
dangerous to anyone.

People with amalgam fillings do have a greater exposure of mercury than
those who don't have such fillings, but the numbers in either case are very
small.  Studies have shown that having a relatively large number of fillings
with large biting surface areas may mean that a person gets exposure to
twice the mercury found in the normal diet. Big deal?

I like to consider this like penny stocks.  You buy a stock for 0.5 cents.
It doubles in value.  It is now worth 1 cent.  How much does one cent buy?
What is one cent worth?  I prefer the $10 stock that is now $100.  I'll
settle for the $100 stock that is now $200 if I want to double anything.
You get the idea.

@@@@@@@@@@@@@

A more interesting question is:  why do people who chew gum appear to
release a bit more mercury than those who don't?  If one understands the
mechanism of mercury release from amalgam the answer is somewhat obvious.

Amalgam is a solid solution where a (usually powdered) metal alloy of
silver, copper, tin, molybdenum, and perhaps a little zinc (depending on the
brand) are mixed together with inorganic pure liquid mercury in a closed
container..  A series of chemical reaction occur and these materials now
make a series of mercury salts.  The chemistry of these is complex, and I am
oversimplifying by calling them salts, but the chemicals react and inorganic
metallic mercury is virtually all consumed in these reactions.  Perhaps a
little bit here and there remains dispersed throughout the material.
Consider, if you will, that making amalgam is like making concrete.  You mix
cement, stone, sand and water and end up with a totally different material.
What is clear, is that there is absolutely NOT gobs and gobs of "free"
mercury floating about in amalgam, as commonly alleged by the
anti-amalgamists.  The ratio of mercury to alloy by weight in modern
amalgams, before mixing, is about 45:55, but can be less, and as little as
37% mercury with 63% alloy.  Modern amalgams are NOT "half mercury" as many
anti-amalgamists claim.  Once mixed, they have little to no mercury (as pure
liquid metal) since the mercury combines to form complex salts.  I can say
table salt (NaCl) is "half" chlorine--a deadly gas.  But, in fact, that is
not true.  It is half chlorine as a chemical which is largely combined with
sodium.  In solution it may ionize to Cl- but it doesn't release chlorine
gas.  By the same token amalgam is not half mercury.  The anti's just don't
want to understand simple chemistry that most people learn in high school.

We know the surface of amalgam rapidly corrodes in the mouth and the
corrosion products block release of any material from within.  Also, the
surface of amalgam is coated with saliva, a further impediment to release of
anything.  And, if anything is released, it is first dissolved into the
saliva.

Why would chewing, and gum chewing in particular release mercury?

Using very sensitive instruments--barely measuring a few parts per billion
or less--researchers can detect small amounts of mercury--equivalent to what
is in a normal diet--being released from fillings after heavy tooth
grinding.  First, let me say, most people don't do this.  Second, there are
no data which show that this mercury actually enters the body.  If it did,
it would likely be swallowed, as part of the saliva, and not inhaled.  By
dissolving in saliva, mercury (metallic, inorganic) would combine with
saliva and become mercury salts again.  The potentially harmful form of
inorganic mercury to the body is mercury vapor, as it may possibly be
absorbed from the lungs and circulate before it is reacted with body
chemicals and changed to mercury salts.  Remember, inorganic mercury metal
(and vapor) is uncharged.  The valence is zero.  Those who talk about this
mercury moving in electrical fields, etc. do not appear to understand simple
electrochemistry.

Teeth can have heavy forces produced on their surfaces.  You can close with
a biting force of tens of pounds, and maybe higher..  Now reduce that force
to just the square millimeter or two of the tip of a cusp and you have quite
a concentrated force in a tiny area.  Thousands of pounds per square inch
equivalent.  Applied to a filling surface that would produce frictional heat
and thus may cause the amalgam to decompose, i.e. back to mercury and the
alloy.  That is the theory behind mercury release from amalgam that fits
what is known scientifically.  There are numerous materials scientists who
can confirm the decomposition of amalgam with high heat.  Amalgam does not
"leach" liquid mercury.   Mercury liquid, even if it was there in quantity,
would not dissolve into saliva.   There is very little free mercury within a
hardened amalgam, if any.

Once released, free mercury in these small quantities still must get past
the corrosion layer on the surface of the filling, and through the saliva
film (as discussed above), before it could potentially be inhaled.  It could
also be exhaled!  Since most chewing is done with the mouth closed and
saliva mixed on the surfaces of the teeth (and little to no air inside the
mouth), vapor release is unlikely.  Also, after chewing, we reflexively
swallow.  Thus, the tiny amounts of mercury that might get released by the
above mechanism are unlikely to be absorbed as vapor.  Mercury metal
(inorganic pure mercury) is poorly absorbed from the gut.  Mercury salts, Hg
++ and Hg+++ can ionize from these salts, may be absorbed.   They do not
pass the blood brain barrier, but distribute in the blood and are excreted
by the kidneys.

People who chew gum reflexively have cyclic chewing movements, which become
learned behavior, and may be continued subconsciously.  Some of these
movements can occur during sleep.  If someone is chewing gum 5 hours per
day, they are doing a lot of tooth grinding--even though--AND THIS IS
IMPORTANT--the gum sits between  opposing teeth so they DON'T TOUCH--and
can't grind against each other.  Even so, they occasionally do gnash their
teeth, and grind, and probably do it more than people who don't chew gum.
Thus, gum chewers have more opportunity to cause mercury to potentially be
released.

If you follow all of this, together with what is known about inorganic
metallic mercury, then you can reach the following conclusions:

a.  Naturally occurring, small amounts of mercury are found in most of the
earth's soils and waters;  and thus enter the air, water and food we
consume.   Most of this mercury occurs as mercury salts.   Everyone gets a
small dose of mercury every day.  We evolved in this environment and our
bodies can handle it quite easily.

b. Tooth fillings MAY double this small amount of daily exposure.   Penny
stocks doubling in value.   Neither the regular exposure or the dental
exposure are considered harmful.  There are strong data to support this view
based on the know effects of high doses of mercury, in controlled
experiments.  Even at exposures thousands of times higher than the normal
daily exposure or the dental exposure, no adverse health effects occur.
Some studies show subclinical effects at these high doses--you can see minor
changes in microalbumin, for example, but no clinical significance has been
attributed to these changes.  In other words--So What!

c.  Gum chewers MAY increase the dental exposure slightly, but the data are
weak, and suggestive of an exposure of swallowed mercury salts, which the
body handles quite easily.  The quantities are quite small and considered
harmless.  Still penny stocks.  There are NO DATA to show that these
swallowed mercury materials are converted to organic mercurials, a claim
commonly alleged by anti-mercury crusaders, and often repeated by a number
of quacks and others of similar ilk.

d.  A number of patient anecdotes, wild claims, and the like have been
regularly perpetuated and circulated relating hundreds of illnesses and
conditions to dental amalgam fillings.  Most of these have their roots in
somatoform patients, quacks, religious zealots, and people who seem to be
against anything they consider "unnatural".  In my experience these people
are extremely inconsistent in their beliefs, and lack logic and science in
most of their pronouncements.  For example, prominent naturopaths claim one
should not take water through copper pipes as they may deliver unwanted
metals to the body.  The same people claim PVC (polyvinyl chloride) pipes
are safe and should be used instead.  Copper is a normal body constituent
and is entirely natural.  PVC is not.  Besides PVC contains unreacted vinyl
chloride which is a known carcinogen.  The same people decry all dental
metals, especially amalgam, but include stainless steel, and other alloys.
Instead they suggest one use "plastic" fillings.  As most students of dental
materials know composite dental resin plastics contain up to 20 or more
reactive organic compounds including epoxies, free radical generators,
organosilanes, titanium dioxide (which the naturopaths decry in other
contexts as bad for you since it has titanium--a basically inert metal,
however), and whole groups of reacted, unreacted, and partially reacted
methacrylate compounds.  These are hardly "natural" and much less so than
naturally occurring gold, silver, copper and other materials used in
dentistry.

But as I have said many times, this is not about science.

....And as I have also said many times---follow your mother's advice--chew
your food, but chew it slowly.

Robert S. Baratz, DDS, PhD, MD


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