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I- in industry
II- in dentistry
I – In industry:
The field of industrial dentistry has been widened lately, as
the oral manifestations may be the first manifestations of
many occupational diseases, as in metal poisoning.
The industrial causative agents are either:
tooth abrasion
-tooth erosion
-caries
B- Soft tissues: in the form of inflammation and pigmentation. It
is caused by:
- lead poisoning
- mercury poisoning
1- Tooth abrasion:
2- tooth Erosion:
A- Prophylactic treatment:
3- Caries:
Occupational causes:
lead workers
Metal workers
Battery manufacture workers
Iron and steel workers
Clinical picture:
It appears as a blue- black line 1mm away from the free
gingival margin, especially with bad oral hygiene.
Diagnosis:
- occupational history
- specific signs and symptoms
- investigations:
A- Blood analysis: (lead is more than 80ug/100 ml)
B- Urine analysis: (coproporphyrine is more than 300ug/L
C- Ala: aminolevlonic acid. It is more specific and accurate the
urine analysis.
2- Mercury poisoning:
General manifestations:
- erithism - tremors
- speech disorders
- kidney injury - visual restriction
Oral manifestations: