title: Respiratory effects of exposure to methacrylates among dental assistants.
abstract: BACKGROUND
  Case reports of occupational asthma in dental personnel have been published, but there is little data on the risk of respiratory disorders related to occupational exposure to methacrylates in dental assistants. The objective of this study was to investigate the relation of exposure to methacrylates to occurrence of respiratory symptoms and diseases among dental assistants.
  
  
  METHODS
  A cross-sectional study of female dental assistants from the membership register of the Finnish Association of Dental Hygienists and Assistants was conducted in the Helsinki metropolitan area. A CATI was carried out to collect information on health and exposures. A total of 799 dental assistants participated (response rate 87%).
  
  
  RESULTS
  Daily use of methacrylates was related to a significantly increased risk of adult-onset asthma (adjusted OR 2.65, 95% CI 1.14-7.24), nasal symptoms (1.37, 1.02-1.84), and work-related cough or phlegm (1.69, 1.08-2.71). Nasal symptoms showed a dose-response relation with increasing years of exposure to methacrylates, and those with >10 years of exposure had also increased risk of hoarseness, dyspnoea, and wheezing with dyspnoea. Dental assistants with a history of atopic diseases were particularly susceptible to exposure to methacrylates, the adjusted OR for adult asthma being in this group 4.18 (95% CI 1.02-28.55) and for nasal symptoms 2.11 (1.08-4.19).
  
  
  CONCLUSIONS
  This study provides new evidence that the risk of adult-onset asthma, nasal symptoms and other respiratory symptoms increase significantly with daily use of methacrylates in dental assistants' work. The results suggest that exposure to methacrylates poses an important occupational hazard for dental assistants.
authors.affiliation: Institute of Occupational and Environmental Medicine, University of Birmingham, Birmingham, UK.
authors.forename: M S
authors.initials: MS
authors.lastname: Jaakkola
authors.forename: T
authors.initials: T
authors.lastname: Leino
authors.forename: L
authors.initials: L
authors.lastname: Tammilehto
authors.forename: P
authors.initials: P
authors.lastname: Ylöstalo
authors.forename: E
authors.initials: E
authors.lastname: Kuosma
authors.forename: K
authors.initials: K
authors.lastname: Alanko
mesh_terms: D000328:Adult; D001249:Asthma / Q000139:chemically induced; D003371:Cough / Q000139:chemically induced; D003430:Cross-Sectional Studies; D003726:Dental Assistants; D005260:Female; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000150:complications; D008689:Methacrylates / Q000009:adverse effects*; D008875:Middle Aged; D009668:Nose Diseases / Q000139:chemically induced; D009784:Occupational Diseases / Q000139:chemically induced; D016273:Occupational Exposure / Q000009:adverse effects*; D012135:Respiratory Sounds / Q000209:etiology; D012140:Respiratory Tract Diseases / Q000139:chemically induced*
chemical_list: D008689:Methacrylates