Occupational exposure of dentists to electromagnetic fields produced by magnetostrictive cavitrons alters the serum cortisol level.

Abstract

OBJECTIVES: Some studies indicate that dentistry is one of the job categories with high potential exposure to elevated levels of extremely low frequency magnetic fields. In spite of this, information on occupational exposure of dentists to these fields is scarce. Studies on other common sources of electromagnetic fields (EMFs) such as mobile base stations have shown alterations in the cortisol level following exposure of humans to these sources. The aim of this study is to compare the level of cortisol among dentists and dentistry students who are being occupationally exposed to EMFs emitted by magnetostrictive cavitrons (case group) and among their counterparts who are not being exposed to these fields (control group). MATERIALS AND METHODS: In this case-control study, blood samples were collected from 41 dentists and dentistry students, 21 of whom were exposed to EMFs emitted by cavitrons as the case group and 20 who were not exposed as the control group, twice; i.e. before work (at 8:30-9:30 a.m.) and after work (11:30-12:30 a.m.). The samples were coded and the serum cortisol level was investigated using the ELISA method (Cortisol AccuBind ELISA Kits). RESULTS: The serum cortisol level of dentists and dental students in the morning (before starting the work) in the control group was 189.15 ± 110.70 (mean ± SD) whereas it was 157.77 ± 112.03 in those who were occupationally exposed to EMFs produced by the use of cavitrons. This difference was not statistically significant (P = 0.373). In contrast, the serum cortisol level of the participants in the noon (after stopping the work) in the control group was 136.25 ± 67.91 (mean ± SD) while it was 88.58 ± 52.83 in those who were occupationally exposed to EMFs produced by the use of cavitrons. This time, the observed difference was statistically significant (P = 0.016). In this light, while the difference between serum cortisol levels of dentists and dental students in the morning and after stopping the work was not statistically significant (P = 0.06), in the EMF-exposed group the cortisol level decreased significantly from 157.77 ± 112.03 in the morning to 88.58 ± 52.83 in the noon (P = 0.001). CONCLUSIONS: As far as we know, this is the first study that evaluated the effect of occupational exposure of dentists to EMFs on their serum cortisol level. The EMFs produced by magnetostrictive cavitrons can decrease the serum cortisol level in dentists. As cortisol plays an important role in blood pressure regulation, cardiovascular, and immune system function, a low cortisol level may threaten health. More studies are needed to clearly understand the effects of EMFs emitted by magnetostrictive cavitron on the level of stress hormones. As some studies have shown that exposure to EMFs has no effect on the cortisol level, whereas other studies reported either an increase or a decrease in the cortisol level, it can be concluded that the effects of exposure to EMFs may occur only at specific absorbed energies or energy absorption rates (usually known as window) similar to that exists in the case of exposure to the low doses of ionizing radiations.

AI evidence extraction

Main findings

In the morning (before work), mean serum cortisol did not differ significantly between controls (189.15 ± 110.70) and EMF-exposed participants (157.77 ± 112.03; P = 0.373). After work (noon), mean serum cortisol was lower in the EMF-exposed group (88.58 ± 52.83) than in controls (136.25 ± 67.91; P = 0.016), and decreased significantly from morning to noon within the exposed group (P = 0.001).

Outcomes measured

• Serum cortisol level (ELISA)

Limitations

• Small sample size (n=41)
• Exposure characterization is not quantified in the abstract (no field strength, frequency details beyond ELF context, or dose metrics)
• Short observation window within a single work period; limited timing of cortisol sampling
• Potential confounding factors affecting cortisol (e.g., stress, sleep, caffeine, medications) are not described in the abstract

Suggested hubs

• occupational-exposure (0.9)
  Study compares occupationally exposed dentists/dental students vs non-exposed controls.

{
    "study_type": "case_control",
    "exposure": {
        "band": "ELF",
        "source": "occupational",
        "frequency_mhz": null,
        "sar_wkg": null,
        "duration": "Work shift; blood drawn before work (8:30–9:30 a.m.) and after work (11:30–12:30 a.m.)"
    },
    "population": "Dentists and dentistry students",
    "sample_size": 41,
    "outcomes": [
        "Serum cortisol level (ELISA)"
    ],
    "main_findings": "In the morning (before work), mean serum cortisol did not differ significantly between controls (189.15 ± 110.70) and EMF-exposed participants (157.77 ± 112.03; P = 0.373). After work (noon), mean serum cortisol was lower in the EMF-exposed group (88.58 ± 52.83) than in controls (136.25 ± 67.91; P = 0.016), and decreased significantly from morning to noon within the exposed group (P = 0.001).",
    "effect_direction": "harm",
    "limitations": [
        "Small sample size (n=41)",
        "Exposure characterization is not quantified in the abstract (no field strength, frequency details beyond ELF context, or dose metrics)",
        "Short observation window within a single work period; limited timing of cortisol sampling",
        "Potential confounding factors affecting cortisol (e.g., stress, sleep, caffeine, medications) are not described in the abstract"
    ],
    "evidence_strength": "low",
    "confidence": 0.7800000000000000266453525910037569701671600341796875,
    "peer_reviewed_likely": "yes",
    "keywords": [
        "occupational exposure",
        "dentists",
        "dentistry students",
        "electromagnetic fields",
        "extremely low frequency magnetic fields",
        "magnetostrictive cavitrons",
        "cortisol",
        "stress hormone",
        "ELISA"
    ],
    "suggested_hubs": [
        {
            "slug": "occupational-exposure",
            "weight": 0.90000000000000002220446049250313080847263336181640625,
            "reason": "Study compares occupationally exposed dentists/dental students vs non-exposed controls."
        }
    ]
}

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