Radium jaw, or radium necrosis, is a historic

occupational disease An occupational disease is any chronic ailment that occurs as a result of work or occupational activity. It is an aspect of occupational safety and health. An occupational disease is typically identified when it is shown that it is more prevalen ...

brought on by the ingestion and subsequent absorption of

radium Radium is a chemical element with the symbol Ra and atomic number 88. It is the sixth element in group 2 of the periodic table, also known as the alkaline earth metals. Pure radium is silvery-white, but it readily reacts with nitrogen (rat ...

into the bones of

radium dial painters The Radium Girls were female factory workers who contracted radiation poisoning from painting watch dials with self-luminous paint. The incidents occurred at three different factories: one in Orange, New Jersey, beginning around 1917; one in Ot ...

. It also affected those consuming radium-laden

patent medicines A patent medicine, sometimes called a proprietary medicine, is an over-the-counter (nonprescription) medicine or medicinal preparation that is typically protected and advertised by a trademark and trade name (and sometimes a patent) and claimed ...

. The symptoms are

necrosis Necrosis () is a form of cell injury which results in the premature death of cells in living tissue by autolysis. Necrosis is caused by factors external to the cell or tissue, such as infection, or trauma which result in the unregulated diges ...

of the

mandible In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower teeth in place. The mandible sits beneath the maxilla. It is the only movable bone ...

(lower jawbone) and the

maxilla The maxilla (plural: ''maxillae'' ) in vertebrates is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. T ...

(upper jaw), constant bleeding of the gums, and (usually) after some time, severe distortion due to bone tumors and

porosity Porosity or void fraction is a measure of the void (i.e. "empty") spaces in a material, and is a fraction of the volume of voids over the total volume, between 0 and 1, or as a percentage between 0% and 100%. Strictly speaking, some tests measur ...

of the lower jaw. The condition is similar to

phossy jaw Phossy jaw, formally known as phosphorus necrosis of the jaw, was an occupational disease affecting those who worked with white phosphorus (also known as ''yellow phosphorus'') without proper safeguards. It was most commonly seen in workers in the ...

, an

osteoporotic Osteoporosis is a systemic skeletal disorder characterized by low bone mass, micro-architectural deterioration of bone tissue leading to bone fragility, and consequent increase in fracture risk. It is the most common reason for a broken bone a ...

and osteonecrotic illness of matchgirls, brought on by

phosphorus Phosphorus is a chemical element with the symbol P and atomic number 15. Elemental phosphorus exists in two major forms, white phosphorus and red phosphorus, but because it is highly reactive, phosphorus is never found as a free element on Ea ...

ingestion and absorption. The first written reference to the disease was by a dentist, Dr. Theodor Blum, in 1924, who described an unusual

mandibular In anatomy, the mandible, lower jaw or jawbone is the largest, strongest and lowest bone in the human facial skeleton. It forms the lower jaw and holds the lower tooth, teeth in place. The mandible sits beneath the maxilla. It is the only movabl ...

osteomyelitis Osteomyelitis (OM) is an infection of bone. Symptoms may include pain in a specific bone with overlying redness, fever, and weakness. The long bones of the arms and legs are most commonly involved in children e.g. the femur and humerus, while the ...

in a dial painter, naming it "radium jaw". The disease was determined by

pathologist Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in th ...

Dr. H.S. Martland in 1924 to be symptomatic of radium paint ingestion, after many female workers from various radium paint companies reported similar dental and mandibular pain. Symptoms were present in the mouth due to use of the lips and tongue to keep the radium-paint paintbrushes properly shaped. The disease was the main reason for litigation against the United States Radium Corporation by the

Radium Girls The Radium Girls were female factory workers who contracted radiation poisoning from painting watch dials with self-luminous paint. The incidents occurred at three different factories: one in Orange, New Jersey, beginning around 1917; one in O ...

. Another prominent example of this condition was the death of American golfer and industrialist Eben Byers in 1932, after taking large doses of Radithor, a radioactive patent medicine containing radium, over several years. His illness garnered much publicity, and brought the problem of radioactive quack medicines into the public eye. ''The Wall Street Journal'' ran a story (in 1989 or after) titled "The Radium Water Worked Fine until His Jaw Came Off".The Radium Water Worked Fine until His Jaw Came Off
Medical Collectors Association, Newsletter No. 20, page 18

References

External links

Radium in Humans: A Review of U.S. Studies
{{Occupational safety and health Occupational diseases Radium Osteonecrosis

See also

References

External links