“…These nano-sized particles may deposit in the alveoli of the lungs ( Donaldson et al, 2005 ; Day et al, 2008 ). Substances such as silica or the other nanoparticles generated during grinding dental materials have a fibro-genic potential and may cause lung fibrosis ( Hoffmeyer et al, 2007 ). They might further cross the biological barriers and enter the bloodstream, either through mobile cells or freely in the vasculature and lymph to directly harm distal organs causing lung cancer, pulmonary and cardio-vascular diseases, neurodegenerative diseases, asthma, increased mortality ( Sotiriou et al, 2008 ; Lelieveld et al, 2015 ; Cokic et al, 2020a ; Schraufnage, 2020 ; Calder'on-Garcidue˜nas et al, 2004 ; Von Klot et al, 2002 ; Maher et al, 2016 ; Tian et al, 2019 ) or even occupational disability in dental health care workers ( Leggat et al, 2007 ).…”