Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Thursday, November 5, 2015

MMA: Methyl Methacrylate

In 1954, dentist Fred slack accidentally created acrylic nails when he repaired a broken fingernail with some products he had lying around the office. At that time, Methyl Methacrylate (MMA) was a common monomer used for dental prosthesis and that is what he used for his fingernail.  This, of course, led to it being the monomer of choice for nail technicians of the time.
 
Fast forward to the 1970's. The FDA ( US Food and Drug Administration) was receiving numerous complaints about nail injuries and allergic reactions and decided to issue its first ban on MMA for use in nail products.  At that time, manufacturers voluntarily took MMA out of their formulations and the FDA did not pursue further legal tactics.  However, no specific federal law was ever enacted prohibiting the use of this chemical in nail formulations which led to new manufacturers deciding to sell it.  Since the late 1990's most states (though not all of them) in the USA have banned the substance for use in their state, but of course that doesn't stop unscrupulous salons from obtaining and using it.
 
In September 1996, in a letter written to the Nail Manufacturers Council , the FDA stated “We continue to believe that liquid methyl methacrylate, when used in cosmetic fingernail preparations, is a poisonous and deleterious substance. Generally speaking, the agency is prepared to consider regulatory action against fingernail products formulated with liquid methyl methacrylate monomer as one of its ingredients.”   
 
Also referred to as "dental acrylic" or "porcelain nails", MMA is cheap - up to 1/3 the price of EMA (Ethyl Methacrylcate - the "good" acrylic monomer) and is often used to keep costs down in shops with low profit margins.
 
One more note - MMA is only a problem in the acrylic monomers (liquid) NOT the polymers (powder) and NOT with true gels or wraps.
 

Facts

MMA is not intended for soft tissue, it is used to repair bones and teeth - and dental prosthetics are cured outside the body so therefore never come in contact with the soft tissue.  MMA is also used in road markers and plexiglass signs.
 
 
Reasons not to use MMA From Doug Schoon:
  • "Reason 1. My research shows that MMA has terrible adhesion to the natural   nail. The only way to make it stick is to severely abrade the nail, which   weakens the nail plate tremendously. Any product will stick well if you   shred up the nail plate, even MMA.
  • Reason 2. MMA creates enhancements that are stronger than the natural nail.   In other words, too strong! If an MMA enhancement is jammed hard enough the   weakened nail plate often breaks and bleeds, instead of the product   cracking. That's bad news! When designing a nail enhancement product, my   premiere goal is to make the product weaker than the natural nail, to  prevent serious nail plate damage. MMA does the opposite.
  • Reason 3. MMA cannot be easily removed from the nail plate, in fact it's   very difficult. MMA is insoluble in all safe solvents, i.e. acetone.   Because of this, MMA is usually ripped off the already thin, weak damaged   nail. This can lead to severe nail infections and severe nail plate damage. It can even cause permanent injury to the nail bed and plate. Look   around at all the damaged MMA nails, now you know why!"
 
    Issues for Nail Techs:
  • Chronic (long term) health effects can occur at some time after exposure to Methyl Methacrylate and can last for months or years
  • Repeatedly breathing in the vaports can cause symptoms such as "pins and needles", numbness, weakness, and changes in the ability to remember and concentrate.
  • Exposure can irritate the eyes, skin, nose, and throat - High exposures can cause you to feel dizzy and lightheaded 
 

Fiction/Myths

From Doug Schoon:
"Unfortunately, most people who talk about MMA don't understand the issues.  Most of the misinformation about MMA is being spread by misinformed nail techs and those who have a financial interesting in clouding the issue with lots of bogus, scientific sounding arguments.

  • Myth 1- "There is nothing wrong with MMA. The "big" companies are jealous and just trying to put us little guys out of business."  If that were true, why don't the "big" companies make an MMA product and  really put them out of business? I could make a MMA product that be many  times better than anything on the market. I don't for two very good   reasons, 1). The FDA says don't use MMA monomer and 2) MMA monomer isn't a  good nail product ingredient (and I have many years of research, observations and experiences to back up that claim.)
  • Myth 2- "MMA is just a safe as EMA" and people who are trying to scare you about EMA say "EMA is just a dangerous as MMA". Here's the trick- this   isn't even the issue! It's designed to fool you away from the real issue. MMA isn't dangerous to nail technicians health. Neither is EMA. Workers in   hundreds of types of industries use both of these monomers and there are   reams of studies which support the fact that both monomers are safe to nail   technicians (but sadly not for clients). Remember, any chemical CAN be dangerous. Vitamins CAN be dangerous chemicals. Water CAN be a dangerous   chemical. Wine CAN be a dangerous mixture of chemical. The question is, are   they dangerous when used correctly? The answer is no. MMA is no more "dangerous" than EMA and... EMA has TWICE in seven years been declared safe  to use by the highly prestigious CIR expert panel of world renown dermatologist, toxicologists and doctors (and the FDA agreed with the   finding). Give me a break, how much more proof does it take? Here is the   real issue. MMA is used in bone cements. It's perfectly safe for that use.   But, the properties that make it great bone cement, makes it a terrible   nail enhancement product which damages the nail plate and bed. 
  • Myth 3- "MMA and EMA cause liver damage, kidney damage..., etc". Hey, what   doesn't? Especially if you really overexposure yourself, all sorts of   things can happen. You could die from eating too much baby food. Fact: Under the conditions nail tech use these products, they are safe and will  not cause any these problems related to long term, mass overexposure. Anyone can come up with a list of all the things a chemical CAN do, even water! Water CAN kill you... if you stick your head in a bucket of water  for five minutes (don't try this at home <g>). "

  Other Myths/Misinformation
  • Methyl Methacrylate has not been proven to cause cancer.
  • MMA does not "eat through the nail bed", though the severe roughing up of the nails that is required for it to stick will cause damage.
  • Methyl Methacrylate has not been proven to cause lung damage (though overexposure can cause symptoms listed above in the Facts section).
  • There is no proof it will damage a developing fetus.

Signs of MMA Use

  • Strong odor that physically affects you. Beauty services involving chemicals often have offensive odors, like perms. However, while the smell may offend you, it should not physically affect you. If you experience any tightness in your throat or chest, tingling in your fingers, lightheadedness, dizziness, or an odd taste in your mouth, it is possible that MMA is being used - this odor doesn’t smell like other acrylic liquids and is often described as a "fruity" odor.
  • Ammonia-like odor when filing cured product (for fill-ins or repairs)
  • Enhancements which are extremely hard and very difficult to file even with coarse abrasives.
  • Enhancements that will not soak off in solvents designed to remove acrylics (or take a very, very long time to soak off and when they do turn gummy rather than flakey like EMA).
  • Cloudy or milky color when cured.
  • MMA turns yellow after time, "requiring" the client to get a new full set periodically.
  • Unlabeled containers – technician will not show or tell the client what brand of product is being used (this one is not "proof" necessarily but should make you question why they won't show you)
  • It used to be said that if you were paying significantly less than the "normal" price for acrylic nails then you should suspect MMA (becasue MMA costs so much less than EMA), however nowadays there are many techncians using EMA who have priced their services to compete with the discount salon segment, so this "sign" of MMA is no longer necesarily true, though it is not a bad idea to always question how a salon can be significantly cheaper than their competetors.
 
 
References/Resources
http://www.nailsmag.com/article/108385/easing-the-transition-to-ema

Friday, October 2, 2015

Common Nail Disorders: Chloronychia aka "Greenies" (Pseudomonas Aeruginosa)

Your favorite clients walks into the salon. You are chatting while you remove her nail polish and she is telling you how she was gardening all weekend and now has a bunch of zucchini and she asks if you would like her to bring you some. You say "That would be great!" and look down at her nails......one of which is as green as the zucchini she was talking about! What in the world happened and how do you fix it?


What are "Greenies"?
Pseudomonas aeruginosa is a common bacteria that can cause disease in plants and animals, including humans. It is found in soil, water, plant, pets, skin flora, and most man-made environments throughout the world. When it grows, it's waste produces pigments that impart the green color of chloronychia (the technical term for green nails caused by p. aeruginosa bacterium).
Normally, nail plate and nail bed are not hospitable places for the bacteria, but if they have become compromised in some way, then the pseudomonas can find a home. It feeds off the dead tissue in the plate of the nail and this is what causes the separation of the nail and nail bed. Chloronychia can occur between the natural nail plate and the nail bed or between an artificial nail coating and the natural nail plate. Some people mistakenly categorize chloronychia as a mold, but in reality mold is not a human pathogen.

How Do You Get It?
This bacterium flourishes in wet environments, such as Jacuzzis (where it can cause a rash), swimming pools (where it can cause swimmer's ear), contact lens solution, sinks, and bath sponges. Because it thrives on moist surfaces, this bacterium is also found on and in medical equipment, including catheters, causing cross-infections in hospitals and clinics. 

In a salon environment,  the vast majority of infections that occur on nails with no signs of lifting are often caused by the nail tech, according to Doug Schoon. For example, if a client touches her nails to her face and the nail plates aren’t re-cleaned the chances of an infection go up tremendously. That’s why it’s important for both nail techs and clients to wash their hands before every service. Nail techs should also individually clean the nail plates just before applying product. If you get rid of surface moisture and oils (and the bacteria) before product is applied, it will be highly unlikely for your client to get infections. "They're all over us," explains Schoon. "We typically carry hundreds of species of bacteria on our skin at any time, depending on what we're in contact with."  Improper application can lead to lifting, which can allow bacteria to get under the area where the product has separated.

"On rare occasions pseudomonas aeruginosa can cause serious infections, particularly of the eyes, so good sanitation and disinfection practices are important for more than just cosmetic reasons," says Vicki Peters. "An untreated greenie can turn into a black/brown nail and can cause the client permanent [nail] damage."


Treating Chloronychia under the Natural Nail
if the infection is under the natural nail it is usually a secondary infection and the client must be referred to a medical doctor who can treat the bacteria and clean up the nail

Treating Chloronychia under Nail Enhancements
It is best to keep nails short and free from enhancements if a Pseudomonas aeruginosa infection is suspected.  Instruct your clients to come to you if they experience lifting and not to attempt to take care of the problem themselves by gluing down the lifted area which will trap any bacteria present.

It is possible to work on a client with pseudomonas. According to Dr. Phoebe Rich, the infection is not easily transmitted from person to person in a salon. However, as a precaution, once you use a file on an infected nail, don’t use it on another nail. Wrap it in plastic wrap and toss it in the trash.

To help rid the nail plate of the infection, remove the enhancement, lightly buff the stain to open up the nail plate cells, and remove all moisture and some of the surface oils. Instruct the client to keep the plate clean and dry at all times, and wear gloves when having her hands in water or using household cleaning solutions.

"Pseudomonas will often spontaneously disappear when the underlying nail problem is cleared up. There are several home remedies that will treat pseudomonas very effectively. The simplest treatment is to use diluted white vinegar soaks (1 part vinegar to 2-4 parts water) for several weeks. You can store the solution in a dropper bottle and apply one drop under the nail twice a day. To remove the discoloration, the nails can be rinsed in a diluted bleach solution (1 part bleach to 4 parts water) once or twice, but not for prolonged periods. If these simple remedies fail, a doctor can prescribe antibiotics for resistant cases." — Dr. Phoebe Rich

Ultimately, the nail but be cleaned, disinfected, and have any enhancements removed. But remember, you are a nail tech, not a doctor. If it looks like there is an infection present, do not risk trying to rectify the clients' problem. In most cases, it is actually illegal for a tech to work on nails that appear to be infected. Instead, at this point, you must refer your guest to a medical doctor who can treat the bacteria and clean up the nail


What if We just "leave it alone"
All pseudomonas infections can make you very sick if they spread through the bloodstream. A serious infection can cause symptoms of high fever, chills, confusion, and shock. If the infection spreads to critical body organs, such as the lungs, the urinary tract, and kidneys, the results can be fatal. The infections are hard to treat because the bacteria can resist many types of antibiotics




References
https://en.wikipedia.org/wiki/Pseudomonas_aeruginosa
http://www.nailsmag.com/article/40049/pseudomonas
http://www.aocd.org/?page=GreenNailSyndrome
http://www.nailpro.com/germs-keep-out
http://www.beautyweb.com/Ask_the_Experts/Nails/nail_fungus.htm