Mittermueller, Pauline and Hiller, Karl-Anton and Schmalz, Gottfried and Buchalla, Wolfgang (2018) Five hundred patients reporting on adverse effects from dental materials: Frequencies, complaints, symptoms, allergies. DENTAL MATERIALS, 34 (12). pp. 1756-1768. ISSN 0109-5641, 1879-0097
Full text not available from this repository. (Request a copy)Abstract
Objective. Information on patients with real or claimed adverse reactions towards dental materials in large patient cohorts is rare. Therefore, the aim of the present study was to investigate patients reporting on complaints and symptoms to dental materials over a 16-year period. Methods. Five hundred patients were characterized by one single dental team regarding age and sex distribution, subjective complaints and objective intraoral symptoms, and allergy status relevant to dental materials. Results. Elder patients and females predominated. Subjective complaints were reported by 490 patients, ranging from 1 to 12 complaints per patient. Most often, burning mouth (44%), tooth-/jawache (22%) and dry mouth (20%) were reported. In 54% no objective intraoral symptom was diagnosed. The main objective intraoral symptoms were tongue anomalies (lingua plicata or geographica; 14%), gingivitis adjacent to restorations (12%), redness of the palate or the edentulous ridge (7%), oral lichen planus (6%), grayish discolorations, lichenoid contact lesions, and leukoplakia (<5%). Patch testing of 416 (83%) patients revealed that allergy was diagnosed as contributing to the complaints or symptoms in 70 (14%) patients with metals being the most frequent allergens. Gingivitis adjacent to restorations (3.2%), redness of the palate or edentulous ridge (1.4%) and whitish lichen-like lesions (1.8%) were associated to allergy from dental materials. Significance. The high number of subjective complaints per patient and their wide variety suggests that most patients seriously suffered. Furthermore, the fact that only 46% of the patients had objective intraoral symptoms demands for an interdisciplinary collaboration to elucidate other than dental causes. (C) 2018 The Academy of Dental Materials. Published by Elsevier Inc. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | OCCUPATIONAL-HEALTH PROBLEMS; ORAL LICHENOID LESIONS; BURNING MOUTH SYNDROME; PATCH TEST REACTIONS; CONTACT ALLERGY; GEOGRAPHIC TONGUE; AMALGAM; DIAGNOSIS; METALS; SERIES; Adverse effects; Dental materials; Complaints; Symptoms; Allergy; Patch test; Stomatognathic diseases; Burning mouth; Lichenoid eruptions; Gingivitis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Zahnerhaltung und Parodontologie > Dr. rer. nat. Karl-Anton Hiller |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 04 Oct 2019 10:08 |
| Last Modified: | 04 Oct 2019 10:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/13439 |
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