COMMON ALLERGIES AND ALLERGENS IN ORAL AND PERIORAL DISEASES.

Abstract:

:Allergic reactions sometimes participate in the development of perioral and oral diseases, indicating the need for appropriate allergen assessment. This review discusses current knowledge on the potential allergic reactions to different dental materials in patients with oral and perioral diseases. Aside from allergies to various dental materials, similar non-allergic, non-immune contact reactions (irritant or toxic) can occur. Among dental materials, the most frequent allergens are alloys, followed by rubber materials, polymers and acrylates. Allergic reactions to dental alloys that contain nickel, cobalt and amalgam are especially frequent since dentists use them for prosthetic and other restorations. There is a broad spectrum of clinical presentations of oral and perioral diseases possibly related to allergies, such as lichenoid reactions, cheilitis, perioral dermatitis, burning sensations, etc. Despite some limitations, patch test is crucial in the diagnosis and recognition of causative allergens because it reveals contact allergies, and is still superior in differentiating allergic and irritant contact reactions. It is important to examine patient medical histories (e.g., occurrence of symptoms after dental therapy or food consumption), and in consultation with their dentist, carry out allergy tests to specific dental allergens which are used or planned to be used in subsequent treatment.

journal_name

Acta Clin Croat

journal_title

Acta clinica Croatica

authors

Lugović-Mihić L,Ilić I,Budimir J,Pondeljak N,Mravak Stipetić M

doi

10.20471/acc.2020.59.02.16

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

318-328

issue

2

eissn

0353-9466

issn

1333-9451

pii

acc-59-318

journal_volume

59

pub_type

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