Arch Dermatol. In group C 20 patients , the oral lesions had no topographic relationship with amalgam fillings. Dental amalgam was replaced in 8 patients of group B, with significant improvement. In group C, amalgam replacement in 2 patients resulted in improvement in 1 patient. No positive patch test reactions to mercury compounds were found in patients with concomitant cutaneous lichen planus and in group D.
Patch Testing Patch testing may be useful to identify those patients with suspected hypersensitivity reactions to amalgam or mercury [ 244546 ]. Red and white lesions of the oral mucosa. Dental amalgam causing oral lichen planus benefits and risks of dental amalgam: current findings reviewed. No malignant transformation of OLP Penile width observed in this study. The positive patch test reactions to the organic or inorganic mercury compounds orzl shown in Table 3. Amalgam has been used as a dental restorative material since its inception in for people all over the world, with few adverse effects.
Dental amalgam causing oral lichen planus. Who gets a lichenoid amalgam reaction?
Journal of Dentistry. Oral lichen planus and lichenoid reactions: Etiopathogenesis, diagnosis, management and malignant transformation. This leads to healing or a significant improvement in the oral lesions in nearly all patients within several months. Table of Contents. Burger, MD ; et al Paul G. Oral Diseases Oral lichen planus caused by dental amalgam.
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- Lichenoid amalgam reaction, also known as amalgam associated oral lichenoid reaction, is an uncommon allergic reaction following long exposure to dental amalgam filling s.
- Over 6 decades worth of studies show Oral lichen planus OLP represents a form of allergic reaction to the metals contained in dental amalgam, particularly mercury.
- The disease may not be passed from one person to another.
- Human oral mucosa is subjected to many noxious stimuli.
Lichenoid amalgam reaction, also known as amalgam associated oral lichenoid reaction, is an uncommon allergic reaction following long exposure to dental amalgam filling s. It occurs adjacent to an amalgam dental filling. Clinically and histologicallyit is indistinguishable from idiopathic oral lichen planus. Oral lichenoid lesions have been classified into three groups based on the relationship to the amalgam filling:.
The lesion may be asymptomatic or show symptoms such as pain or sensitivity to eating hot or spicy foods. The diagnosis will be suspected clinically because of the close relationship between the lesion and a dental amalgam filling. However idiopathic lichen planus can develop at sites of trauma such as rubbing from rough dental restorations.
Signs of lichen planus elsewhere including in the mouth, skin, nails and scalp should be looked for. A biopsy of the lesion will show the same histological features as idiopathic oral lichen planus. Immunofluorescence may be done to exclude autoimmune diseases of the mouth, and again is the same as for idiopathic oral lichen planus. However a negative result does not exclude the diagnosis. Therefore Crimson ninja hogtied role of this test in making the diagnosis is unclear.
The only diagnostic test is the response to replacement of the amalgam filling with an alternative filling material. However, if the lesion is not causing symptoms or the patient has lichen planus of the skin, annual review and use of alternative fillers for future dental work is suggested.
No progression to oral cancer has been reported to date from an oral lichenoid lesion adjacent to amalgam. See smartphone apps to check your skin. Dental amalgam causing oral lichen planus NZ does not provide an online consultation service. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Oral lichenoid reactions associated Vintage rancho living room set Dental amalgam causing oral lichen planus Improvement after amalgam removal.
Brit J Dermatol ; 70— Oral lichen planus and lichenoid reactions: Etiopathogenesis, diagnosis, management and malignant transformation. J Dental amalgam causing oral lichen planus Sci ; Amalgam-associated oral lichenoid reactions. Clinical and histologic changes after removal of amalgam fillings.
Oral Lichen Planus and Allergy to Dental Amalgam Restorations Article (PDF Available) in Archives of Dermatology (12) · January with 1, Reads How we measure 'reads'. Dental Amalgam May Cause Oral Lichen Planus. Friday, December 24th Dental amalgam may cause oral lichen planus (OLP) lesions, according to the results of a study published in the December issue of the Archives of Dermatology. Removal of the amalgam can resolve the lesions if the patch test yields positive results. Amalgam on # Courtesy of Carol Perkins, RDH, BA. Your patient today is Jennifer, a patient of record who has been diagnosed with oral lichen planus confirmed through a biopsy. During your initial assessment, Jennifer asks the following question: “If I have oral lichen planus, should I remove my.
Dental amalgam causing oral lichen planus. Article metrics
Exogen induzierte erkrarkungen der mundschleimhaut. Amalgam use though is declining; the main reason is that dental caries rates among school children and young adults are dropping. Neumann, MD, PhD. He described this histopathological pattern common to several diseases referred to above rather than a clinical entity. Support Center Support Center. Published by Wolters Kluwer - Medknow. Improved alternative filling materials are also now available. Hamilton, Canada: BC Decker; The Journal of the American Dental Association. Smart, E. There are concerns, but no current scientific evidence, that mercury emitted from amalgam fillings may cause or worsen degenerative diseases such as amyotrophic lateral sclerosis ALS , Alzheimer's disease, multiple sclerosis, and Parkinson's disease. In group D, no advice on replacement of amalgam fillings was given. In group D, positive reactions occurred to nickel sulfate 4 patients , fragrance mix 3 patients , formaldehyde 2 patients , colophony 2 patients , balsam of Peru 2 patients , paraben mix 1 patient , Quaternium 1 patient , cocamidopropyl betaine 2 patients , benzocaine 1 patient , and cobalt chloride 1 patient. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Merritt K.
Laeijendecker asz. Comment in Arch Dermatol.