Oral lichenoid lesions associated with amalgam restorations: report of two cases

Abstract

Purpose: Dental amalgam has been used as a dental restoration for more than 165 years. However, some patients with these restorations may present oral lichenoid lesions (OLL). OLL are chronic oral mucosal contact reactions to dental amalgam. Their diagnosis usually is based on the direct contact of the affected mucosa with the amalgam restorations, clinical appearance, and lack of migrations. A patch-test for mercury can be performed to confirm the diagnosis. Thus, the objective this work was to discuss the occurrence of this disease and your possibilities of existing differential diagnostic. Case description: Two clinical cases were diagnosed as related to OLL. In both cases, the patients complained of a burning sensation in the oral mucosa adjacent to the amalgam restorations. The treatment involved replacing the amalgam restorations by composite. A complete remission of the painful symptoms was observed after 17 days in one case and after one month in the other, although the lesions in the oral mucosa did not disappear completely. Conclusion: Dentists should be aware of OLL occurrence close to amalgam restorations and should be able to diagnose it and recommend the best treatment option.

<p>Lichenoid Reaction Caused by Antihistamines and Corticosteroids</p>

“…The symptoms typically reduce after elimination of the suspected drug or other triggers and one should suppress symptoms as optimally as possible until there is spontaneous remission. [23][24][25] Before starting the treatment with the new regimen, we performed a drug provocation test. She was tested with other antihistamines by rapid desensitization protocol, and the Chlor Tri Method (CTM) was tolerable.…”

Profil lesi oral pada penderita penyakit autoimun

“…Predileksi lesi OLP adalah pada mukosa bukal dan lidah serta memiliki kecenderungan bilateral, 11,14 sejalan dengan hasil penelitian ini yaitu pada mukosa bukal (66,6%) dan dorsum lidah (66,6%), diikuti oleh mukosa labial (58,3%) dan gusi (41,6%). Hasil penelitian ini hampir sesuai dengan hasil penelitian yang dilakukan oleh Arisawa,et.al.,6 yaitu predileksi OLP pada mukosa bukal (61,2%), mukosa alveolar atau gusi (18,4%), lidah (14,3%) dan bibir (2%).…”