Stomatitis, Dermatitis, and Denture Materials

Crissey, John Thorne

doi:10.1001/archderm.1965.01600130051006

Cited by 30 publications

(9 citation statements)

References 6 publications

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“…The onset of symptoms followed fitting of the acrylic dentures by periods varying from one week to four years. [19] In a report from India, two patients with oral lesions reacted to triethylene glycol dimethacrylate. [20] Our patient who had stomatitis due to dentures had a positive patch test to methylhydroquinone and not acrylates and two dental personnel developed dermatitis due to acrylates.…”

Section: Discussionmentioning

confidence: 99%

Investigation of contact allergy to dental materials by patch testing

Rai

Dinakar²,

Kurian

et al. 2014

Indian Dermatol Online J

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Background:Dental products are widely used by patients and dental personnel alike and may cause problems for both. Dental materials could cause contact allergy with varying manifestations such as burning, pain, stomatitis, cheilitis, ulcers, lichenoid reactions localized to the oral mucosa in patients, and hand dermatitis in dental personnel. Patch testing with the dental series comprising commonly used materials can be used to detect contact allergies to dental materials.Aim:This study aimed to identify contact allergy among patients who have oral mucosal lesions after dental treatment and among dental personnel who came in contact with these materials.Materials and Methods:Twenty patients who had undergone dental procedures with symptoms of oral lichen planus, oral stomatitis, burning mouth, and recurrent aphthosis, were included in the study. Dental personnel with history of hand dermatitis were also included in the study. Patch testing was performed using Chemotechnique Dental Series and results interpreted as recommended by the International Contact Dermatitis Research Group (ICDRG).Results:Out of 13 patients who had undergone dental treatment/with oral symptoms, six patients with stomatitis, lichenoid lesions, and oral ulcers showed positive patch tests to a variety of dental materials, seven patients with ulcers had negative patch tests, seven dental personnel with hand dermatitis showed multiple allergies to various dental materials, and most had multiple positivities.Conclusion:The patch test is a useful, simple, noninvasive method to detect contact allergies among patients and among dental personnel dealing with these products. Long term studies are necessary to establish the relevance of these positive patch tests by eliminating the allergic substances, identifying clinical improvement, and substituting with nonallergenic materials.

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Section: Discussionmentioning

confidence: 99%

Investigation of contact allergy to dental materials by patch testing

Rai

Dinakar²,

Kurian

et al. 2014

Indian Dermatol Online J

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“…Allergic reactions to dental materials especially dental alloys [145,146,147,148] as well as resin-based dental materials [149,150,151,152,153] have been reported. These reactions are mainly denture stomatitis due to allergy to polymethyl methacrylate (PMMA) denture base material.…”

Section: Systemic Adverse Reactionsmentioning

confidence: 99%

Biocompatibility of Resin-based Dental Materials

2009

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Oral and mucosal adverse reactions to resin-based dental materials have been reported. Numerous studies have examined the biocompatibility of restorative dental materials and their components, and a wide range of test systems for the evaluation of the biological effects of these materials have been developed. This article reviews the biological aspects of resin-based dental materials and discusses the conventional as well as the new techniques used for biocompatibility assessment of dental materials.

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“…immunologic, responses to components of the denture acrylic resin seem to be no more than an incidental complication to the wearing of complete dentures. According to some case reports, an allergic reaction may occur due to sensitization to acrylic monomer, hydrochinon, and formalin (Langer 1956, Crissey 1965, Stungis & Fink 1969, Rossbach 1975, Giunta & Zablotsky 1976. It is a characteristic feature that the tissue response is acute, showing edema and erythema with burning and itching pain.…”

Section: Tissue Response To Denture Base Materialsmentioning

confidence: 99%

Oral mucosal lesions associated with the wearing of removable dentures

Budtz-Jørgensen¹

1981

J Oral Pathology Medicine

249

182

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Lesions of the oral mucosa associated with wearing of removable dentures may represent acute or chronic reactions to microbial denture plaque, a reaction to constituents of the denture base material, or a mechanical denture injury. The lesions constitute a heterogeneous group with regard to pathogenensis. They include denture stomatitis, angular cheilitis, traumatic ulcers, denture irritation hyperplasia, flabby ridges, and oral carcinomas. Denture stomatitis is the most common condition which affects the palatal mucosa in about 50% of wearers of complete or partial removable dentures. Most of the lesions are caused by chronic infection (Candida albicans) or mechanical injury whereas allergic reactions to the denture base materials are uncommon. Angular cheilitis (lesions of the angles of the mouth) is characterized by maceration, erythema and crust formation. The prevalence is about 15% among wearers of complete dentures. The lesions have an infectious origin but several local, including prosthetic, or systemic predisposing conditions are usually present. Traumatic ulcers caused by dentures with overextended or unbalanced occlusion are seen in about 5% of denture wearers. Denture irritation hyperplasia, which is caused by chronic injury of the tissue in contact with the denture border, is present in about 12% of denture wearers. Flabby ridge, which is replacement of alveolar bone by fibrous tissue, is present in 10-20%. Finally, there is evidence that chronic injury of the oral mucosa by dentures in rare instances may predispose to development of carcinomas. Most types of lesions are benign and quite symptomless. However, diagnosis may be difficult and the more severe and dramatic tissue reactions to dentures may indicate underlying systemic diseases. In order to prevent or minimize the extent of the lesions, denture wearers should be recalled regularly for an examination of the oral cavity and the dentures. It is important that the examination is carried out by a person who has adequate medical knowledge.

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Stomatitis, Dermatitis, and Denture Materials

Cited by 30 publications

References 6 publications

Investigation of contact allergy to dental materials by patch testing

Investigation of contact allergy to dental materials by patch testing

Biocompatibility of Resin-based Dental Materials

Oral mucosal lesions associated with the wearing of removable dentures

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