Allergic Stomatitis From Orthodontic Adhesives

Peterson, Matthew R.; Wong, Priscilla H.; Dickson, Scott D.; Coop, Christopher A.

doi:10.7205/milmed-d-16-00232

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…The main elicitors of dental material allergy are palladium, gold, and amalgam . Furthermore, allergy to metals is common in patients with oral lichenoid lesions . Acrylate allergy is less common, but may present with cross‐reacting compounds.…”

Section: Discussionmentioning

confidence: 99%

Artificial nail wearing: Unexpected elicitor of allergic contact dermatitis, oral lichen planus and risky arthroplasty

et al. 2019

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K E Y W O R D S : (meth)acrylates, allergy, bone cement, case report, dental filling, lichen planus, patch test Despite the increasing use of (meth)acrylates both in dentistry and in beauty treatments, allergic reactions may often not be identified as such. We report a patient who developed dermatitis upon use of acrylate fingernails and exposure to paint dust, followed by oral pain and erosive lichen planus caused by acrylate-based dental fillings. Subsequently, the patient sought advice, as dental implants and a cemented arthroplasty were planned. CASE REPORTA 58-year-old woman had undergone replacement of amalgam dental fillings on the right jaw with plastic composite fillings. Subsequently, right-sided oral pain and burning developed. Neurological examination excluded neuritis. Thereafter, painful oral erosions ( Figure 1) and ulcers appeared, and were classified as erosive lichen planus by histology. Careful history-taking showed, apart from itching and eczema caused by jewellery, that the patient had developed dermatitis of the fingertips upon wearing artificial acrylic nails years ago. Furthermore, a pruritic rash on her face and neck had been aggravated by paint dust in the paint division of a hardware store.Because of a suspicion of acrylate allergy, patch testing was performed with the baseline series, and dental metal and dental technician series including acrylate preparations, according to the recommendations of the German Contact Dermatitis Research Group. Patch tests showed + positive reactions to nickel and palladium on day (D) 3, and +++ positive, partly bullous reactions to ethyleneglycol dimethylacrylate, 2-hydroxyethyl methacrylate, triethyleneglycol dimethacrylate, methyl methacrylate, 2-hydroxypropyl methacrylate, 1,4-butanediol dimethacrylate, ethyl methacrylate, tetrahydrofurfuryl methacrylate and diurethane dimethacrylate on D2 and D3 (Supporting Information Figure S1). Erosions partly persisted at the D7 reading. After replacement of plastic composite fillings with "a non-acrylate-releasing material" the patient's symptoms completely resolved. However, some years later, she presented again for evaluation prior to planned dental implantation and arthroplasty. DISCUSSIONThe main elicitors of dental material allergy are palladium, gold, and amalgam. 1 Furthermore, allergy to metals is common in patients with oral lichenoid lesions. 2,3 Acrylate allergy is less common, but may present with cross-reacting compounds. Theoretically, acrylates should be polymerized in dental prostheses and fillings. However, with inadequate polymerization, residual monomers are released and the risk of sensitization or elicitation arises. 4 (Meth)acrylates are contained in various coatings, plastics, dental prostheses, hearing aids, paints, bone cement for arthroplasty, glass substitutes, acrylic nails, printing inks, and adhesives. 5 A consumer may not interpret local eczema, and especially facial/neck dermatitis, as a manifestation of allergy to nail acrylates. However, such allergy is increasing both in occup...

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Section: Discussionmentioning

confidence: 99%

Artificial nail wearing: Unexpected elicitor of allergic contact dermatitis, oral lichen planus and risky arthroplasty

et al. 2019

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“…It has been shown that TEGDMA has the ability to stimulate the growth of cariogenic bacterial cultures [23] and to cause allergic reactions [37]. However, particular concern in the context of the use of materials during dental treatment is raised by reports of the paraestrogenic effect of both Bis-GMA resin and bisphenol A (BPA) [19].…”

Section: Chemical Stability Of Orthodontic Adhesive Systems In the Ormentioning

confidence: 99%

Orthodontic adhesive systems –over half a century of research and experience

Kuśmierczyk¹,

Małkiewicz²

2019

jos

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A B S T R AC TNowadays, during orthodontic treatment, brackets of fixed appliances are attached directly to tooth enamel. Research on development and improvement of orthodontic adhesives has been going on for over 50 years and is progressing in many directions. As a result, new solutions are introduced into clinical practice to improve functionality of adhesive systems being applied. Demands set for an adhesive system dedicated to orthodontic use, are primarily: ability to transfer orthodontic forces onto teeth in three spatial dimensions, resistance to masticatory forces, resistance to oral environment, ability to accurately position brackets and maintain them throughout treatment, possibility of detaching brackets without causing damage to tooth enamel and biocompatibility. Products available on the market do not constitute a homogeneous group in terms of both chemical structure and functional features. This paper presents the history of development of orthodontic adhesive systems and their features in relation to clinical use. Attention was also paid to directions of evolution of the aforementioned group of materials aimed at improving their performance in certain aspects of medical practice. Despite the ongoing research and development work, no orthodontic adhesive system that meets all the requirements set for "ideal material" has been developed to date. Orthodontic adhesives introduced into the market require assessment of their actual clinical usability and safety in treatment of patients.

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“…10,11 In addition, poor monomer conversion results in monomer leaching and the release of plasticizers and polymerization initiators. 12,13 Such an issue is a matter of concern as monomer leaching from poorly polymerized resin-based composites has been associated with metabolic diseases, problems in gene expression, 14 and also problems in immune responses. 15 Despite the advances in adhesion and LED technology, the currently used bonding protocol for metallic and ceramic brackets still remains a time-consuming procedure, once clinicians usually avoid short exposure intervals.…”

mentioning

confidence: 99%

Influence of radiant exposure values from two third generation LED curing units on polymerization profile and microhardness of orthodontic composite under ceramic and metallic brackets

Arana

Justus

Dávila-Sánchez

et al. 2021

Dental Press J. Orthod.

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Introduction: Third generation of LED light curing units might be used in short exposure periods for orthodontic brackets bonding. Objective: This study evaluated the effect of the different radiant exposure (RE) values: Manufacturers’ instructions (MI), ½ MI, 1/4 MI and Turbo mode. Two third-generation LED curing units were used: VALO® and Bluephase 20i® . The degree of conversion (DC) and Vickers hardness (VHN) of an orthodontic composite (OC) (Transbond XT) under metallic (MB) or ceramic brackets (CB) were measured. Methods: OC was applied to the bracket base, which was then placed over an attenuated total reflectance (ATR) table coupled to an infrared light spectroscope, or to a glass surface for the VHN analysis. The specimens were light-cured and DC values were calculated. The VHN was obtained in a microhardness tester. The data were analyzed with 2-way ANOVA followed by Tukey’s post-hoc test (pre-set α=0.05). Linear regression analysis evaluated the relationship between RE values and dependent variables. Results: CB allowed higher DC and VHN values than MB (p< 0.001). No significant difference was noted among groups when CB were used. For MB, MI groups showed the highest DC and VHN values. A significant, but weak relationship was found between delivered RE values and dependent variables. Conclusions: The decrease in RE values from third generation LED CU did not jeopardize the DC values when CB were used, but can compromise DC and VHN values when MB are used.

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Allergic Stomatitis From Orthodontic Adhesives

Cited by 8 publications

References 8 publications

Artificial nail wearing: Unexpected elicitor of allergic contact dermatitis, oral lichen planus and risky arthroplasty

Artificial nail wearing: Unexpected elicitor of allergic contact dermatitis, oral lichen planus and risky arthroplasty

Orthodontic adhesive systems –over half a century of research and experience

Influence of radiant exposure values from two third generation LED curing units on polymerization profile and microhardness of orthodontic composite under ceramic and metallic brackets

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