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Extra-Coronal RestorationsImmunological Reactions to Materials

Extra-Coronal Restorations: Immunological Reactions to Materials [This chapter will emphasise the need to:Distinguish between toxicity and hypersensitivity to a dental materialRecognise the characteristics of a Type 1 (immediate, potentially life-threatening) reaction and Type IV (delayed). Both can occur in relation to materials used in restoring teeth, but Type IV reactions occur more commonlyAppreciate that various Type IV reactions may occur with base alloys, and composites but oral lichenoid lesions (OLL) occur most commonly to amalgamRefer OLL for a specialist opinion as this Type IV reaction is difficult to differentiate from lichen planusAsk for appropriate testing to be carried out by a dermatologist to determine which restorative materials can be used for a patient with OLLChoose replacement materials not only on the results of immunological testing but also to ensure fitness for purpose dentally.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Extra-Coronal RestorationsImmunological Reactions to Materials

Part of the BDJ Clinician’s Guides Book Series
Editors: Wassell, Robert; Nohl, Francis; Steele, Jimmy; Walls, Angus
Stone, Simon; Steele, Jimmy; Wassell, Robert
Extra-Coronal Restorations — Aug 1, 2018
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6 pages

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Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2019. This book has been previously published in 2002 by BDJ Books with the following title: A Clinical Guide to Crowns and Other Extra-coronal Restorations.
ISBN
978-3-319-79092-3
Pages
75 –81
DOI
10.1007/978-3-319-79093-0_7
Publisher site
See Chapter on Publisher Site

Abstract

[This chapter will emphasise the need to:Distinguish between toxicity and hypersensitivity to a dental materialRecognise the characteristics of a Type 1 (immediate, potentially life-threatening) reaction and Type IV (delayed). Both can occur in relation to materials used in restoring teeth, but Type IV reactions occur more commonlyAppreciate that various Type IV reactions may occur with base alloys, and composites but oral lichenoid lesions (OLL) occur most commonly to amalgamRefer OLL for a specialist opinion as this Type IV reaction is difficult to differentiate from lichen planusAsk for appropriate testing to be carried out by a dermatologist to determine which restorative materials can be used for a patient with OLLChoose replacement materials not only on the results of immunological testing but also to ensure fitness for purpose dentally.]

Published: Aug 1, 2018

Keywords: Oral Lichenoid Lesions (OLL); Dental Materials; Lichenoid Reaction; Oral Lichen Planus (OLP); Medicines And Healthcare Products Regulatory Agency (MHRA)

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