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[Nickel allergy and orthodontics]
R L J Leenen1, A M Kuijpers-Jagtman, B A Jagtman
1Afdeling Orthodontie en Orale Biologie, Universitair Medisch Centrum St Radboud, Nijmegen.
Nederlands Tijdschrift Voor Tandheelkunde
|May 15, 2009
Summary
Nickel hypersensitivity affects 5-10% of the population, particularly young females. While nickel is common in orthodontic appliances, oral allergies are rare due to mucosal differences.
Area of Science:
- Oral Medicine
- Allergology
- Materials Science
Context:
- Nickel hypersensitivity is prevalent, especially in young females, with rates up to 30%.
- The skin is more susceptible to nickel allergy than the oral mucosa.
- Nickel is extensively used in orthodontic appliances, leading to ion release via corrosion.
Purpose:
- To explore the prevalence and mechanisms of nickel hypersensitivity.
- To compare the oral mucosa's sensitivity to nickel versus skin.
- To discuss the implications of nickel release from orthodontic appliances.
Summary:
- Oral mucosa exhibits lower nickel sensitivity than skin due to anatomical factors and pellicle presence.
- Corrosion of orthodontic appliances releases nickel ions, influenced by oral environment factors (pH, saliva, temperature, mechanical load).
- Despite significant nickel use in orthodontics, nickel allergies are infrequent, but nickel-free alternatives are recommended for hypersensitive individuals.
Impact:
- Informs clinical decisions regarding orthodontic appliance selection for patients with nickel sensitivity.
- Highlights the importance of understanding oral mucosal resilience to allergens.
- Contributes to the development of safer orthodontic materials and patient management strategies.
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