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Patch Testing with Dental Screening Series in Oral Disease
Tae-Wook Kim1, Woo-Il Kim2, Je-Ho Mun1
1Department of Dermatology, Pusan National University School of Medicine, Yangsan, Korea.
Annals of Dermatology
|August 15, 2015
Summary
Contact allergy to dental materials is common in oral diseases, particularly oral lichen planus. Patch testing helps identify allergens, guiding treatment for these conditions.
Area of Science:
- Oral medicine
- Dermatology
- Allergology
Background:
- The oral mucosa frequently encounters irritants and allergens from dental materials.
- The specific role of contact allergy in oral diseases remains unclear.
Purpose of the Study:
- To analyze positive patch test results in patients diagnosed with oral diseases.
- To assess the clinical significance of contact allergy to dental materials in these patients.
Main Methods:
- Retrospective analysis of patch test results using a dental screening series.
- Study included 44 patients with various oral diseases between 2004 and 2011.
Main Results:
- Oral lichen planus was the most frequent diagnosis (54.5%), followed by cheilitis (27.3%).
- 70.5% of patients showed positive reactions to at least one allergen.
- Gold sodium thiosulfate and nickel sulfate were the most common allergens (25.0% each).
- Oral lichen planus patients with adjacent symptoms and positive patch tests indicated a link to dental material allergens.
Conclusions:
- Patch testing with dental screening series is valuable for diagnosing oral diseases.
- This testing is particularly recommended for patients with oral lichen planus to identify potential contact allergies.
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