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Related Experiment Videos

Allergy to dental gold.

D Wiesenfeld, M M Ferguson, A Forsyth

    Oral Surgery, Oral Medicine, and Oral Pathology
    |February 1, 1984
    PubMed
    Summary

    Gold allergy is rare, but this case shows acute oral ulceration after a gold dental crown. Patch testing confirmed a gold chloride sensitivity, highlighting potential dental implications.

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    Area of Science:

    • Oral medicine
    • Allergology
    • Dental materials science

    Background:

    • Gold alloys are frequently used in restorative dentistry due to their biocompatibility and durability.
    • Allergic reactions to gold dental appliances are considered exceptionally rare in clinical practice.

    Observation:

    • A patient developed acute oral ulceration immediately following the placement of a gold dental crown.
    • Clinical examination revealed ulcerated lesions on the oral mucosa adjacent to the new dental restoration.

    Findings:

    • Histopathological examination of the biopsied ulcer and surrounding mucosa demonstrated features consistent with allergic contact sensitivity.
    • The patient exhibited a positive patch test reaction specifically to gold chloride, confirming gold as the causative allergen.

    Implications:

    • This case underscores the possibility of gold allergy manifesting as oral ulceration, even if rare.
    • Dentists should consider allergic contact dermatitis to dental materials when evaluating persistent oral lesions.
    • Further investigation into the prevalence and clinical presentation of gold allergy in dentistry may be warranted.

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