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- Title
Dental Materyallere Bağlı Gelişen Oral Likenoid Kontakt Reaksiyonlara Sahip Hastaların Allerji Profillerinin İncelenmesi.
- Authors
OFLUOĞLU, Duygu; UÇKUN, Nazlı Pınar; ERGUN, Sertan; TANYERİ, Hakkı
- Abstract
Oral lichen planus (OLP) is a recurrent, chronic, mucocutanous and inflamatory autoimmun disease. Oral lichenoid lesions (OLL) have same clinical and histopathological symptoms like OLP therefore it is very difficult to distinguish OLP and OLL. OLLs are a heterogenous group of lesions including oral lichenoid contact reactions (OLCR), oral lichenoid drug reactions (OLDR) and chronic graft-versus-host disease. The aim of this study is to investigate the relation between dental materials and OLCR lesions, to find out which dental materials are responsible in the genesis of OLCR lesions, and also discuss the importance of these finding in diagnosis. Material and Methods: 50 patients who were referred with the pre-diagnosis of OLL from the department of radiology and diagnosed as OLCR according to the results of clinical, histopathological examination and dental material allergy test results included in this study. The properties of OLCR lesions and the dental materials which causes OLCR were investigated. Patients were informed about the OLCR lesions and referred to other departments to remove the suspicious dental materials which causes OLCR lesions. All patients were reassessed with clinical examinations after one year. Results: Results showed that the most of OLCR lesions were localized on the buccal mucosa (90%) and were frequently in reticular type (70%). According to the dental material allergy test results, 27 (54%) patients displayed allergic reaction to only one dental material, 23 (46%) patients displayed allergic reaction to two or more dental materials. The most common positive reaction was observed against nickel sulfate (19,38%). After the removal of suspicious dental materials from the mouth, 95% of the OLCR lesions were healed. Conclusion: We consider that if there was no additional symptoms accompanying to OLL, a detailed anamnesis, clinical and histopathological examinations and dental material allergy test results can be helpful in the diagnosis of OLCR. The replacement of suspicious dental materials with an appropriate materials can be effective in the treatment of OLCR lesions.
- Publication
Turkiye Klinikleri Journal of Dental Sciences, 2016, Vol 22, Issue 2, p85
- ISSN
1300-7734
- Publication type
Article
- DOI
10.5336/dentalsci.2015-47266