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KMID : 0362720140520020096
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Journal of the Korean Dental Association
2014 Volume.52 No. 2 p.96 ~ p.104
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Dental materials in patients with oral mucosal disease based on the results of patch test study
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Jeong Su-Min
Kim Ji-Soo
Kim Kyung-Hee
Ok Soo-Min
Heo Jun-Young
Ahn Yong-Woo
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Abstract
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The aim of this study was to investigate the frequency of positive patch test reaction to dental materials in patients with oral mucosal diseases. Epicutaneous patch test was performed in 110 patients with oral mucosal diseases; 41 patients with oral lichen planus(OLP), 44 patients with burning mouth syndrome(BMS), 25 patients with other oral mucosal diseases including recurrent aphthous ulcer and mucous membrane pemphigoid. The obtained results were as follows: Oral gold restorations were most common in patents with oral mucosal diseases and porcelain fused metal crown, implant appeared in the order. 33 of 110 patients did not appear skin reactions (negative, 30%) and 77 patients (positive, 70%) had skin reactions including redness, rash, blisters. Dental materials causing positive reaction to patch test were mainly as gold-sodium-thiosulfate (26.7%), nickel sulfate(Ni) (22.7%), cobalt chloride(Co) (14.7%), palladium chloride(Pd) (11.9%), potassium dichromate (10.7%) in order, respectively. In conclusion, old metal restorations could be the cause of oral mucosal diseases and epicutaneous patch test could be used as a tool to improve the oral conditions.
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KEYWORD
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Epicutaneous patch tests, Dental materials, Oral mucosal lesions
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