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| Titel: |
Hypersensitivity reactions to orthodontic materials. |
| Auteur: |
Philippos N. Synodinos Eleni Voulgari Manolis I. Papagrigorakis |
| Verschenen in: |
Hellenic orthodontic review |
| Paginering: | Jaargang 8 (2005) nr. 2 pagina's 105-126 |
| Jaar: |
2005 |
| Inhoud: |
Most allergic reactions that may be observed during orthodontic treatment are manifestations of hypersensitivity to potentially allergenic factors of orthodontic materials. These factors basically include the latex material of disposable elastic surgical gloves and of most elastic orthodontic materials and the nickel contained in the alloys of metal orthodontic appliances. Allergic hypersensitivity reactions may involve extra- and intra-oral clinical signs usually including localized manifestations, at the site of contact with the allergen, such as erythema, edema, itching of the skin or oral mucosa and more rarely systemic manifestations, such as generalized rash and dyspnea, whereas in extreme situations aphylactic reaction may be observed. In any case, when taking the patient’s medical history, it is necessary to record in detail all previous allergic episodes of any type. Where considered necessary, the diagnosis of hypersensitivity to specific materials is documented by the allergiologist following specialized dermatological or hematological tests. Although the phenomenon of hypersensitivity to orthodontic materials is not common in routine clinical practice, in cases where an allergic reaction is observed, the prompt diagnosis is of utmost importance, and it should be followed by the immediate interruption of exposure to the allergen along with the substitution of any suspected /potent allergens or/and modification of treatment planning. The aim of this review is to describe, on the basis of modern literature, the latest evidence-based scientific data concerning etiology, diagnosis and treatment of allergic reactions to materials most frequently used during orthodontic treatment. |
| Uitgever: |
Greek Orthodontic Society |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
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