Dental materials in patients with oral mucosal disease based on the results of patch test study

Jeong,  Sung-Hee; Kim,  Ji-Su; Kim,  Kyung-Hee; Ok,  Soo-Min; Heo,  Jun-Young; Ahn,  Yong-Woo

J Korean Dent Assoc > Volume 52(2); 2014 > Article

The Journal of The Korean Dental Association 2014;52(2):96-104.
Published online February 28, 2014.

구강점막질환환자에서 치과재료를 이용한 첩포시험 결과에 대한 고찰

정성희¹, 김지수², 김경희³, 옥수민⁴, 허준영⁵, 안용우⁶

^¹부산대학교 치의학전문대학원 구강내과학교실
^²부산대학교 치의학전문대학원 구강내과학교실
^³인제대학교 부산백병원 구강내과학교실
^⁴부산대학교 치의학전문대학원 구강내과학교실
^⁵부산대학교 치의학전문대학원 구강내과학교실
^⁶부산대학교 치의학전문대학원 구강내과학교실

Dental materials in patients with oral mucosal disease based on the results of patch test study

Sung-Hee Jeong¹, Ji-Su Kim², Kyung-Hee Kim³, Soo-Min Ok⁴, Jun-Young Heo⁵, Yong-Woo Ahn⁶

¹Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute
²Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute
³Department of Oral Medicine, Busan Paik Hospital, Inje University
⁴Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute
⁵Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute
⁶Department of Oral Medicine, School of Dentistry, Pusan National University, Dental Research Institute

Abstract

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.

Key Words: Epicutaneous patch tests;Dental materials;Oral mucosal lesions;