Oral lichen planus: hypersensitivity to dental restoration material
- 1 January 1984
- journal article
- Published by Wiley in Contact Dermatitis
- Vol. 10 (1), 11-15
- https://doi.org/10.1111/j.1600-0536.1984.tb00053.x
Abstract
67 patients with oral lichen planus of the atrophic-erosive or reticular plaque type were examined. Dental amalgam in contact with mucosal lesions was present in 64 patients, and gold fillings in 33. Patch testing with a standard procedure was performed with components of dental fillings. 11 patients (16%) reacted to at least one of the mercury compounds compared to 8% in a reference group. Most positive reactions were caused by elemental mercury and ammoniated mercury. No patient reacted to gold or copper. Readings at days 10-14 did not increase the number of responders. 13 patients were patch tested with palladium; all were negative. It is not clear whether in the mercury-positive patients allergy to dental amalgam is a causative or aggravating factor, or merely on epiphenomenon.Keywords
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