Contact allergies to dental materials in patients

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Susann Forkel - , University of Göttingen (Author)
  • Steffen Schubert - , University of Göttingen (Author)
  • Lisa Corvin - , University Hospital Schleswig-Holstein Campus Kiel (Author)
  • Guido Heine - , University Hospital Schleswig-Holstein Campus Kiel (Author)
  • Claudia C.V. Lang - , University of Zurich (Author)
  • Eva Oppel - , Ludwig Maximilian University of Munich (Author)
  • Claudia Pföhler - , Saarland University (Author)
  • Regina Treudler - , Leipzig University (Author)
  • Andrea Bauer - , Department of Dermatology, University Allergy Centre, University Hospital Carl Gustav Carus Dresden (Author)
  • Mathias Sulk - , University of Münster (Author)
  • Birger Kränke - , Medical University of Graz (Author)
  • Knut Schäkel - , Heidelberg University  (Author)
  • Annice Heratizadeh - , Hannover Medical School (MHH) (Author)
  • Margitta Worm - , Charité – Universitätsmedizin Berlin (Author)
  • Jana Witte - , University of Hamburg (Author)
  • Johannes Geier - , University of Göttingen (Author)
  • Timo Buhl - , University of Göttingen (Author)

Abstract

Background Concerns regarding contact allergies and intolerance reactions to dental materials are widespread among patients. Development of novel dental materials and less frequent amalgam use may alter sensitization profiles in patients with possible contact allergy. Objectives To analyse current sensitization patterns to dental materials in patients with suspected contact allergy. Methods This retrospective, multicentre analysis from the Information Network of Departments of Dermatology (IVDK) selected participants from 169 834 people tested in 2005–2019 and registered with (i) an affected area of ‘mouth’ (and ‘lips’/‘perioral’), (ii) with the dental material in question belonging to one of three groups (dental filling materials, oral implants or dentures or equivalents) and (iii) with patch-testing done in parallel with the German baseline series, (dental) metal series and dental technician series. Results A total of 2730 of 169 834 tested patients met the inclusion criteria. The patients were predominantly women (81.2%) aged≥40 years (92.8%). The sensitization rates with confirmed allergic contact stomatitis in women (n=444) were highest for metals (nickel 28.6%, palladium 21.4%, amalgam 10.9%), (meth)acrylates [2-hydroxyethyl methacrylate (HEMA) 4.8%] and the substances propolis (6.8%) and ‘balsam of Peru’ (11.4%). The most relevant acrylates were HEMA, 2-hydroxypropyl methacrylate, methyl methacrylate, ethylene glycol dimethacrylate and pentaerythritol triacrylate. Few men were diagnosed with allergic contact stomatitis (n=68); sensitization rates in men were highest for propolis (14.9%) and amalgam (13.6%). Conclusions Allergic contact stomatitis to dental materials is rare. Patch testing should not only focus on metals such as nickel, palladium, amalgam and gold, but also (meth)acrylates and the natural substances propolis and ‘balsam of Peru’.

Details

Original languageEnglish
Pages (from-to)895-903
Number of pages9
JournalBritish journal of dermatology
Volume190
Issue number6
Publication statusPublished - Jun 2024
Peer-reviewedYes

External IDs

PubMed 38123140
ORCID /0000-0002-4411-3088/work/169643521

Keywords

ASJC Scopus subject areas