A Clinical Report of Prosthodontic Treatment Using Titanium for a Patient with Allergic Reaction to Sn, Cu, Cr, Au and Pd.

• Hirose Yukito

  Department of Fixed Prosthodontics, School of Dentistry, Health Sciences University of Hokkaido

• Hikage Sakari

  Department of Fixed Prosthodontics, School of Dentistry, Health Sciences University of Hokkaido

• Sakaguchi Kunihiko

  Department of Fixed Prosthodontics, School of Dentistry, Health Sciences University of Hokkaido

• Michiya Hiroyuki

  Department of First Oral Surgery, School of Dentistry, Health Sciences University of Hokkaido

• Kanazawa Masaaki

  Department of First Oral Surgery, School of Dentistry, Health Sciences University of Hokkaido

• Endo Kazuhiko

  Department of Dental Materials Science, School of Dentistry, Health Sciences University of Hokkaido

• Ohno Hiroki

  Department of Dental Materials Science, School of Dentistry, Health Sciences University of Hokkaido

Bibliographic Information

Other Title

• 多数の金属にアレルギー反応を示す患者のチタンによる歯科補綴治療

Abstract

A case of lichen planus of the buccal mucosa in a 52-year-old female is reported. Her teeth were cemented by a fixed bridge in a dental clinic three years earlier. A few days later, she had a constant pain in her oral mucosa that was worsening. She visited our hospital with this swelling, so the lesion was examined. Lichen planus was recognized in the biopsy specimen of the lesion. She had a medical history of metal allergy. Patch test for dental metal sensitivity was used to investigate the problem. Positive reactions were observed for tin, copper, chromium, gold, and palladium. Investigation was done by metal biopsy of the surface of the resin disk inscribed on her prostheses. The minute amounts of biopsy on the resin disk were analyzed by ESCA. It was found that her prostheses were made of Au-Ag-Pd and Ag-In-Sn alloys. These results suggested that this case may have lichen planus caused by allergy to dental alloys. Therefore, her metal prostheses were removed and a temporary restoration of resin for 10 months was done. Finally, a titanium prostheses was applied. Her condition has remained good without any allergic reaction. It seemedthat this treatment was successful because her lesion recovered.

Journal

• Nihon Hotetsu Shika Gakkai Zasshi

  Nihon Hotetsu Shika Gakkai Zasshi 42 (4), 617-624, 1998

  Japan Prosthodontic Society

Keywords

• metal allergy
• lichen planus
• titanium
• skin patch test

Details

• CRID: 1390001204409220352
• NII Article ID: 10008170416
• NII Book ID: AN00197911
• DOI: 10.2186/jjps.42.617
• ISSN: 1883177X
• ISSN: 03895386
• Web Site: http://www.jstage.jst.go.jp/article/jjps1957/42/4/42_4_617/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999031121
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed