Allergic reactions and their manifestations in dentistry: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36517

Keywords:

Hypersensitivity; Dental Materials; Dentistry.

Abstract

Introduction: Allergy is a condition of hypersensitivity where the body responds excessively to an antigen. In dental practice, the most common are types I and IV. Type I reactions in the oral cavity manifest as angioedema, burning sensation or oral paresthesia, while in type IV hypersensitivity reactions, the symptoms are lichenoid reactions, erythema and stomatitis. The present study proposes to carry out an integrative review on the many causes of allergic reactions in the dental field and their interrelationships with other allergens, Methodology: searches were carried out in PubMed and LILACS databases using the terms “allergy”, “dentistry”, “ materials”, “allergic reaction” and “dentist” which were combined using the Boolean operators “AND”. Articles from 2002 to 2022 in English, Portuguese and Spanish were included and the search resulted in 21 articles. Results and Discussion: Dentistry has undergone great innovations and with that a range of materials are developed and made available on the market. Even created with biocompatibility principles, there are cases where failures in this principle are assumed, causing allergic reactions. These reactions are caused by several materials, the most common being latex gloves, anesthetics, impression materials and metals. Conclusion: Whenever there is a suspicion of allergy to some material, even if remote, the professional should change the care protocol using alternative materials to avoid medical emergencies in the dental office.

References

Graaf de, N., Feilzer, A. J., Kleverlaan, C. J., Bontkes, H., Gibbs, S., & Rustemeyer, T. (2018). A retrospective study on titanium sensitivity: Patch test materials and manifestations. Contact dermatitis, 79(2), 85–90. https://doi.org/10.1111/cod.13010

Delves, P. J., Martin, S. J., Burton, D. R., & Roitt, I. M. (2018) Fundamentos De Imunologia. Rio de Janeiro: Guanabara Koogan.

Ditrichova, D., Kapralova, S., Tichy, M., Ticha, V., Dobesova, J., Justova, E., Eber, M., & Pirek, P. (2007). Oral lichenoid lesions and allergy to dental materials. Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia, 151(2), 333–339. https://doi.org/10.5507/bp.2007.057

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Gupta, P., Mallishery, S., Bajaj, N., Banga, K., Mehra, A., & Desai, R. (2022). Low Prevalence of Amalgam-Associated Lichenoid Lesions in the Oral Cavity: A Prospective Study. Cureus, 14(2), e22696. https://doi.org/10.7759/cureus.22696

Hosoki, M., Nishigawa, K., Miyamoto, Y., Ohe, G., & Matsuka, Y. (2016). Allergic contact dermatitis caused by titanium screws and dental implants. Journal of prosthodontic research, 60(3), 213–219. https://doi.org/10.1016/j.jpor.2015.12.004

Hosoki, M., Nishigawa, K., Tajima, T., Ueda, M., & Matsuka, Y. (2018). Cross-sectional observational study exploring clinical risk of titanium allergy caused by dental implants. Journal of prosthodontic research, 62(4), 426–431. https://doi.org/10.1016/j.jpor.2018.03.003

Janas-Naze, A., & Osica, P. (2019). The incidence of lidocaine allergy in dentists: an evaluation of 100 general dental practitioners. International journal of occupational medicine and environmental health, 32(3), 333–339. https://doi.org/10.13075/ijomeh.1896.01235

Karabucak, B., & Stoopler, E. T. (2007). Root canal treatment on a patient with zinc oxide allergy: a case report. International endodontic journal, 40(10), 800–807. https://doi.org/10.1111/j.1365-2591.2007.01275.x

Kitaura, H., Fujimura, Y., Nakao, N., Eguchi, T., & Yoshida, N. (2007). Treatment of a patient with metal hypersensitivity after orthognathic surgery. The Angle orthodontist, 77(5), 923–930. https://doi.org/10.2319/082306-344

Lugović-Mihić, L., Ilić, I., Budimir, J., Pondeljak, N., & Mravak Stipetić, M. (2020). COMMON ALLERGIES AND ALLERGENS IN ORAL AND PERIORAL DISEASES. Acta clinica Croatica, 59(2), 318–328. https://doi.org/10.20471/acc.2020.59.02.16

Lyapina, M. G., & Stoyanova Dencheva, M. (2019). Contact sensitization to ingredients of dental materials and cosmetics in dental students: a pilot study. Central European journal of public health, 27(1), 73–77. https://doi.org/10.21101/cejph.a4756

Lyapina, M., Dencheva, M., Krasteva, A., Tzekova, M., & Kisselova-Yaneva, A. (2014). Concomitant contact allergy to formaldehyde and methacrylic monomers in students of dental medicine and dental patients. International journal of occupational medicine and environmental health, 27(5), 797–807. https://doi.org/10.2478/s13382-014-0314-4

Ozkars, M. Y., & Yurttutan, S.(2020) Drug allergy and anaphylaxis in dentistry. Asthma Allergy Immunology, 18(3), 142-147. http://doi.org/10.21911/aai.520

Özkaya, E., & Babuna, G. (2011). Two cases with nickel-induced oral mucosal hyperplasia: a rare clinical form of allergic contact stomatitis?. Dermatology online journal, 17(3), 12.

Pantuzo, M. C., Zenóbio, E. G., de Andrade Marigo, H., & Zenóbio, M. A. (2007). Hypersensitivity to conventional and to nickel-free orthodontic brackets. Brazilian oral research, 21(4), 298–302. https://doi.org/10.1590/s1806-83242007000400003

Pazzini, C. A., Júnior, G. O., Marques, L. S., Pereira, C. V., & Pereira, L. J. (2009). Prevalence of nickel allergy and longitudinal evaluation of periodontal abnormalities in orthodontic allergic patients. The Angle orthodontist, 79(5), 922–927. https://doi.org/10.2319/081408-430.1

Pazzini, C. A., Marques, L. S., Ramos-Jorge, M. L., Júnior, G. O., Pereira, L. J., & Paiva, S. M. (2012). Longitudinal assessment of periodontal status in patients with nickel allergy treated with conventional and nickel-free braces. The Angle orthodontist, 82(4), 653–657. https://doi.org/10.2319/080211-487.1

Poli, P. P., de Miranda, F. V., Polo, T., Santiago Júnior, J. F., Lima Neto, T. J., Rios, B. R., Assunção, W. G., Ervolino, E., Maiorana, C., & Faverani, L. P. (2021). Titanium Allergy Caused by Dental Implants: A Systematic Literature Review and Case Report. Materials (Basel, Switzerland), 14(18), 5239. https://doi.org/10.3390/ma14185239

Ramaciato, J. C. Pereira, L. A. P., & Motta, R. H. L. (2011) Reações Alérgicas. In: Andrade, E. D. de et al., Emergências Médicas Em Odontologia. (pp. 115-125) São Paulo: Artes Médicas.

Rashid, H., Sheikh, Z., & Vohra, F. (2015). Allergic effects of the residual monomer used in denture base acrylic resins. European journal of dentistry, 9(4), 614–619. https://doi.org/10.4103/1305-7456.172621

Silva, G. H., Bottoli, C. B., Groppo, F. C., Volpato, M. C., Ranali, J., Ramacciato, J. C., & Motta, R. H. (2012). Methylparaben concentration in commercial Brazilian local anesthetics solutions. Journal of applied oral science : revista FOB, 20(4), 444–448. https://doi.org/10.1590/s1678-77572012000400009

Splidorio, D. M. P., & Duque, C. (2013) Microbiologia e Imunologia Geral e Odontológica. São Paulo: Artes Médicas.

Syed, M., Chopra, R., & Sachdev, V. (2015). Allergic Reactions to Dental Materials-A Systematic Review. Journal of clinical and diagnostic research : JCDR, 9(10), ZE04–ZE9. https://doi.org/10.7860/JCDR/2015/15640.6589

Tanwar, N., Prakash, C., Chaudhary, K., Tewari, S., & Bhagavatheeswaran, S. (2021). Titanium Allergy in Dentistry: A New Allergen in Rapidly Evolving Implant Dentistry. Contemporary clinical dentistry, 12(3), 317–320. https://doi.org/10.4103/ccd.ccd_773_20

Wan Ali, W., & Ahmad Tarmidzi, N. A. (2021). A Rare Case of Contact Allergy towards Impression Compound Material. European journal of dentistry, 15(4), 798–801. https://doi.org/10.1055/s-0041-1731584

Yoshimura, F. C., Cunha, V., Hahnstadt, R. L., & Pires, M. C. (2016). Evaluation of dental material series from patients with dental prostheses and suspicion of delayed hypersensitivity. Anais brasileiros de dermatologia, 91(2), 141–148. https://doi.org/10.1590/abd1806-4841.20164116

Published

28/10/2022

How to Cite

LELIS, L. C. de; SILVA, I. A. P. S.; BORGES, D. C. .; ANDRADE, R. S. de .; SANTOS, I. C. N. Allergic reactions and their manifestations in dentistry: integrative review. Research, Society and Development, [S. l.], v. 11, n. 14, p. e315111436517, 2022. DOI: 10.33448/rsd-v11i14.36517. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/36517. Acesso em: 27 apr. 2024.

Issue

Section

Health Sciences