Diagnosis and treatment of an oral base-metal contact lesion following negative dermatologic patch tests.
We report a confirmed case of intraoral contact mucositis secondary to nickel dental alloy hypersensitivity. The lesion resolved after removal of the offending prosthesis. The patient responded negatively to dermatologic patch tests, but a positive intraoral rechallenge confirmed the mucositis diagnosis. A nonreactive, gold alloy prosthesis was inserted for a successful result.
Lyzak
W A
WA
University of Texas, M.D. Anderson Cancer Center, Department of Dental Oncology, Houston.
Flaitz
C M
CM
McGuckin
R S
RS
Eichmiller
F
F
Brown
R S
RS
D003722:Dental Alloys / Q000009:adverse effects*; D017266:Dental Prosthesis / Q000009:adverse effects; D003829:Denture, Partial / Q000009:adverse effects; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D006046:Gold; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000187:drug effects / Q000473:pathology*; D009532:Nickel / Q000009:adverse effects*; D010328:Patch Tests
D003722:Dental Alloys; D006046:Gold; D009532:Nickel