title: Latex allergy in dentistry. Review and report of case presenting as a serious reaction to latex dental dam.
abstract: Latex allergy may have severe consequences including development of anaphylaxis. This report describes a patient who underwent a reaction to latex dental dam manifesting as erythema, facial swelling and mild airway compromise. Restorative procedures under latex dental dam were performed under local anaesthesia on two occasions resulting in reactions of increasing severity. Following the first event the cause of the reaction was undetermined, but attributed to a possible allergy to local anaesthetic, and managed with corticosteroids and antihistamines. On a subsequent occasion the swelling was more severe, associated with difficulty in swallowing and mild airway compromise, and was managed as previously with adrenaline also being required. Latex allergy was subsequently confirmed.
authors.affiliation: School of Dental Science, The University of Melbourne, Victoria. smyc_8@yahoo.com.au
authors.forename: S M
authors.initials: SM
authors.lastname: Chin
authors.forename: J W
authors.initials: JW
authors.lastname: Ferguson
authors.forename: T
authors.initials: T
authors.lastname: Bajurnows
mesh_terms: D000368:Aged; D000402:Airway Obstruction / Q000209:etiology; D004487:Edema / Q000209:etiology; D004890:Erythema / Q000209:etiology; D005148:Facial Dermatoses / Q000209:etiology; D005260:Female; D006801:Humans; D007840:Latex / Q000009:adverse effects*; D020315:Latex Hypersensitivity / Q000209:etiology*; D016733:Rubber Dams / Q000009:adverse effects*; D014060:Tongue Diseases / Q000209:etiology
chemical_list: D007840:Latex