Contact stomatitis due to palladium in dental alloys: a clinical report.
A patient was treated with a maxillary gold-palladium alloy fixed partial denture (FPD). Shortly after placement, the patient contracted severe contact mucositis. Patch-testing revealed a positive reaction to palladium chloride (PdCl 2 , 1% petrolatum) but not to any other component of the prosthesis. After removal of the FPD and placement of a provisional acrylic resin restoration, all signs and symptoms disappeared. A definitive metal-ceramic (titanium-porcelain) prosthesis was placed, and no signs of lesions appeared. This clinical report demonstrates that titanium may be a satisfactory alternative for patients who require prostheses and are sensitive to other metals.
Garau
Valentino
V
School of Dentistry, University of Cagliari, Cagliari, Italy. garauva@yahoo.it
Masala
Maria Giulia
MG
Cortis
Maria Cristina
MC
Pittau
Roberta
R
D000368:Aged; D000485:Allergens / Q000009:adverse effects; D003722:Dental Alloys / Q000009:adverse effects*; D003776:Dental Porcelain; D003779:Denture Design; D003830:Denture, Partial, Fixed / Q000009:adverse effects; D003877:Dermatitis, Contact / Q000209:etiology; D005260:Female; D005891:Gingivitis / Q000139:chemically induced; D006801:Humans; D010165:Palladium / Q000009:adverse effects*; D010328:Patch Tests; D013280:Stomatitis / Q000139:chemically induced*; D014025:Titanium
D000485:Allergens; D003722:Dental Alloys; D003776:Dental Porcelain; D010165:Palladium; D014025:Titanium; C008756:palladium chloride