Oral lichenoid reactions associated with amalgam: improvement after amalgam removal

@article{Dunsche2003OralLR,
  title={Oral lichenoid reactions associated with amalgam: improvement after amalgam removal},
  author={A Dunsche and I K{\"a}stel and Hendrik Terheyden and I. N. Springer and Enno Christophers and Jochen Brasch},
  journal={British Journal of Dermatology},
  year={2003},
  volume={148}
}
Background  The pathogenetic relationship between oral lichenoid reactions (OLR) and dental amalgam fillings is still a matter of controversy. 
Lichenoid reactions of murine mucosa associated with amalgam
TLDR
In 97% of all patients with oral lichenoid reactions (OLR) associated with dental amalgam a removal of the fillings leads to a decline of the lesions, as a minimum. Expand
Association between oral lichenoid reactions and amalgam restorations
Background  The aim of this study was to perform a clinical assessment of the association between oral lichenoid reactions (OLR) and amalgam restorations and to determine the salivary concentrationsExpand
Lesão liquenóide oral relacionada ao amálgama
TLDR
This work reports two cases with rapid clinical resolution following the replacement of amalgam fillings with amalgam-related oral lichenoid lesion, a rare disorder in dental practice. Expand
Amalgam-associated oral lichenoid reaction: case report and management.
TLDR
A case involving a striated, white, symptomatic plaque with an atrophic central area located in the left buccal mucosa and making direct contact with an amalgam restoration and management included removing the amalgam Restoration and using composite resin as a substitute. Expand
Oral lichenoid reaction associated with tin component of amalgam restorations: a case report.
TLDR
A case of bilateral oral lichenoid reaction is presented, which was present in relation to amalgam restorations, and Histopathological features were compatible withLichenoid mucositis. Expand
Regression of oral lichenoid lesions after replacement of dental restorations.
The aim of the study was to determine the prognosis and to evaluate the regression of lichenoid contact reactions (LCR) and oral lichen planus (OLP) after replacement of dental restorative materialExpand
Oral Lichenoid Lesion in a Child
TLDR
A case of oral lichenoid reaction in a 12 year adolescent is described, which is likely to be a first of its kind in the region and the probable causes and treatment are discussed. Expand
Intraoral contact lichenoid reaction to dental amalgam.
Oral lichenoid reactions are histologically and clinically very similar to oral lichen planus, but differ, as in these cases the underlying cause is particularly identifiable. Various etiologicalExpand
An Unusual Treatment of Oral Lichenoid Reaction without Cutaneous Involvement : A Case Report
Oral lichenoid reaction is a clinical entity characterized by microscopic features of hypersensitivity due to foreign body or contact reaction. It is usually presented in the cheek mucosa afterExpand
An unusual case of immediate hypersensitivity reaction associated with an amalgam restoration
TLDR
A case of immediate hypersensitivity reaction associated with the mercury component of amalgam restorations which resulted in erythematous lesions, severe burning and itchy sensation and difficulty in breathing is described. Expand
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TLDR
The vast majority of CL resolve following selective replacement of restorations of dental amalgam, provided that a correct clinical diagnosis is established, and it is also noteworthy that MC crowns did not facilitate healing of CL to the same extent as gold crowns. Expand
Oral lichen planus: hypersensitivity to dental restoration material
TLDR
It is not clear whether in the mercury‐positive patients allergy to dental amalgam is a causative or aggravating factor, or merely on epiphenomenon. Expand
Oral lichenoid lesions caused by allergy to mercury in amalgam fillings
TLDR
Oral lichenoid lesions (OLL) or lichen‐planus‐like lesions arc often idiopathic and replacement of amalgam with other denial fillings usually results in resolution of OLL and is recommended for cases with positive patch test reactions to mercury compounds. Expand
Amalgam-associated oral lichenoid reactions. Clinical and histologic changes after removal of amalgam fillings.
TLDR
The results suggest that various etiologic factors are involved in lichenoid reactions and that the effect of removal of amalgam fillings cannot be predicted by epicutaneous patch testing and biopsies. Expand
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The 2 patients were both positive to colophony, supporting the rare association between contact allergy to Colophony in chewing gum and oral disease. Expand
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TLDR
Fifty-one consecutive patients had clinically diagnosed oral lichen planus (OLP) lesions in total or partial contact with amalgam fillings, and an allergic reaction to mercury was found, and candidiasis was diagnosed in 13 (25%) patients. Expand
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TLDR
The concept that contact allergy to metals, flavorings, and plastics can be important in the pathogenesis and management of patients with oral lichenoid mucositis diagnosed as OLP is supported. Expand
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A significantly increased prevalence of mercury hypersensitivity in patients with localized OLR is found in comparison to subjects with other oral problems, including aphthous ulcers and orofacial granulomatosis. Expand
Oral Mucosa and Skin Reactions Related to Amalgam
TLDR
Lesions of the oral mucosa may be due to specific immunologic or non-specific toxic reactions toward products generated from restorations, and the diagnosis is obtained by exclusion based on a negative patch test. Expand
Oral lesions and symptoms related to metals used in dental restorations: a clinical, allergological, and histologic study.
TLDR
The results suggest that sensitization to mercury is an important cause of OLL, whether all lesions or only a part of them are adjacent to amalgam fillings. Expand
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