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Immunological Reactions to Materials

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Extra-Coronal Restorations

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

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Abstract

This chapter will emphasise the need to:

  • Distinguish between toxicity and hypersensitivity to a dental material

  • Recognise the characteristics of a Type 1 (immediate, potentially life-threatening) reaction and Type IV (delayed). Both can occur in relation to materials used in restoring teeth, but Type IV reactions occur more commonly

  • Appreciate that various Type IV reactions may occur with base alloys, and composites but oral lichenoid lesions (OLL) occur most commonly to amalgam

  • Refer OLL for a specialist opinion as this Type IV reaction is difficult to differentiate from lichen planus

  • Ask for appropriate testing to be carried out by a dermatologist to determine which restorative materials can be used for a patient with OLL

  • Choose replacement materials not only on the results of immunological testing but also to ensure fitness for purpose dentally.

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Author information

Authors and Affiliations

  1. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, UK

    Simon Stone & Robert Wassell

  2. Newcastle University School of Dental Sciences, Newcastle upon Tyne, UK

    Jimmy Steele

Authors
  1. Simon Stone
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  2. Jimmy Steele
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  3. Robert Wassell
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Corresponding author

Correspondence to Simon Stone .

Editor information

Editors and Affiliations

  1. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Robert Wassell

  2. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Francis Nohl

  3. Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Jimmy Steele

  4. Edinburgh Dental Institute, Edinburgh, United Kingdom

    Angus Walls

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Stone, S., Steele, J., Wassell, R. (2019). Immunological Reactions to Materials. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-79093-0_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-79092-3

  • Online ISBN: 978-3-319-79093-0

  • eBook Packages: MedicineMedicine (R0)

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