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Occupational Contact Dermatitis in Dental Personnel

  • Thomas RustemeyerEmail author
  • Peter J. Frosch
Reference work entry

Abstract

This chapter describes different aspects of occupational contact dermatitis of dental personnel. In particular, occupational skin problems of dentists, dental assistants, dental technicians, and orthodontists will be discussed.

Keywords

Allergic contact dermatitis Dental personnel Irritant contact dermatitis Methacrylate contact sensitizers 

References

  1. Aalto-Korte K, Ackermann L, Henriks-Eckerman ML, Välimaa J, Reinikka-Railo H, Leppänen E, Jolanki R (2007a) 1,2-benzisothiazolin-3-one in disposable polyvinyl chloride gloves for medical use. Contact Dermatitis 57:365–370PubMedCrossRefGoogle Scholar
  2. Aalto-Korte K, Alanko K, Kuuliala O, Jolanki R (2007b) Methacrylate and acrylate allergy in dental personnel. Contact Dermatitis 57:324–330PubMedCrossRefGoogle Scholar
  3. Austin AT, Basker RM (1980) The level of residual monomer in acrylic denture base materials. Br Dent J 149:281–286PubMedCrossRefGoogle Scholar
  4. Calnan CD, Stevenson CJ (1963) Studies in contact dermatitis. XV. Dental materials. Trans St John’s Hosp Dermatol 49:9–26Google Scholar
  5. Camarasa JG (1995) Health personnel. In: Rycroft RJG, Menné T, Frosch PJ (eds) Textbook of contact dermatitis, 2nd edn. Springer, Berlin, pp 573–587CrossRefGoogle Scholar
  6. Cleenewerck MB (1997) Current features of allergic occupational dermatoses. Rev Fr Allergol Immunol Clin 37:617–633Google Scholar
  7. Dutil S, Veillette M, Mériaux A, Lazure L, Barbeau J, Duchaine C (2007) Aerosolization of mycobacteria and legionellae during dental treatment: low exposure despite dental unit contamination. Environ Microbiol 9:2836–2843PubMedCrossRefGoogle Scholar
  8. Estlander T, Rajaniemi R, Jolanki R (1984) Hand dermatitis in dental technicians. Contact Dermatitis 10:201–205PubMedCrossRefGoogle Scholar
  9. Estlander T, Kanerva L, Kari O, Jolanki R, Molsa K (1996) Occupational conjunctivitis associated with type IV allergy to methacrylates. Allergy 51:56–59PubMedCrossRefGoogle Scholar
  10. Field EA (1997) The use of powdered gloves in dental practice: a cause to concern? J Dent 25:209–214PubMedCrossRefGoogle Scholar
  11. Fisher AA, Woodside NY (1954) Allergic sensitization of the skin and oral mucosa to acrylic denture materials. JAMA 156:238–242CrossRefGoogle Scholar
  12. Gawkrodger DJ (2005) Investigation of reactions to dental materials. Br J Dermatol 153:479–485PubMedCrossRefGoogle Scholar
  13. Ghasemi IM, Rezaee M, Jonaidi Jafari N, Izadi M (2007) Latex gloves allergy in dental workers. Iran. Pak J Biol Sci 10:1068–1072PubMedCrossRefGoogle Scholar
  14. Guerra L, Vincenzi C, Pelus AM, Tosti A (1993) Prevalence and sources of occupational contact sensitization to acrylates in Italy. Contact Dermatitis 28:101–103PubMedCrossRefGoogle Scholar
  15. Hagberg S, Ljungkvist G, Andreasson H, Karlsson S, Barregård L (2005) Exposure to volatile methacrylates in dental personnel. J Occup Environ Hyg 2:302–306PubMedCrossRefGoogle Scholar
  16. Hain MA, Longman LP, Field EA, Harrison JE (2007) Natural rubber latex allergy: implications for the orthodontist. J Orthod 34:6–11PubMedCrossRefGoogle Scholar
  17. Hamann CP, DePaola LG, Rodgers PA (2005) Occupation-related allergies in dentistry. J Am Dent Assoc 136:500–510PubMedCrossRefGoogle Scholar
  18. Henriks-Eckerman ML, Alanko K, Jolanki R, Kerosuo H, Kanerva L (2001) Exposure to airborne methacrylates and natural rubber latex allergens in dental clinics. J Environ Monit 3:302–305PubMedCrossRefGoogle Scholar
  19. Hensten-Pettersen A, Jacobsen N (1990) The role of biomaterials as occupational hazards in dentistry. Int Dent J 40:159–166PubMedGoogle Scholar
  20. Hensten-Pettersen A, Jacobsen N (1991) Perceived side effects of biomaterials in prosthetic dentistry. J Prosthet Dent 65:138–144PubMedCrossRefGoogle Scholar
  21. Hermesch CB, Spackman GK, Dodge WW, Salazar A (1999) Effect of powder-free latex examination glove use on airborne powder levels in a dental school clinic. J Dent Educ 63:814–820PubMedGoogle Scholar
  22. Isaksson M, Lindberg M, Sundberg K, Hallander A, Bruze M (2005) The development and course of patch-test reactions to 2-hydroxyethyl methacrylate and ethyleneglycol dimethacrylate. Contact Dermatitis 53:292–297PubMedCrossRefGoogle Scholar
  23. Jaakkola MS, Leino T, Tammilehto L, Ylöstalo P, Kuosma E, Alanko K (2007) Respiratory effects of exposure to methacrylates among dental assistants. Allergy 62:648–654PubMedCrossRefGoogle Scholar
  24. Jacobsen N, Hensten-Pettersen A (1989) Occupational health problems and adverse patient reactions in orthodontics. Eur J Orthod 11:254–264PubMedCrossRefGoogle Scholar
  25. Jacobsen N, Hensten-Pettersen A (1995) Occupational health problems among dental hygienists. Community Dent Oral Epidemiol 23:177–181PubMedCrossRefGoogle Scholar
  26. Jacobsen N, Aasenden R, Hensten-Pettersen A (1991) Occupational health complaints and adverse patient reactions as perceived by personnel in public dentistry. Community Dent Oral Epidemiol 19:155–159PubMedCrossRefGoogle Scholar
  27. Jacobsen N, Derand T, Hensten-Pettersen A (1996) Profile of work-related health complaints among Swedish dental laboratory technicians. Community Dent Oral Epidemiol 24:138–144PubMedCrossRefGoogle Scholar
  28. Jolanki R, Kanerva L, Estlander T (1987) Organic pigments in plastics can cause allergic contact dermatitis. Acta Derm Venerol Suppl (Stockh) 134:95–97Google Scholar
  29. Jolanki R, Kanerva L, Estlander T (1995) Occupational allergic contact dermatitis caused by epoxy diacrylate in ultraviolet-light-cured paint, and bisphenol A in dental composite resin. Contact Dermatitis 33:94–99PubMedCrossRefPubMedCentralGoogle Scholar
  30. Jones KP, Rolf S, Stingl C, Edmunds D, Davies BH (2004) Longitudinal study of sensitization to natural rubber latex among dental school students using powder-free gloves. Ann Occup Hyg 48:455–457PubMedGoogle Scholar
  31. Kanerva L (2001) Cross-reactions of multifunctional methacrylates and acrylates. Acta Odontol Scand 59(5):320–329PubMedCrossRefGoogle Scholar
  32. Kanerva L, Jolanki R, Estlander T (1986) Occupational dermatitis due to an epoxy acrylate. Contact Dermatitis 14:80–84PubMedCrossRefGoogle Scholar
  33. Kanerva L, Estlander T, Jolanki R (1989) Allergic contact dermatitis from dental composite resins due to aromatic epoxy acrylates and aliphatic acrylates. Contact Dermatitis 20:201–211PubMedCrossRefPubMedCentralGoogle Scholar
  34. Kanerva L, Estlander T, Jolanki R, Tarvainen K (1993a) Occupational allergic contact dermatitis caused by exposure to acrylates during work with dental prostheses. Contact Dermatitis 28:268–275PubMedCrossRefGoogle Scholar
  35. Kanerva L, Jolanki R, Estlander T (1993b) Dentist’s occupational allergic contact dermatitis caused by coconut diethanolamide, N-ethyl-4-toluene sulfonamide and 4-tolyldiethanolamine. Acta Derm Venereol Suppl (Stockh) 73:126–129Google Scholar
  36. Kanerva L, Komulainen M, Estlander T, Jolanki R (1993c) Occupational allergic contact dermatitis from mercury. Contact Dermatitis 28:26–28PubMedCrossRefGoogle Scholar
  37. Kanerva L, Estlander T, Jolanki R (1994) Occupational skin allergy in the dental profession. Dermatol Clin 12:517–532PubMedCrossRefGoogle Scholar
  38. Kanerva L, Estlander T, Jolanki R, Tarvainen K (1995) Statistics on allergic patch test reactions caused by acrylate compounds, including data on ethyl methacrylate. Am J Contact Dermat 6:75–77CrossRefGoogle Scholar
  39. Kanerva L, Estlander T, Jolanki R (1996a) Allergy caused by acrylics: past, present and prevention. Prev Contact Dermatitis 25:86–96Google Scholar
  40. Kanerva L, Toikkanen J, Jolanki R, Estlander T (1996b) Statistical data on occupational contact urticaria. Contact Dermatitis 35:229–233PubMedCrossRefGoogle Scholar
  41. Kanerva L, Henrikseckerman ML, Estlander T, Jolanki R (1997a) Dentist’s occupational allergic paronychia and contact dermatitis caused by acrylics. Eur J Dermatol 7:177–180Google Scholar
  42. Kanerva L, Jolanki R, Estlander T (1997b) Ten years of patch testing with the (meth)acrylate series. Contact Dermatitis 37:255–258PubMedCrossRefGoogle Scholar
  43. Kanerva L, Alanko K, Estlander T, Jolanki R, Lahtinen A, Savela A (2001) Statistics on occupational contact dermatitis from (meth)acrylates in dental personnel. Contact Dermatitis 42:175–176Google Scholar
  44. Katsuno K, Manabe A, Itoh K, Nakamura Y, Wakumoto S, Hisamitsu H, Oshida T (1996) Contact dermatitis caused by 2-HEMA and GM dentin primer solutions applied to guinea pigs and humans. Dent Materials J 15:22–30CrossRefGoogle Scholar
  45. Kean T, McNally M (2009) Latex hypersensitivity: a closer look at considerations for dentistry. J Can Dent Assoc 75:279–282PubMedGoogle Scholar
  46. Khamaysi Z, Bergman R, Weltfriend S (2006) Positive patch test reactions to allergens of the dental series and the relation to the clinical presentations. Contact Dermatitis 55:216–218PubMedCrossRefGoogle Scholar
  47. Kiecswierczynska M (1996) Occupational allergic contact der- matitis due to acrylates in Lodz. Contact Dermatitis 34:419–422CrossRefGoogle Scholar
  48. Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM (2003) Centers for Disease Control and Prevention (CDC). Guidelines for infection control in dental health-care settings. MMWR Recomm Rep 19:1–61Google Scholar
  49. Leggat PA, Kedjarune U (2003) Toxicity of methyl methacrylate in dentistry. Int Dent J 53:126–131PubMedCrossRefGoogle Scholar
  50. Leggat PA, Smith DR (2006) Prevalence of hand dermatoses related to latex exposure amongst dentists in Queensland, Australia. Int Dent J 56:154–158PubMedCrossRefGoogle Scholar
  51. Lewis FM, Cork MJ, McDonagh AJG, Gawhrodger DJ (1993) Allergic contact dermatitis from resin-reinforced plaster. Contact Dermatitis 28:40–41PubMedCrossRefGoogle Scholar
  52. Lindström M, Alanko K, Keskinen H, Kanerva L (2002) Dentist’s occupational asthma, rhinoconjunctivitis, and allergic contact dermatitis from methacrylates. Allergy 57:543–545PubMedCrossRefGoogle Scholar
  53. Meding B, Wrangsjö K, Hosseiny S, Andersson E, Hagberg S, Torén K, Wass K, Brisman J (2006) Occupational skin exposure and hand eczema among dental technicians-need for improved prevention. Scand J Work Environ Health 32:219–224PubMedCrossRefGoogle Scholar
  54. Munksgaard EC, Hansen EK, Engen T, Holm U (1996) Self-reported occupational dermatological reactions among Danish dentists. Eur J Oral Sci 104:396–402PubMedCrossRefGoogle Scholar
  55. Mürer AJL, Poulsen OM, Roed-Petersen J, Tuchsen F (1995a) Skin problems among Danish dental technicians. A cross-sectional study. Contact Dermatitis 33:42–47PubMedCrossRefGoogle Scholar
  56. Mürer AJL, Poulsen OM, Tüchsen F, Roed-Petersen J (1995b) Rapid increase in skin problems among dental technician trainees working with acrylates. Contact Dermatitis 33:106–111PubMedCrossRefGoogle Scholar
  57. Niklasson B, Björkner B (1989) Contact allergy to the UV-absorber Tinuvin P in plastics. Contact Dermatitis 21:330–334PubMedCrossRefGoogle Scholar
  58. Nishijima T, Tokura Y, Imokawa G, Seo N, Furukawa F, Takigawa M (1997) Altered permeability and disordered cutaneous immunoregulatory function in mice with acute barrier disruption. J Invest Dermatol 109:175–182PubMedCrossRefGoogle Scholar
  59. Ohlson CG, Svensson L (2002) Prevention of allergy to acrylates and latex in dental personnel. Swed Dent J 26:141–147PubMedGoogle Scholar
  60. Palenik CJ, Miller CH (1999) Moving towards a latex-free environment: advice from experiences in US dentistry. Dent Update 26:427–430PubMedCrossRefGoogle Scholar
  61. Pegum JS, Medhurst FA (1971) Contact dermatitis from penetration of rubber gloves by acrylic monomer. BMJ 1:141–143CrossRefGoogle Scholar
  62. Pflug B (1996) Dermatosen bei Zahntechnikern. In: Informationen für den Betriebsarzt der Berufsgenossenschaft der Feinmechanik und Elektrotechnik, vol 1, pp 1–6Google Scholar
  63. Piirilä P, Hodgson U, Estlander T, Keskinen H, Saalo A, Voutilainen R, Kanerva L (2002) Occupational respiratory hypersensitivity in dental personnel. Int Arch Occup Environ Health 75:209–216PubMedCrossRefGoogle Scholar
  64. Rajaniemi R, Tola S (1985) Subjective symptoms among dental technicians exposed to the monomer methyl methacrylate. Scand J Work Environ Health 11:281–286PubMedCrossRefGoogle Scholar
  65. Ravis SM, Shaffer MP, Shaffer CL, Dehkhaghani S, Belsito DV (2003) Glutaraldehyde-induced and formaldehyde-induced allergic contact dermatitis among dental hygienists and assistants. J Am Dent Assoc 134:1072–1078PubMedCrossRefGoogle Scholar
  66. Reinhardt KJ, Vahl J (1980) Residual monomer content and water absorption of UV-polymerizable adhesives and filling polymers. Deutsche Zahnarztliche Zeitschrift 35:564–570PubMedGoogle Scholar
  67. Richter G (1996) Dental materials – a problem in allergy diagnosis. 2. Patch testing and relevance evaluation in selected groups of dental materials. Hautarzt 47:844–849PubMedCrossRefGoogle Scholar
  68. Roed-Petersen J (1989) A new glove material protective against epoxy and acrylate monomer. In: Frosch PJ, Dooms-Gossens A, Lachapelle J-M, Rycroft RJG, Scheper RJ (eds) Current topics in contact dermatitis. Springer, Berlin/Heidelberg/New York, pp 603–606CrossRefGoogle Scholar
  69. Rubel DM, Watchorn RB (2000) Allergic contact dermatitis in dentistry. Australas J Dermatol 41:63–69PubMedCrossRefGoogle Scholar
  70. Rustemeyer T, Frosch PJ (1996) Occupational skin diseases in dental laboratory technicians (I). Clinical picture and causative factors. Contact Dermatitis 34:125–133PubMedCrossRefGoogle Scholar
  71. Rustemeyer T, Pilz B, Frosch PJ (1994) Contact allergies in medical occupation. Hautarzt 45:834–844PubMedCrossRefGoogle Scholar
  72. Rustemeyer T, de Groot J, von Blomberg BME, Frosch PJ, Scheper RJ (1998a) Cross-reactivity patterns of contact-sensitizing methacrylates. Toxicol Appl Pharmacol 148:83–90PubMedCrossRefGoogle Scholar
  73. Rustemeyer T, de Ligter S, von Blomberg BME, Frosch PJ, Scheper RJ (1998b) Contact allergen cross-reactivity studies using in vitro primed naive T cells. Arch Dermatol Res 290:95Google Scholar
  74. Rustemeyer T, von Blomberg BME, de Ligter S, Frosch PJ, Scheper RJ (1999) Human T lymphocyte priming in vitro by haptenated autologous dendritic cells. Clin Exp Immunol 117:209–216PubMedPubMedCentralCrossRefGoogle Scholar
  75. Scott A, Gawkrodger DJ, Yeoman C, Egner W, van Noort R, Hatton PV, Grummitt J (2003) Adverse reactions to protective gloves used in the dental profession: experience of the UK Adverse Reaction Reporting Project. Br Dent J 195:686–690PubMedCrossRefGoogle Scholar
  76. Tang AT, Björkman L, Ekstrand J (2000) New filling materials–an occupational health hazard. Ann R Australas Coll Dent Surg 15:102–105PubMedGoogle Scholar
  77. Teik-Jin Goon A, Bruze M, Zimerson E, Goh CL, Isaksson M (2007) Contact allergy to acrylates/methacrylates in the acrylate and nail acrylics series in southern Sweden: simultaneous positive patch test reaction patterns and possible screening allergens. Contact Dermatitis 57:21–27PubMedCrossRefGoogle Scholar
  78. Tosti A, Guerra L, Vincenzi C, Peluso AM (1993) Occupational skin hazards from synthetic plastics. Toxicol Ind Health 9:493–502PubMedCrossRefPubMedCentralGoogle Scholar
  79. Uveges RE, Grimwood RE, Slawsky LD, Marks JG Jr (1995) Epidemiology of hand dermatitis in dental personnel. Mil Med 160:335–338PubMedCrossRefGoogle Scholar
  80. van der Walle HB, Bensink T (1982) Cross reaction pattern of 26 acrylic monomers on guinea pig skin. Contact Dermatitis 8:376–382PubMedCrossRefGoogle Scholar
  81. van der Walle HB, Waegemaekers T, Bensink T (1983) Sensitizing potential of 12 di(meth)acrylates in the guinea pig. Contact Dermatitis 9:10–20PubMedCrossRefGoogle Scholar
  82. van Zyl I (1999) Mercury amalgam safety: a review. J Mich Dent Assoc 81:40–48PubMedGoogle Scholar
  83. Waegemaekers TH, Seutter A, den Arend JA, Malten KE (1983) Permeability of surgeon’s gloves for methyl methacrylate. Acta Orthop Scand 54:790–795PubMedCrossRefGoogle Scholar
  84. Wrangsjo K, Osterman K, van Hage-Hamsten M (1994) Glove-related skin symptoms among operating theatre and dental care unit personnel (II). Clinical examination, tests and laboratory findings indicating latex allergy. Contact Dermatitis 30:139–143PubMedCrossRefGoogle Scholar
  85. Wrangsjö K, Swartling C, Meding B (2001) Occupational dermatitis in dental personnel: contact dermatitis with special reference to (meth)acrylates in 174 patients. Contact Dermatitis 45:158–163PubMedCrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Dermatology and AllergologyVU University Medical CenterAmsterdamThe Netherlands
  2. 2.Klinikum Dortmund, Department of DermatologyUniversity of Witten/HerdeckeDortmundGermany

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