Objective

In a cohort of 500 patients complaining about adverse effects from dental materials, allergies were found to be contributing to the patients’ subjective complaints in only about 14% of the cases. Therefore, the aim of this retrospective study was to investigate an enlarged cohort of 625 patients reporting on adverse effects from dental materials on non-allergy-related dental or orofacial findings with relevance for their subjective complaints.

Methods

625 patients visiting a specialized consultation on suspected adverse effects from dental materials were characterized regarding age and sex distribution, subjective complaints, allergies, and dental and orofacial findings with relevance for their subjective complaints.

Results

This cohort comprised about 81% females and the median age was 58 years. The most often reported subjective complaints were burning mouth (43.8%), taste disorders (28.8%) and dry mouth (22.7%). Allergies toward dental materials were found in 12.3%. In 28.0% of the patients, no dental or orofacial findings with relevance for the subjective complaints expressed by the patients could be found. 19.8% of the patients exhibited relevant functional symptoms, 16.2% relevant orofacial diseases, 15.2% relevant mechanical irritations, 10.1% or 9.4% relevant tooth-related or plaque-related symptoms, respectively, 9.4% hyposalivation, and in 7.2% relevant manufacturing faults were found.

Significance

In patients complaining about adverse effects from dental materials, a wide variety of dental or orofacial findings need to be considered despite allergies, although a quarter of the patients did not present any relevant dental or orofacial finding. Therefore, specialized consultations and close collaboration with experts from other fields are eligible.

中文翻译：

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625 名报告牙科材料不良反应的患者的非过敏相关牙科和口面部发现

客观的

在 500 名抱怨牙科材料不良反应的患者队列中，发现过敏导致患者主观抱怨的原因仅占 14%。因此，这项回顾性研究的目的是调查 625 名报告牙科材料对非过敏相关牙科或口腔面部发现的不良影响的扩大队列，这些患者与他们的主观主诉相关。

方法

625 名患者就牙科材料的疑似不良反应进行了专门咨询，他们对年龄和性别分布、主观主诉、过敏以及与主观主诉相关的牙科和口腔面部发现进行了表征。

结果

该队列包括约 81% 的女性，中位年龄为 58 岁。最常报告的主观抱怨是口腔灼热 (43.8%)、味觉障碍 (28.8%) 和口干 (22.7%)。12.3% 的患者对牙科材料过敏。在 28.0% 的患者中，没有发现与患者主观抱怨相关的牙齿或口面部表现。19.8% 的患者表现出相关的功能性症状，16.2% 的相关口面部疾病，15.2% 的相关机械刺激，10.1% 或 9.4% 的相关牙齿相关或斑块相关症状，9.4% 的唾液分泌不足，以及 7.2% 的相关制造故障被找到。

意义

在抱怨牙科材料不良反应的患者中，尽管有过敏症，但仍需要考虑各种牙科或口腔面部表现，尽管四分之一的患者没有任何相关的牙科或口腔面部表现。因此，与其他领域的专家进行专业磋商和密切合作是有资格的。