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CONTACT ALLERGY OF ORAL MUCOSA/ dental implant courses

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Indian dental academy
Indian dental academy

The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

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CONTACT ALLERGY OF ORAL MUCOSA INDIAN DENTAL ACADEMY Leader in continuing Dental Education
“Allergy” www.indiandentalacademy.com
www.indiandentalacademy.com
ORAL MUCOSA saliva www.indiandentalacademy.com
OTOLARYNGOLOGIST D E N T I S T DERMATOLOGIST www.indiandentalacademy.com
Materials causing contact stomatitis • Oral hygiene products • Foods • Metals in alloys • Mercury in amalgam • Gold in crowns • Free monomer in acrylic www.indiandentalacademy.com
www.indiandentalacademy.com
• Saliva quickly dilutes antigens • Antigens are rapidly removed due to increased vascularity of oral mucosa • Oral mucosa has less keratin so less hapten formation www.indiandentalacademy.com
Allergen + Keratins Hapten Langerhan’s cell Lymphatic circulation Lymph node Pesentation to T-cells Naïve T-cell memory & proliferation www.indiandentalacademy.com
Oral Findings • Loss of taste • Burning sensation • Soreness • Erythema • Vesiculation • Ulceration www.indiandentalacademy.com
ALLERGIC LESIONS OF LIP www.indiandentalacademy.com
CONTACT STOMATITIS TO AMALGAM www.indiandentalacademy.com
Plasma Cell Gingivitis www.indiandentalacademy.com
• HISTORY • STRONG ASSOCIATION WITH THE SITE OF CONTACT • EOSINOPHILIA • RAISED SALIVARY & SERUM Ig DIAGNOSIS www.indiandentalacademy.com
Patch test is an indispensable and generally very safe tool for diagnosing contact allergy. Skin SITE Intraoral PATCH TEST www.indiandentalacademy.com
Intraoral patch test • Acrylic plate carrying: Vehicle pectins gelatin carboxy methyl cellulose orabase Allergen www.indiandentalacademy.com
Grading of the positive reactions • 1 + prominent erythema • 2 + moderate palpable erythema • 3 + prominent erythema, blisters • 4 + spreading, bullae / ulcers www.indiandentalacademy.com
TREATMENT • Removal of the allergen • Symptomatic treatment • Antihistaminics • Topical corticosteroid www.indiandentalacademy.com
CONCLUSION www.indiandentalacademy.com
THANK YOU www.indiandentalacademy.com
www.indiandentalacademy.com

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