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Contact allergy problem - danger for doctor and patient during orthodontic treatment. Literature review. Problem alergii kontaktowej - zagrożenie dla lekarza i pacjenta podczas terapii ortodontycznej. Przegląd piśmiennictwa.

Author(s): Agnieszka Sieja | Paulina Trześniewska | Joanna Antoszewska

Journal: Clinical Dermatology
ISSN 1730-7201

Volume: 12;
Issue: 1;
Start page: 19;
Date: 2010;
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Keywords: alergia | nikiel | lateks | akryl | ortodoncja | allergy | nickel | latex

Allergy has currently become important problem of social life. Development of industry, civilization progress, change of lifestyle lead to increase of hypersensitivities incidents provoked by alimentary, inhaled and contact allergens. This problem especially concerns employees of health service, therefore dentists are highly exposed to the risk. Allergens such as disinfectants, metals, chemical compounds of medical rubber, synthetic materials or aromatic substances are mostly often responsible for occupational diseases developed in doctors. Problem of allergy in dentistry and especially in orthodontics was studied. Polish and foreign medical textbooks and journals containing results of research dealing with nickel, acrylate and latex allergy. Authoresses also searched medical bases: EBSCO and PUBMED, typing following keywords: nickel in orthodontics, contact allergy in orthodontics, acrylate in orthodontics and dentistry, latex in orthodontic treatment and in dentistry. A literature review and searching of internet bases did not interchangeably prove influence of orthodontic treatment on development of allergy to nickel. The studies find evidence of either intensification of allergy symptoms as well as of decrease of skin hypersensitivity in patients with nickel contact found in the past. Frequent application of latex and acrylates materials can cause allergy in medical staff and their patients. Since number of allergy-incidents increase, detailed anamnesis enabling early diagnosis of this problem should become basic procedure in dental or orthodontic offices. If potential hypersensitivity is revealed, sensitizing materials should be eliminated and replaced with non sensitizing ones. Therefore, nickel free orthodontic brackets and archwires, as well as latex free elastics may be promising solution conquering allergy-occurrence. Problem of allergy in dentistry and especially in orthodontics was widely discussed basing on Polish and foreign literature. Allergy against latex, nickel and acrylates were discussed in details. Furthermore, issue of hypersensitivity in medical stuff and patients was also highlighted.

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