 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / December 2004How is Dental Metal Skin Patch Performed?
Hi All, My allergist is willing to do a dental mental skin patch test on me. I have lichen planus disease which is known to be affected byu dental amalgam. My allergist has no information on how the test is performed and has asked me to help find the answer. If anyone has specific information on any standarized test I would greatly appreciate your help. Thank you. Richard 21.) Dental metal allergy in patients with oral, cutaneous, and genital lichenoid reactions. =============================================================== Am J Contact Dermat 2001 Sep;12(3):146-50 Scalf LA, Fowler JF Jr, Morgan KW, Looney SW. Division of Dermatology, University of Louisville School of Medicine, Louisville, KY, USA. BACKGROUND: The subject of lichen planus (LP) and dental metal allergy long has been debated. An overwhelming majority of the existing literature focuses on mercury and gold salts in relation to oral lichen planus. OBJECTIVE: Our objective was to expand current knowledge regarding LP and lichenoid lesions (LL) and dental metal allergy by investigating more metals and investigating cutaneous and genital disease in addition to oral disease. METHODS: Fifty-one patients with known LP or LL were patch tested to a series of dental metals. Patients chose to replace their dental metals or make no revision. A telephone survey was conducted after 1 year to determine disease state. RESULTS: Thirty-eight of 51 patients (74.5%) had at least 1 positive reaction. Twenty-five of 51 patients (49.0%) showed sensitivity to at least 1 mercurial allergen. Prevalence data for patients patch tested by the North American Contact Dermatitis Group (NACDG) from 1996 to 1998 was available for chromate, cobalt, gold, nickel, and thimerosal. The prevalence of positive reactions was higher in our group than in the NACDG group for all 5 of these allergens, and statistical significance was achieved for chromate (P = .028), gold (P = .041), and thimerosal (P = .005). Of patients who had a positive patch test reaction to 1 or more metals, 100% (9 of 9) reported improvement after metal replacement, whereas 62.5% (15 of 24) reported improvement without metal replacement. CONCLUSION: Sensitization to dental metals is more common among LP and LL patients than in routinely tested patients, and might be an etiologic or triggering factor in the disease. Chuck or Jan? >Subject: How is Dental Metal Skin Patch Performed? >From: ashlin@hotmail.com (Richard A.) [quoted text clipped - 6 lines] >amalgam. My allergist has no information on how the test is performed >and has asked me to help find the answer Ummmm. Time to find a new allergist. >Hi All, > My allergist is willing to do a dental mental skin patch test on me. [quoted text clipped - 4 lines] >help. Thank you. >Richard Everything I read says that the incidence of lichen planus disease called by dental amalgam is very low. What makes you think that amalgam is responcible? -- Adenosine Semi-informed Dental Consumer ? >Subject: Re: How is Dental Metal Skin Patch Performed? >From: Adenosine adenosine@nospam.com [quoted text clipped - 13 lines] >called by dental amalgam is very low. What makes you think that >amalgam is responcible? Adenosine isn't even *semi*-informed. Web Results 1 - 10 of about 1,560 for lichen planus disease amalgams. (0.07 seconds >Hi All, > My allergist is willing to do a dental mental skin patch test on me. The emphasis should be on the "MENTAL" part ..... Joel >I have lichen planus disease which is known to be affected byu dental >amalgam. My allergist has no information on how the test is performed [quoted text clipped - 38 lines] >than in routinely tested patients, and might be an etiologic or >triggering factor in the disease. > Hi All, > My allergist is willing to do a dental mental skin patch test on me. I assume that you mean dental "metal". While I think that you are probably barking up the wrong tree, you can find a chart of common dental alloys here: http://www.ceramco.com/pdf/alloys/alloys_charts_crown&bridge.pdf . I would start with nickel and copper. Vaughn >> Hi All, >> My allergist is willing to do a dental mental skin patch test on me. > > I assume that you mean dental "metal". REPLY Nope, it is MENTAL ,, trust me on this! Joel > While I think that you are probably barking up the wrong tree, you can find >a chart of common dental alloys here: >http://www.ceramco.com/pdf/alloys/alloys_charts_crown&bridge.pdf . I would >start with nickel and copper. > >Vaughn >>> Hi All, >>> My allergist is willing to do a dental mental skin patch test on me. >> >> I assume that you mean dental "metal". Jan had the dental mental test done and she flunked it every single time. >REPLY > [quoted text clipped - 8 lines] >> >>Vaughn > I assume that you mean dental "metal". > [quoted text clipped - 4 lines] > > Vaughn Hi, Thanks for your replies. Yes, I typoed and used mental instead of metal. I have been battling my lichen planus for over 4 years. I'm 51 and I've probably had it 'growing' on and in me for 30 years, unknowing what it was until rwecently. I have actinic lichen planus on the sun damaged skin on my face and neck, I have erosive lichen planus on my lips and in my ears. And now I'm fighting it on my genitals. Who knows where else it is. Here is a pretty good web site explainging some of the different variations of lichen planus: (scroll down past the spanish) http://www.dermagic.20m.com/whats_new.html You can see some photos of my treatment with Efudex cream. Without the cream you may not know my skin was so damaged by the lichen planus. My lips were the most painful. http://photos.yahoo.com/ph/swinky00/ If my dental fillings are the cause or contributor to the suffering I've endured all I can say is let the lawsuits begin in ernest. Richard > Hi, > Thanks for your replies. Yes, I typoed and used mental instead of [quoted text clipped - 3 lines] >the sun damaged skin on my face and neck, I have erosive lichen planus >on my lips and in my ears. And now I'm fighting it on my genitals. LP can be a debilitating disease. Have a patient with oral LP, I don't examine lower than the clavicle. My patient tells me that the best control is diet restriction, and occasional medrol dose paks for acute exacerbations. The most common metal allergy is to nickel. Clean the skin with isopropyl alcohol. Shave the area beforehand if necessary, after all you are going to 'tape' it. Use a dermatologically non-irritating tape. Then tape a US nickel to your forearm for 2-3 days. As a control on your other forearm use the same procedure of cleaning and the same tape without the nickel. If you are allergic to nickel, there will be a obvious contact dermatitis reaction. Your allergist is a buffoon.. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > If you are allergic to nickel, there will be a obvious > contact dermatitis reaction. > > Your allergist is a buffoon.. Thank you very much for your instructions on the nickel test. I will try to do it in the coming week. I have only seen the allergist twice and he would test me but he has no standardized method for dental amalgam. My dematolgist doesn't either. I emailed the American Dental Association and here's what I got back: Dear Sirs: I would like to know what form of allergic/reaction testing is endorsed or approved by your organization to test dental amalgam and other dental metals. Is there some form of specific skin patch test or any other form of standardized test? Thank you very much. Regards. Thank you for your inquiry. The ADA does not have a position or recommendation on allergy testing methods. This would be determined by a physician or allergist. ADA Department of Public Information So, eveybody is passing the buck and I still don't know how the test is done or who to perform it. At this point, when I am well enough I will try to have some fillings replaced..any suggestions on what to ask for? Thank you. Richard >Subject: Re: How is Dental Metal Skin Patch Performed? >From: ashlin@hotmail.com (Richard A.) [quoted text clipped - 32 lines] >ask for? >Thank you The best place for testing is http://www.melisa.org/ Jan >So, eveybody is passing the buck and I still don't know how the test >is done or who to perform it. At this point, when I am well enough I >will try to have some fillings replaced..any suggestions on what to >ask for? >Thank you. >Richard Composite or Porcelain depending on the particular tooth. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com You could do the same skin patch test with a fresh lump of triturated amalgam.  Signature~+--~+--~+--~+--~+-- Stephen Mancuso, D.D.S. Troy, Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... >> If you are allergic to nickel, there will be a obvious >> contact dermatitis reaction. [quoted text clipped - 28 lines] > Thank you. > Richard >You could do the same skin patch test with a fresh lump of triturated >amalgam. Interesting. I suppose that would work. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com can anyone help me please, am looking for the local distributor or any shop selling the naturalis range of skin and body care products, www.naturalisproducts.com . looking for this urgently. i googled and found this site sells it ( http://www.organiconline.com.sg ) but I need this urgently. its some anti-aging products that is quite popular, if anyone is distributing this please contact me at g...@raterenterprise.com urgently. I have a group of us looking for this. thanks! >> I assume that you mean dental "metal". >> [quoted text clipped - 8 lines] > Thanks for your replies. Yes, I typoed and used mental instead of >metal. I have been battling my lichen planus for over 4 years. What is Eichen planus? > I'm 51 >and I've probably had it 'growing' on and in me for 30 years, [quoted text clipped - 13 lines] >I've endured all I can say is let the lawsuits begin in ernest. >Richard |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.