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Medical Forum / General / Dentistry / October 2006

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Allergic reaction to temporary crowns

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©®©@®.©®© - 26 Oct 2006 18:38 GMT
About 30 years ago I had allergic reaction to temp crowns, sore red gums,
etc. The dentist said it was an allergy when I went back to have the perms
installed.

Is the same material used then still used today? I have 3 temps in now
and the gums are a bit tender but not as bad as before. Thank you.

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Mark & Steven Bornfeld - 26 Oct 2006 18:50 GMT
> About 30 years ago I had allergic reaction to temp crowns, sore red gums,
> etc. The dentist said it was an allergy when I went back to have the perms
> installed.
>
> Is the same material used then still used today? I have 3 temps in now
> and the gums are a bit tender but not as bad as before. Thank you.

    Generally some form of acrylic resin is used.  The resin may be
irritating to some patients, but in my experience redness after a crown
and bridge procedure is more likely to be caused by unnecessarily
traumatic preparation and impression, or from a poorly-fitting temporary
that traps food.
    If you developed a more obvious allergic reaction--hives, swelling of
the lips and/or tongue, then it certainly may be allergic, and you must
make sure your dentist uses a different type of material.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie - 26 Oct 2006 22:09 GMT
>but in my experience redness after a crown
>and bridge procedure is more likely to be caused by unnecessarily
>traumatic preparation and impression, or from a poorly-fitting temporary
>that traps food.

PPTM

piss poor tissue management.
©®©@®.©®© - 26 Oct 2006 22:54 GMT
Gax@GEyahoo.com wrote:

> >but in my experience redness after a crown
> >and bridge procedure is more likely to be caused by unnecessarily
[quoted text clipped - 4 lines]
>
> piss poor tissue management.

Troll motherf..ker.

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©®©@®.©®© - 26 Oct 2006 22:56 GMT
Gax@GEyahoo.com wrote:

> >but in my experience redness after a crown
> >and bridge procedure is more likely to be caused by unnecessarily
[quoted text clipped - 4 lines]
>
> piss poor tissue management.

PPTM reached up his vagina and pulled out the above statement. Or was it
his a.shole?

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Mark & Steven Bornfeld - 26 Oct 2006 23:20 GMT
> Gax@GEyahoo.com wrote:
>
[quoted text clipped - 9 lines]
> PPTM reached up his vagina and pulled out the above statement. Or was it
> his a.shole?

    You must be misconscrewing what Newbie said.  This is not a troll, it's
a comment on the dentist--he was basically agreeing with what I'd said.
 Usually you can expect a poor result and severe gingival reaction when
the soft tissues are not handled properly by the dentist.  Of course you
may be right and it could be allergic, or a contact reaction with free
acrylic monomer.  But it's more likely the way the tooth was prepared,
impressioned, temporized, etc.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mark & Steven Bornfeld - 26 Oct 2006 23:15 GMT
>>but in my experience redness after a crown
>>and bridge procedure is more likely to be caused by unnecessarily
[quoted text clipped - 4 lines]
>
> piss poor tissue management.

    Good clinical term.  Are you too young to remember "schmutz" pyorrhea?

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie - 26 Oct 2006 23:54 GMT
>>>but in my experience redness after a crown
>>>and bridge procedure is more likely to be caused by unnecessarily
[quoted text clipped - 8 lines]
>
>Steve

Picked that one up in SMD. A JME favorite.

They sure didn't mention 'meth mouth' back in those days !
©®©@®.©®© - 27 Oct 2006 04:00 GMT
> >>but in my experience redness after a crown
> >>and bridge procedure is more likely to be caused by unnecessarily
[quoted text clipped - 9 lines]
>
> Steve

No sorry, bad diagnosis. My dentist changed the temps because of allergy
I have been under his care and seeing him weekly to repair a birth defect
and I have nothing wrong with my gums. But if you treat patients like you
treat me I can see why you have so much time to post here instead of having
patients in your chairs.

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Newbie - 26 Oct 2006 22:28 GMT
>or from a poorly-fitting temporary
>that traps food.

I sure miss that "what's a temporary?" stuff.

Do you ?
Mark & Steven Bornfeld - 26 Oct 2006 23:16 GMT
>>or from a poorly-fitting temporary
>>that traps food.
>
> I sure miss that "what's a temporary?" stuff.
>
> Do you ?

    Yes.  I actually checked the new forum recently, and found little
activity.  I should shoot SM an e-mail.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mike - 27 Oct 2006 00:02 GMT
>> About 30 years ago I had allergic reaction to temp crowns, sore red gums,
>> etc. The dentist said it was an allergy when I went back to have the perms
[quoted text clipped - 13 lines]
>
>Steve

I'd be interested to learn something about this topic as I may be in for similar
treatment rsn. Presumably there are alternatives (allergy-free/less chance of
reaction)?

Could I also ask whether the crowns themselves are ok from the allergy point of
view? I mean I want to avoid any dental amalgam type issues - is such material
used in crowns? Sorry for the probably dumbness of these questions - I admit
knowing very little about it but would appreciate learning *before* treatment
than after.
tia
Steven Bornfeld - 27 Oct 2006 00:24 GMT
>>> About 30 years ago I had allergic reaction to temp crowns, sore red gums,
>>> etc. The dentist said it was an allergy when I went back to have the perms
[quoted text clipped - 24 lines]
> than after.
> tia

    Most crowns today are either ceramic, or ceramic bonded to precious or
non-precious metal (generally similar to stainless steel), or all
precious metal.  While it is theoretically possible to react to almost
anything, precious metals and glazed porcelain are generally
well-tolerated by the tissue.  Some early non-precious alloys contained
nickel, which is commonly sensitizing, but you're not likely to
encounter this.  There is no mercury in casting alloys.

Steve
 
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