Mjör I A
College of Dentistry, University of Florida, Gainesville 32610.
Adv Dent Res. 1992 Sep;6:7-16. doi: 10.1177/08959374920060012001.
The paper reviews data on biological side-effects of dental materials on patients and also on personnel who routinely handle the materials. The incidence of adverse effects is low--in one study indicated to be 1:700 for all types of treatments. For individual types of materials, it will be significantly lower, and for restorative materials, probably in the 1:10,000 to 1:20,000 range. Allergic reactions are the most common type of adverse effect of dental materials. Lichenoid reactions on the oral mucous membrane adjacent to amalgam restorations are the most frequently encountered side-effects for a specific group of restorative materials. Cost analyses were based on reports of longevity of different restorations and the cost of restorations at the time of placement. Amalgam restorative therapy was more cost-effective than composite restorations and gold castings.
本文综述了牙科材料对患者以及常规处理这些材料的人员产生的生物学副作用的数据。不良反应的发生率较低——在一项研究中,所有类型治疗的发生率为1:700。对于个别类型的材料,发生率会显著更低,对于修复材料,可能在1:10000至1:20000的范围内。过敏反应是牙科材料最常见的不良反应类型。与汞合金修复体相邻的口腔黏膜出现苔藓样反应是特定一组修复材料最常遇到的副作用。成本分析基于不同修复体的使用寿命报告以及放置时修复体的成本。汞合金修复治疗比复合树脂修复体和金铸件更具成本效益。