Szarmach I J, Kasacka I, Buczko P, Tankiewicz A, Pawlak D
Department of Orthodontics, Medical University of Białystok, Poland.
Adv Med Sci. 2006;51 Suppl 1:210-2.
Considering nickel release from fixed orthodontic appliances, determination of the relationship between the clinical status of the mouth, IgE level and treatment duration in orthodontic patients seems to be advisable.
Twenty-one patients with symptoms of nickel hypersensitivity observed during treatment with fixed orthodontic appliances were separated from a group of 50 subjects, aged 11-33 years, undergoing orthodontic treatment for malocclusion. The patients were divided into two subgroups PgA and PgB.
The mean IgE level in PgA was 39.20 IU/ml and in PgB 210.61 IU/ml. In PgA, the majority of patients were wearing ear-rings (8/10), but not in PgB (4/11). The mean treatment duration in PgA was 21.3 +/- 4.83 months, while in PgB 14.4 +/- 2.84. There were no statistically significant differences in the symptoms indicating stomatitis between the groups of patients subjected to treatment with intra-oral appliances.
The immunologic profile of the patient plays a key role in the choice of the type of appliance used to treat abnormalities of the masticatory organ. Determination of IgE is necessary in the case of allergy-positive history.
考虑到固定正畸矫治器中的镍释放情况，确定正畸患者口腔临床状况、免疫球蛋白E（IgE）水平与治疗持续时间之间的关系似乎是明智的。
从一组年龄在11 - 33岁、因错牙合畸形接受正畸治疗的50名受试者中，分离出21名在使用固定正畸矫治器治疗期间出现镍过敏症状的患者。这些患者被分为PgA和PgB两个亚组。
PgA组的平均IgE水平为39.20 IU/ml，PgB组为210.61 IU/ml。在PgA组中，大多数患者佩戴耳环（8/10），而PgB组则不然（4/11）。PgA组的平均治疗持续时间为21.3 ± 4.83个月，而PgB组为14.4 ± 2.84个月。在接受口腔矫治器治疗的患者组中，表明口腔炎的症状在两组之间没有统计学上的显著差异。
患者的免疫状况在用于治疗咀嚼器官异常的矫治器类型选择中起关键作用。对于有过敏阳性病史的患者，测定IgE是必要的。
