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[过敏患者的正畸治疗可能性]

[Orthodontic treatment possibilities of allergic patients].

作者信息

Vitályos Géza, Török Judit, Márton Ildikó, Szepesi Marta, Radics Tonde, Hegedus Csaba

机构信息

Orvos- és Egészségtudományi Centrum, Fogorvostudományi Kar, Fogszabályozási Osztály.

出版信息

Fogorv Sz. 2007 Apr;100(2):71-6.

Abstract

During the past two decades the incidence of allergies against dental materials has been rising. The most common allergens are nickel, mercury, benzoxyl-peroxide, formaldehyde, MMA, HEMA, EGDMA and TEGDMA. Contact allergy develops in predisposed individuals as a consequence of environmental exposures to allergens. Although the relatively high frequency of contact allergies in children is well documented, its importance during orthodontic treatments is still often underestimated. The most common metal to cause dental allergic reactions is nickel. Nickel-containing metal alloys, such as nickel-titanium, are widely used in orthodontics because of their favorable physical properties. Coated wires (epoxi coating, teflon, etc.) are not only more aesthetic, but can play a role in the orthodontic treatment of patients with nickel allergy. In our case report we present two patients with nickel allergy, and their treatment with alternative orthodontic appliances. During the orthodontic treatment our patients did not have any objective or subjective allergy-related symptoms.

摘要

在过去二十年中,对牙科材料过敏的发生率一直在上升。最常见的过敏原是镍、汞、过氧化苯甲酰、甲醛、甲基丙烯酸甲酯、甲基丙烯酸羟乙酯、二甲基丙烯酸乙二醇酯和三乙二醇二甲基丙烯酸酯。由于环境接触过敏原,易感个体中会发生接触性过敏。尽管儿童中接触性过敏的相对高发生率已有充分记录,但在正畸治疗期间其重要性仍常常被低估。引起牙科过敏反应最常见的金属是镍。含镍金属合金,如镍钛合金,因其良好的物理性能而广泛应用于正畸学。涂层丝(环氧树脂涂层、特氟龙等)不仅更美观,而且对镍过敏患者的正畸治疗也能起到作用。在我们的病例报告中,我们展示了两名镍过敏患者,以及他们使用替代正畸矫治器的治疗情况。在正畸治疗期间,我们的患者没有任何与过敏相关的客观或主观症状。

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