Evrard L
Service de Dentisterie - Chirurgie orale et maxillo-faciale - Orthodontie - Stomatologie, Hôpital Erasme, ULB.
Rev Med Brux. 2018;39(4):317-321.
Oral allergies to dental materials are a growing problem and remain poorly diagnosed by health professionals. The complaints of patients with oral allergy are various and include sensations of burning or stinging of the oral mucosa, sensations of dryness of the oral cavity, or general symptoms such as headache, dyspepsia, asthenia, arthralgia, and myalgia. Signs suggestive of oral allergy include erythema, edema, purpuric patches on the palate, ulcerations of the oral mucosa (canker sore), gingivitis, glossitis mimicking geographic tongue, angular cheilitis, peri-oral eczema or the presence of lichenoid reactions of the oral mucosa. The diagnosis of an allergy will include data from the anamnesis, the clinical examination, as well as the results of allergy tests: epicutaneous tests (patch tests) or cutaneous tests (prick tests), possibly completed by a blood test ( in vitro lymphoblastic transformation test ou LTT).
口腔对牙科材料的过敏是一个日益严重的问题,而健康专业人员对其诊断仍然不足。口腔过敏患者的主诉多种多样,包括口腔黏膜有灼烧或刺痛感、口腔干燥感,或出现头痛、消化不良、乏力、关节痛和肌痛等全身症状。提示口腔过敏的体征包括红斑、水肿、上腭紫癜斑、口腔黏膜溃疡(口疮)、牙龈炎、类似地图舌的舌炎、口角炎、口周湿疹或口腔黏膜苔藓样反应。过敏的诊断将包括病史、临床检查数据以及过敏测试结果:皮肤试验(斑贴试验)或皮内试验(点刺试验),可能还需通过血液检测(体外淋巴细胞转化试验或LTT)来完善。