Taraphdar Sreetama, Manna Anumita, Karmakar Arindam, Sarkar Aniket
Department of Prosthodontics, Haldia Institute of Dental Sciences and Research, Kolkata, West Bengal, India.
Department of Oral and Maxillofacial Surgery, Haldia Institute of Dental Sciences and Research, Kolkata, West Bengal, India.
J West Afr Coll Surg. 2024 Oct-Dec;14(4):428-431. doi: 10.4103/jwas.jwas_157_23. Epub 2024 Jul 18.
Contact allergies are frequently encountered in dental practice, and their underlying causes are not readily apparent. These allergies can arise from allergic or anaphylactic responses triggered by commonly utilised dental materials in routine dental procedures or potentially result from the use of specific medications. This case presents a unique scenario involving a patient who sought prosthetic crowns following maxillary anterior teeth endodontic treatment. During the cementation of the prosthesis with glass ionomer cement, the patient unexpectedly experienced an acute allergic reaction in her upper lip. The patient received reassurance and was prescribed a 3-day course of oral corticosteroids and antihistamines, resulting in symptom relief within 24 h. This paper seeks to raise awareness among clinicians about the potential for contact allergic reactions and aims to emphasise the presentation and management of the uncommon incidence of angioedema during prosthodontic procedures.
接触性过敏在牙科实践中经常遇到，其潜在原因并不容易显现。这些过敏可能源于常规牙科手术中常用牙科材料引发的过敏或过敏反应，也可能是使用特定药物所致。本病例呈现了一种独特的情况，一名患者在上颌前牙根管治疗后寻求修复冠。在用玻璃离子水门汀粘结修复体时，患者上唇意外出现急性过敏反应。患者得到了安慰，并被开了一个为期3天的口服皮质类固醇和抗组胺药疗程，症状在24小时内得到缓解。本文旨在提高临床医生对接触性过敏反应可能性的认识，并强调在口腔修复手术中血管性水肿罕见发生率的表现和管理。
