Blanco-Dalmau L
J Prosthet Dent. 1982 Jul;48(1):99-101. doi: 10.1016/0022-3913(82)90054-3.
Clinical use of the new base-metal alloys in restorative dentistry involves a risk for both dentist and patient. It is the responsibility of the dentist to determine if a patient is allergic to nickel prior to treatment with a restoration containing a nickel alloy. A patch test is recommended for nickel sensitivity in every patient when such a restoration is planned. In addition, the dentist should include in the work authorization order to the dental laboratory the type of alloy he wants for a particular patient. The dentist should be prepared to check for the presence of nickel in a casting suspected of containing it using the dimethylglyoxime test. The evaluation record for nickel sensitivity should include the patient's name, age, history of allergies, medication, name of drug, dosage, and reaction. The record should be kept in the patient's chart.
新型贱金属合金在口腔修复学中的临床应用对牙医和患者均存在风险。在使用含镍合金的修复体治疗患者之前，确定患者是否对镍过敏是牙医的责任。当计划进行此类修复时，建议对每位患者进行镍过敏斑贴试验。此外，牙医应在给牙科实验室的工作授权单中注明他希望为特定患者使用的合金类型。牙医应准备好使用丁二酮肟试验检查疑似含镍铸件中镍的存在情况。镍过敏的评估记录应包括患者姓名、年龄、过敏史、用药情况、药物名称、剂量和反应。该记录应保存在患者病历中。
