utorak, 12. listopada 2010.

About Allergies: Allergies at the Dentist

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From Daniel More, MD, your Guide to Allergies
Going to the dentist for a routine teeth cleaning doesn't rank very high on most people's priority lists. Many of us delay going to the dentist for lots of reasons, including the need to have a painful procedure performed. Some people may have a legitimate excuse for not going to the dentist - they may experience an allergic reaction as a result. From latex allergy and local anesthetic allergy to allergic reactions to bridges and fillings, some people may be getting more than they bargained for with a trip to the dentist.

Latex Allergy at the Dentist
Latex is the major ingredient in most rubber products, and is commonly found in the health care industry, including in latex examination gloves. Some people may develop an allergy to latex, with exposure resulting in potentially serious reactions including hives, itching at the site of contact or all over, tightness of the throat, wheezing, difficulty in breathing, and anaphylaxis. Such an allergic reaction could conceivably occur when going to a dentist who wears latex examination gloves.

Local Anesthetic Allergy
Reactions to local anesthetics are relatively common, although they may not always be caused by a true allergy. Symptoms occurring after the use of local anesthetics may also be caused by anxiety, hyperventilation, as well as side effects to epinephrine which is frequently added to local anesthetics to make the numbing effect last longer. Preservatives added to local anesthetics, called methylparabens, are a more common cause of allergic reactions to local anesthetics. Since going to the dentist may mean the need for fillings, the use of local anesthetics may trigger allergic reactions in susceptible individuals.

Contact Dermatitis at the Dentist
There are many chemicals and materials used in the dentist's office that are capable of causing contact dermatitis, both on the face, lips, and on the gums. Metals used in dental amalgam, including mercury, can result in redness, swelling and irritation of the gums. Flavorings found in mouthwashes, toothpastes and fluoride treatments could also cause itchy rashes inside the mouth or on the skin around the lips. Lastly, dental dams containing rubber compounds, usually other than latex, can result in contact dermatitis around the mouth. A number of potential contact allergens are present at the dentist office - exposure to these may result in reactions around the mouth, on the lips, or inside the mouth.



 


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Daniel More, MD
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