|
Question:
Allergy to metal in crowns: I had a full mouth restoration 13 months ago.
The crowns were porcelain fused to metal except 6 upper front anteriors which were all porcelain. Within a week my bottom gums appeared whitish. About 6 months ago, I had an oral biopsy that resulted in a diagnosis consistent with lichen planus.
My dentist identified the metals as gold and palladium. I was patch tested last month. It was determined that I am allergic to both gold and palladium.
I had told the dentist before he put the crowns in that I am allegic to jewelry. He said I could never be allergic to gold or palladim.
I use a mouthwash of equal amounts of lidocaine/benedryl/dimethasone/ antacid. My dentist is not supportive. What should I do? ... Visitor from MA
Answer:
I am sorry for your unfortunate situation. These types of concerns need to be addressed with your dentist.
If you truly discussed allergy to jewelery with your dentist, he or she may have seen silver fillings in your mouth or other metal that would have led them to believe it was not a true allergy and perhaps it was just to inexpensive nickel containing jewelery.
Gold is hypoallergenic but if alloyed with something you are sensitive to it can still create hypersensitivity issues.
Perhaps your dentist can offer you a remake at a substantial discount or a partial discount to help you with your problems. It would have to be confirmed, however that the precise materials used caused your problem.
He would have to identify all materials used and have all of the components tested by an allergist for a definitive diagnosis. Note however, that removing all crowns can have risks as well and they shouldn't be removed unless a true allergy to the metal is identified!!!
White gums are not a typical allergic reaction. Usually they are red, puffy and irritated and would be this way above the metal crowns and perfect where the all porcelain crowns are located. Best of luck.
Wisconsin Reconstructive Implant Dentistry
Richard Winter, DDS MAGD
Winter Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021
|
|
