Ortodontide Nikel Alerjisi

AKCAM, OZGE

Ortodontide Nikel Alerjisi

Özge USLU AKÇAM (Ankara Yıldırım Beyazıt Üniversitesi, Diş Hekimliği Fakültesi, Ankara, Türkiye)

Ege Üniversitesi Diş Hekimliği Fakültesi

20 2

Yıl: 2020 Cilt: 41 Sayı: 3 Sayfa Aralığı: 243 - 248 Metin Dili: Türkçe İndeks Tarihi: 25-05-2021

Ortodontide Nikel Alerjisi

Öz:

Diş hekimliği uygulamalarında çok çeşitli materyaller kullanılmaktadır ve alerjik reaksiyonlarla sıklıkla karşılaşılmaktadır. Nikel içeren alaşımlar, en yaygın temas alerjeni olmasına rağmen, ortodontik materyallerde yaygın olarak kullanılır. Nikel, Tip IV gecikmeli aşırı duyarlılık reaksiyonu olan alerjik kontakt dermatite neden olan en tipik antijendir ve intra/ekstraoral alerjik reaksiyonlara neden olabilir. Nikel alerjisinin oral klinik bulgu ve semptomları yanma hissi, dişeti hiperplazisi, labial deskuamasyon, angular çelitis, eritema multiforme, periodontitis, hafif ila şiddetli eritem ile stomatitis, papüller peri-oral döküntü, tat kaybı veya metalik tat, uyuşma ve dil tarafında ağrıdır. Nikel alerjisi toplumda sık görülür ve kadınlarda görülme oranı daha yüksek bulunmuştur.Medikal ve dental anamnez alınırken hastalar alerji açısından mutlaka sorgulanmalıdır. Diş hekimi, ortodontik tedavi sırasında bu alerjiye dikkat etmeli, bulgularını bilmeli, eğer ortaya çıkarsa teşhisi ve uzmana yönlendirilmesi konusunda gereğini yapmalıdır. Nikel alerjisi teşhisi koyulan vakalarda nikel içermeyen materyaller kullanılmalıdır.Bu yazıda, nikel alerjisi epidemiyolojisi, teşhisi, nikel alerjisi olan hastalarda ortodontik yaklaşım ve ortodontik materyallerin nikel içeriği açısından karşılaştırılması konuları anlatılmaktadır.

Anahtar Kelime:

Nickel Allergy in Orthodontics

Öz:

A wide variety of materials are used in dental practice and allergic reactions are frequently encountered. Nickel-containing alloys are the most common contact allergen, but are widely used in orthodontic materials. Nickel is the most typical antigen that causes allergic contact dermatitis with Type IV delay hypersensitivity reaction and may cause intra / extraoral allergic reactions. Oral clinical signs and symptoms of nickel allergy include burning sensation, gingival hyperplasia, labial desquamation, angular chelitis, erythema multiforme, periodontitis, stomatitis with mild to severe erythema, peri-oral rash of papules, loss of taste or metallic taste, numbness and pain on the tongue side. Nickel allergy is common in the community and the incidence is higher in women. Patients should be questioned in terms of allergy when taking medical and dental history. The dentist should pay attention to this allergy during orthodontic treatment, know their findings, and if necessary, diagnose and refer to the specialist. Nickel-free materials should be used in cases diagnosed with nickel allergy.This paper provides a summary of nickel allergy, its epidemiology, orthodontic approach in patients with nickel allergy and the comparison of orthodontic materials in terms of nickel content.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Hamula DW, Hamula W, Sernetz F. Pure titanium orthodontic brackets. J Clin Orthod 1996; 30(3): 140-144.
2. Grımssdottir MR, Gjerder NR, Hensten-Pettersen A. Composition and in vitro corrosion of orthodontic appliances. Am J Orthod Dentofacial Orthop 1992; 101: 525-532.
3. Eliades T, Athanasiou AE. In vivo aging of orthodontic alloys: implications for corrosion potential, nickel release, and biocompatibility. Angle Orthod 2002; 72: 222-237.
4. Janson GRP, Dainesi EA, Consolaro A, Woodside DG, de Freitas MR. Nickel hypersensitivity reaction before, during, and after orthodontic therapy. Am J Orthod Dentofacial Orthop 1998; 113: 655-660.
5. Wilkinson JD, Ryeroft RJG. Contact dermetitis. In: Champion RH, Burton JL, Ebling FJG. Texbook of dermatology 5th ed. Oxford: Blackwell Scientific Publications 1992, 648-729.
6. Van Loon LA, Van Elsas PW, Bos JD, ten Harkel- Hagenaar HC, Krieg SR, Davidson CL. Tlymphocyte and Langerhans cell distribution in normal and allergically-induced oral mucosa in contact with nickel-containing dental alloys. J Oral Pathol 1988; 17: 129-1137.
7. Pazzini CA, Júnior GO, Marques LS, Pereira CV, Pereira LJ. Prevalence of nickel allergy and longitudinal evaluation of periodontal abnormalities in orthodontic allergic patients. Angle Orthod 2009; 79(5): 922-927.
8. Burden DJ, Eedy DJ. Orthodontic headgear related to allergic contact dermatitis: a case report. Br Dent J 1991; 170: 447-458.
9. Hensten-Pettersen A, Jacobsen N, Grımssdottir MR. Allergic reactions and safety concerns. In: Brantley WA, Eliades T. Orthodontic Materials: Scientific and Clinical Aspects. 3rd Ed., Stuttgart, Germany, 2001, 287-299.
10. Park HY, Shearer TR. In vitro release of nickel and chromium from simulated orthodontic appliances. Am J Orthod 1983; 84(2): 156-159.
11.Hostynek JJ. Sensitization to nickel: etiology, epidemiology, immune reactions, prevention, and therapy. Rev Environ Health 2006; 21: 253.
12.Lowey MN. Allergic contact dermatitis associated with the use of Interlandi headgear in a patient with a history of atopy. Br Dent J 1993; 17: 67-72.
13.Jones TK, Hansen CA, Singer MT. Dental implications of nickel hypersensitivity. J Prosth Dent 1986; 56: 507-509.
14.Peltonen L. Nickel sensitivity in the general population. Contact Dermat 1979; 5: 27-32.
15.Nielson NH, Menne T. Allergic contact sensitization in an unselected Danish population: the Glostrup allergy study, Denmark. Acta Derm Venereol 1992; 72: 456-460.
16.Nielson NH, Menne T. Nickel sensitization and ear piercing in an unselected Danish population. Contact Dermatitis 1993; 29: 16-21.
17.Menne T. Prevention of nickel allergy by regulation of specifi c exposures. Ann Clin Lab Sci 1996; 26: 133-138.
18.Blanco-Dalmau L, Carrasquillo-Alberty H, Silva- Parra J. A study of nickel allergy. J Prosth Dent 1984; 52: 116-119.
19.Saglam AM, Baysal V, Ceylan M. Nickel and cobalt hypersensitive reaction before and after orthodontic therapy in children. J Contemp Dental Practice 2004; 5: 79-90.
20.Peltonen L, Fraki J. Prevalence of dichromate sensitivity. Contact Dermatitis 1983; 9: 190-194.
21.Gawkrodger DJ, Vestry JP, Wong WK. Contack clinic survey of nickel- sensitive subjects. Contact Dermatitis 1986; 14: 165-169.
22.Dunlap CL, Vincent SK, Barker BF. Allergic reaction to orthodontic wire: report of a case. J Am Dent Assoc 1989; 118: 449-450.
23.Bass J K, Fine H, Cisneros GJ. Nickel hypersensitivity in the orthodontic patient. Am J Orthod Dentofacial Orthop 1993; 103: 280-285.
24.Trombelli L, Virgili A, Corazza M, Lucci R. Systematic contact dermatitis from an orthodontic appliance. Contact Dermatitis 1992: 27: 259-260.
25.De Silva BD, Doherty VR. Nickel allergy from orthodontic appliances. Contact Dermatitis 2004; 2: 102-103.
26.Barrett RD, Bishara SE, Quinn JK. Biodegradation of orthodontic appliances. Part I. Biodegradation of nickel and chromium in vitro. Am J Orthod Dentofacial Orthop 1993; 103: 8-14.
27.Noble J, Ahing SI, Karaiskos NE, Wiltshire WA. Nickel allergy and orthodontics, a reviewand report of two cases. Br Dent J 2008: 204: 297-300.
28.Cioffi M, Gilliland D, Ceccone G, Chiesa R, Cigada A. Electrochemical release testing of nickel-titanium orthodontic wires in artificial saliva using thin layer activation. Acta Biomater 2005; 1: 717-724.
29.Schiff N, Boinet M, Morgon L, Lissac M. Galvanic corrosion between orthodontic wires and brackets in fluoride mouthwashes. Eur J Orthod 2006; 28: 298- 304.
30.Jia W, Beatty MW, Reinhardt RA, Petro TM. Nickel release from orthodontic archwires and cellular immune response to various nickel concentrations. J Biomed Mater Res 1999; 48: 488-495.
31.Romoagnoli P, Labhardt AM, Sinigaglia F. Selective interaction of Ni with an MHC-bound peptide. EMBO J 1991; 10: 1303-1306.
32.Gül U, Cakmak SK, Olcay I, Kılıç A, Gönül M. Nickel sensitivity in asthma patients. J Asthma 2007; 44: 383-384.
33. Brera S, Nicolini A. Respiratory manifestations due to nickel. Acta Otorhinolaryngol Ital 2005; 25: 113- 115.
34. Rahilly G, Price N. Nickel allergy and orthodontics. J Orthod 2003; 30: 171-174.
35. Menne T, Brandup F, Thestrup-Pedersen K, Veien NDG, Freitas MR. Patch test reactivity to nickel alloys. Contact Dermatitis 1987; 16: 255-259.
36. Shelley BW. Gingival hyperplasia from dental braces. Cutis 1981; 28: 149-50.
37. Starkjaer L, Menné T. Nickel allergy and orthodontic treatment. Eur J Orthod 1990; 12: 284- 289.
38. Lindsten R, Kurol J. Orthodontic appliances in relation to nickel hypersensitivity: a review. J Orofac Orthop 1997; 58: 100-108.
39. Schultz JC, Connely E, Glesne L, Warshaw EM. Cutaneous and oral eruption from oral exposure to nickel in dental braces. Dermatitis 2004; 15: 154- 157.
40. Kim H, Johnston J. Corrosion of stainless steel, nickel-titanium, coated nickel-titanium, and titanium orthodontic wire. Angle Orthod 1999; 69: 39-44.
41. Toms AP. The corrosion of orthodontic wire. Eur J Orthod 1988; 10: 87-97.
42. Jensen CS, Lisby S, Baadsgaard O, Byrialsen K, Menné T. Release of nickel ions from stainless steel alloys used in dental braces and their patch test reactivity in nickel-sensitive individuals. Contact Dermatitis 2003; 48: 300-304.
43. Dou X, Liu LL, Zhu XJ. Nickel-elicited systemic contact dermatitis. Contact Dermatitis 2003; 48: 126-129.
44. Pazzini CA, Pereira LJ, Peconick AP, Marques LS, Paiva SM. Nickel allergy: blood and periodontal evaluation after orthodontic treatment. Acta Odontol Latinoam 2016; 29: 42-48.
45. Pazzini CA, Marques LS, Pereira LJ, Corrêa-Faria P, Paiva SM. Allergic reactions and nickel-free braces: a systematic review. Braz Oral Res 2011; 25: 85-90.
46. Hamula DW, Hamula W, SernetZ F. Pure titanium orthodontic brackets. J Clin Orthod 1996; 30: 140- 144.
47. Deguchi T, Ito M, Obata A, Koh Y, Yamagishi T, Oshida Y. Trial production of titanium orthodontic brackets fabricated by metal injection molding (MIM) with sintering. J Dent Res 1996; 75: 1491- 1496.
48. Platt JA, Guzman A, Zuccari A, Thornburg DW, Rhodes BF, Oshida Y. Corrosion behavior of 2205 duplex stainless steel. Am J Orthod Dentofacial Orthop 1997; 112: 69-79.
49. Pantuzo MCG, Zenóbio EG, Marigo HA, Zenóbio MAF. Hypersensitivity to conventional and to nickel-free orthodontic brackets. Braz Oral Res 2007; 21: 298-302.
50. Kolokitha OE, Kaklamanos EG, Papadopoulos MA. Prevalence of nickel hypersensitivity inorthodontic patients:a meta-analysis. Am J Orthod Dentofacial Orthop 2008: 134: 722.
51. Grimsdottir MR, Gjerdet NR, Hensten-Pettersen A. Composition and in vitro corrosion of orthodontic appliances. Am J Orthod Dentofacial Orthop 1992; 101: 525-532.
52. Kerosuo H, Moe G, Kleven E. Invitro release of nickel and chromium from different types of simulated orthodontic appliances. Angle Orthod 1995: 65: 111-116.
53. Fors R,Stenberg B,Stenlund H,Persson M. Nickel allergy inrelation to piercing and orthodontic appliances – a population study. Contact Dermatitis 2012: 67: 342-350.
54. Gölz L, Knickenberg AC, Keilig L, Reimann S, Papageorgiou SN, Jäger A, Bourauel C. Nickel ion concentrations in the saliva of patients treated with self-ligating fixed appliances: a prospective cohort study. J Orofac Orthop 2016; 77: 85-93.
55. Gölz L, Bayer S, Keilig L, Jager A, Stark H, Baurauel C, Götz W, Frede S, Winter J, Kraus D. Possible implications ofNi(II)on oral IL-1𝛽𝛽-induced inflammatoryprocesses. Dent Mater 2014: 30: 1325- 1335.
56. Attar PN, Karacaoğlu F. Nikel allerjisiyle ilişkili periodontitis: bir olgu sunumu. Atatürk Univ Diş Hek Fak Derg 2018; 28(4): 557-560.
57. Green J. Orthodontic appliances for patients with a nickel allergy. Dental Nursing 2013; 9(9): 504-508.

APA	AKCAM O (2020). Ortodontide Nikel Alerjisi. , 243 - 248.
Chicago	AKCAM OZGE Ortodontide Nikel Alerjisi. (2020): 243 - 248.
MLA	AKCAM OZGE Ortodontide Nikel Alerjisi. , 2020, ss.243 - 248.
AMA	AKCAM O Ortodontide Nikel Alerjisi. . 2020; 243 - 248.
Vancouver	AKCAM O Ortodontide Nikel Alerjisi. . 2020; 243 - 248.
IEEE	AKCAM O "Ortodontide Nikel Alerjisi." , ss.243 - 248, 2020.
ISNAD	AKCAM, OZGE. "Ortodontide Nikel Alerjisi". (2020), 243-248.

APA	AKCAM O (2020). Ortodontide Nikel Alerjisi. Ege Üniversitesi Diş Hekimliği Fakültesi, 41(3), 243 - 248.
Chicago	AKCAM OZGE Ortodontide Nikel Alerjisi. Ege Üniversitesi Diş Hekimliği Fakültesi 41, no.3 (2020): 243 - 248.
MLA	AKCAM OZGE Ortodontide Nikel Alerjisi. Ege Üniversitesi Diş Hekimliği Fakültesi, vol.41, no.3, 2020, ss.243 - 248.
AMA	AKCAM O Ortodontide Nikel Alerjisi. Ege Üniversitesi Diş Hekimliği Fakültesi. 2020; 41(3): 243 - 248.
Vancouver	AKCAM O Ortodontide Nikel Alerjisi. Ege Üniversitesi Diş Hekimliği Fakültesi. 2020; 41(3): 243 - 248.
IEEE	AKCAM O "Ortodontide Nikel Alerjisi." Ege Üniversitesi Diş Hekimliği Fakültesi, 41, ss.243 - 248, 2020.
ISNAD	AKCAM, OZGE. "Ortodontide Nikel Alerjisi". Ege Üniversitesi Diş Hekimliği Fakültesi 41/3 (2020), 243-248.