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• W2110542445 abstract "espanolLas reacciones alergicas de contacto intraoral son entidades clinicas pobremente diferenciadas y entendidas y que no se describen con demasiada frecuencia en la literatura especializada. Aunque parecen ser poco prevalentes, existen datos que sugieren que pudiesen ser mas frecuentes de lo que se pensaba. No existe un cuadro clinico unico ni especifico del proceso, si bien las reacciones liquenoides parecen ser la manifestacion mas habitual. El test del parche epicutaneo es la prueba, juntamente con la clinica, mas utilizada para el diagnostico del proceso. Los materiales metalicos de uso odontoestomatologico, especialmente las amalgamas y el oro, son los que mas se relatan como causantes de reacciones alergias intraorales, aunque cada vez se describen mas casos de hipersensibilidad a las resinas, fruto de la univesalizacion de su uso. Recientemente se empieza a cuestionar la eliminacion o sustitucion intraoral sistematica de sustancias a las que existe hipersensibilidad cutanea y, del mismo modo, tampoco se puede descartar un componente alergico en algunos cuadros clinicos estomatologicos inespecificos. Pretendemos hacer una puesta al dia para los clinicos, basada en la evidencia, del estado del conocimiento en esta materia. EnglishIntraoral contact allergy reactions are clinically poorly differentiated and understood, and are not very commonly described in the specialized literature. Although such reactions appear to be scantly relevant, evidence suggests that they may be more frequent than previously believed. No single or specific clinical picture of intraoral contact allergy exists, though lichenoid reactions appear to be the most common manifestations. Epicutaneous patch testing, together with the clinical manifestations, constitute the most widely used diagnostic approach in such situations. Metals used in dental practice - particularly amalgams and gold - are the most commonly reported causes of intraoral allergic reactions, though hypersensitivity to resins is increasingly mentioned in the literature, as a consequence of their increasingly widespread use. The systematic intraoral elimination or substitution of materials inducing cutaneous hypersensitivity has recently been questioned, while on the other hand it not possible to discard an allergic component in some nonspecific stomatological disorders. The present study offers clinicians an evidence-based update of current knowledge in this field" @default.
• W2110542445 created "2016-06-24" @default.
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• W2110542445 date "2003-01-01" @default.
• W2110542445 modified "2023-09-23" @default.
• W2110542445 title "Alergia de contacto intraoral a los materiales de uso odontoestomatológico: una revisión crítica" @default.
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