Open AccessLichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report
Author(s) -
Rohini Rangarao Pawar,
Sudha Mattigatti,
Rushikesh Mahaparale,
Amit Pralhad Kamble
Publication year - 2016
Publication title -
journal of conservative dentistry/journal of conservative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 31
eISSN - 0974-5203
pISSN - 0972-0707
DOI - 10.4103/0972-0707.181950
Subject(s) - amalgam (chemistry) , dentistry , medicine , oral mucosa , lesion , carious lesion , etiology , dental restoration , pathological , surgery , pathology , chemistry , enamel paint , electrode
The pathogenic relationship between the oral lichenoid reaction (OLR) and dental restorative materials has been confirmed many times. An OLR affecting oral mucosa in direct contact with an amalgam restoration represents a delayed, type IV, cell mediated immune response to mercury or one of the other constituents of the dental amalgam. Bombay blood group patients are more prone to this. A case of bilateral OLR is presented, which is present in relation to amalgam restoration. The lesion healed up after the replacement of restorations with an intermediate restorative material. The clinician should be aware of all the possible pathological etiologies of white lesions. If there is any doubt about the nature or management of a usual oral lesion, a referral to an appropriate specialist is mandatory.