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Open Access 22-05-2023 | Taste Disorder | Research

General diseases and medications in 687 patients reporting on adverse effects from dental materials

Authors: Fabian Cieplik, Karl-Anton Hiller, Konstantin J. Scholz, Gottfried Schmalz, Wolfgang Buchalla, Pauline Mittermüller

Published in: Clinical Oral Investigations | Issue 8/2023

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Abstract

Objectives

Examination of patients claiming adverse effects from dental materials can be very challenging. Particularly, systemic aspects must be considered besides dental and orofacial diseases and allergies. Therefore, the aim of this study was to investigate a cohort of 687 patients reporting on adverse effects from dental materials focusing on findings related to known general diseases or conditions or medication-related findings with relevance to their subjective complaints.

Methods

Six hundred eighty-seven patients visiting a specialized consultation on claimed adverse effects from dental materials were retrospectively investigated for their subjective complaints, findings related to known general diseases or conditions, medication-related findings, dental and orofacial findings, or allergies with relevance to their subjective complaints.

Results

The most frequent subjective complaints were burning mouth (44.1%), taste disorders (28.5%), and dry mouth (23.7%). In 58.4% of the patients, dental and orofacial findings relevant to their complaints could be found. Findings related to known general diseases or conditions or medication-related findings were found in 28.7% or 21.0% of the patients, respectively. Regarding medications, findings related to antihypertensives (10.0%) and psychotropic drugs (5.7%) were found most frequently. Relevant diagnosed allergies toward dental materials were found in 11.9%, hyposalivation in 9.6% of the patients. In 15.1% of the patients, no objectifiable causes for the expressed complaints could be found.

Conclusions

For patients complaining of adverse effects from dental materials, findings related to known general diseases or conditions and medications should be given particular consideration, while still in some patients, no objectifiable causes for their complaints can be found.

Clinical relevance

For patients complaining about adverse effects from dental materials, specialized consultations and close collaboration with experts from other medical fields are eligible.
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Metadata
Title
General diseases and medications in 687 patients reporting on adverse effects from dental materials
Authors
Fabian Cieplik
Karl-Anton Hiller
Konstantin J. Scholz
Gottfried Schmalz
Wolfgang Buchalla
Pauline Mittermüller
Publication date
22-05-2023
Publisher
Springer Berlin Heidelberg
Keyword
Taste Disorder
Published in
Clinical Oral Investigations / Issue 8/2023
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-023-05064-5