posted in Implant Supported Overdentures, Dental Implant Materials
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Print This PostJoan, a patient, asks:
I have just learned I may have a sensitivity/adverse response to the MONOMER material used in making dentures/overdentures.
Is there a way of testing for other dental fabrication materials that may cause a reaction, before proceeding with the fabrication of an overdenture? Also, what are my options considering this sensitivity? Thanks for your help.
9 Responses to “ Adverse Reaction to Dental Implant Materials ”
Allergy has to be proven. May be just your denture hasn’t been polymerized properly. In fact we can only minimize an amount of monomer (which is always very irritating. I think your denture should be carefully evaluated, and then you can make some test to confirm over-reaction to acrylic ( not to monomer)
Dear Joan:
Get an allergy test done (to acrylic).
There are other choices to solve your problem… the easy way out is to get more implants and a fixed prothesis that can even be done in full ceramic (no metal).
Best of luck to you.
An allergist can skin test you for sensitivity to acrylic monomer. Be sure to rule out the possiblility of a subclinical yeast infection. I see a lot of denture patients with inflammed tissue under a denture that often responds positively to disinfection of the denture ( 1 part houshold bleach and 9 parts water– soak 1 hour, daily until inflammation resolves. Be sure to wash off denture prior to placing it back in the mouth !) and systemic antifungals like Diflucan. Ask your dentist about your specific case.
The monomer is known to cause an inflammatory response because its corrosive. So obviously a lot of people would be sensitive to it. But Monomer never sticks around, it polymerizes the acrylic powder and becomes incorporated and is less reactive with the environment. The denture may have been improperly cured. I agree you should be properly tested to determine an allergy response. An allergy to acrylic is very very rare.
If you have been wearing dentures for awhile, it may be worthwhile to try the bleach cleaning, but if this a first time, then obviously its not a microbial issue.
the allergy reaction to the monomer should be very rare as it is incorporated in the overdenture…i had a case when i were at university and after thinking that it was the monomer that was the problem it appears that it was the color product that is inside the denture…the problem were resolved when he switched to a transparent denture…
Your patient could try a non-allergenic material like Valplast if the tests prove positive.
ambien controlled release
Yes, try Valplast or Brecrystal. These materials have less to none rest monomeer. I have had great results in using brecrystal in one of my own patient who was allergic to the normal overdenture material. The only thing to remember is when we need to adjust your overdenture it takes more time: in stead of getting it back the same day, you have to wait for another day This is because of the procedure to overcome the problems of restmonomeer. If not then the technician have to use older materials with monomeer at which you may be allergic to as well.
Good luck
Hi,
In August 2005 I had a tooth removed (upper right premolar adjacent to canine). The extraction was quite traumatic given that the tooth has to be taken in pieces. Following the extraction, I had a great loss of bone (I can provide x-rays) and discomfort that never went away. The adjacent premolar was also missing. In Nov 2005, a dental implant was put into place but oddly the oral surgeon chose to put it angled from the molar. The discomfort I had before increased with the implant so that I thought of removing the implant. Eventually, however (June 2006), I had a crown put on the implant and the discomfort improved Unfortunately, In 2008, the crown got loosen and it was removed. A new one it is now been made. The implant seemed solid but I am in pain since I had the crown removed. The pain seems to be around the gum surrounding the implant but irradiates to all the right maxillary. The pain goes away with ibuprofen (600 mg) but I would not like to stay forever on this medication and I wonder if you could give me any advice. Thanks in advance for any input.
Sincerely
pedro
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