Question

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Explain why some dental materials can cause any sensitivity or allergic reactions? Steps taken to prevent such reactions and type
of professional care you would provide during patient management.

Answer 1

# Allergic reactions are becoming prevalent in the general population and the materials used for dental filling, orthodontic instruments etc must satisfy the biocompatibility specifications since they are indicated for a long time in the oral cavity .

# The dental materials cause sensitivity or allergic reaction due to poor biocompatibility . Poor biocompatibility causes :-

- harmful effects to the pulp and soft tissue

- release of toxic substances

- cause carcinogenic effects

# Steps taken to prevent such reactions are :-

- take a thorough medical history

- ask about any allergy towards any mental , drugs etc

- use bonding techniques for better adaptation of restoration to tooth surface

- regular monitoring of restoration

- use cavity varnish below amalgam restoration

- placement of insulating base

- patch test

- dental screening

# The type of professional care that would be provided during patient management include :-

- regular monitoring of patient

- monitor vital signs every hourly

- provision of basic life support

- maintain airway

- provision of epinephrine

- provision of antihistamines and corticosteroids

- terminate the dental procedure

- make the patient sit upright , provide oxygen if respiratory distress is present