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Pawar RR, Mattigatti SS, Mahaparale RR, et al. Lichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report. J Conserv Dent. 2016;19(3):289-92doi: 10.4103/0972-0707.181950.
Pawar, R. R., Mattigatti, S. S., Mahaparale, R. R., & Kamble, A. P. (2016). Lichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report. Journal of conservative dentistry : JCD, 19(3), 289-92. https://doi.org/10.4103/0972-0707.181950
Pawar, Rohini Rangarao, et al. "Lichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report." Journal of conservative dentistry : JCD vol. 19,3 (2016): 289-92. doi: https://doi.org/10.4103/0972-0707.181950
Pawar RR, Mattigatti SS, Mahaparale RR, Kamble AP. Lichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report. J Conserv Dent. 2016 May-Jun;19(3):289-92. doi: 10.4103/0972-0707.181950. PMID: 27217647; PMCID: PMC4872588.
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J Conserv Dent. 2016 May-Jun;19(3):289-92. doi: 10.4103/0972-0707.181950.

Lichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report.

Journal of conservative dentistry : JCD

Rohini Rangarao Pawar, Sudha S Mattigatti, Rushikesh R Mahaparale, Amit P Kamble

Affiliations

  1. Department of Conservative Dentistry and Endodontics, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashtra, India.

PMID: 27217647 PMCID: PMC4872588 DOI: 10.4103/0972-0707.181950

Abstract

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.

Keywords: Amalgam; Bombay blood group; cutaneous patch test, oral lichenoid reaction

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