Metal allergy patient treated by titanium implant denture: A case report with at least 4-year follow-up

Abstract

Patch testing with metal reagents was positive on female patient with history of metal hypersensitivity after dental treatment. All of the dental restorations with metal components were removed, and subsequent oral rehabilitation utilizing dental implants and metal-free prostheses was carried out. The treatments alleviate the presenting signs and symptoms.

Keywords: case study; metal allergy; patch test; titanium implant.

Figure 1

Clinical manifestation at the first dental appointment. A physical examination revealed red rashes on the palmoplantar surfaces of her hands (A) and feet (B). Intraoral examination findings were hyperemia of the oral mucosa (C‐E). There are some missing teeth

Figure 2

Clinical manifestation after the removal of dental prostheses. The all‐metal dental restorations were removed and replaced with composite restorations (A‐C)

Figure 3

Titanium metal insert to check the allergic reaction. The small piece of Ti was cemented to the distal aspect of the maxillary right canine and observed for 6 mo

Figure 4

Full mouth rehabilitation of patient using dental implants and metal‐free prostheses. The implant dentures were restored with provisional restorations. Patient reported improvement in her oral function after the completion of oral rehabilitation

Figure 5

Protocol for diagnosing and managing patient with dental metal allergy