nickel allergy in orthodontics articles

The study analyzed 228 subjects aged 11–45 years (median 18, interquartile range 16–22); 68% of them were females, and 52% were adolescents. Nickel allergy, also known as nickel hypersensitivity or Systemic Nickel Allergy Syndrome (SNAS), results from an adverse immune response to nickel exposure. A total of 106 articles were retrieved in nickel allergy and orthodontics. The aim of this study was to elucidate whether nickel sensitive persons are at greater risk of developing discomfort in the oral cavity during orthodontic treatment. Men in metal processing and manufacturing occupations are also likely to develop a nickel contact allergy. The MeSH term used was allergy and orthodontics. Br Dent J 2008: 204: 297-300. 12 Noble J, Ahing S I, Karaiskos N E, Wiltshire W A. Nickel allergy and orthodontics, a review and report of two cases. Nickel allergy in relation to piercing and orthodontic appliances – a population study. This study aimed to systematically review the effect of fixed orthodontic treatment on salivary levels of these ions by doing a meta-analysis on cross-sectional and cohort studies. Nickel allergy is by far the most common contact allergy in the industrial world, with a prevalence of up to 30%, depending on age, sex, and ethnicity 1, 2.Possible sources for nickel sensitization include jewellery, clothing fasteners, mobile phones, and, in particular, (ear) piercings. Copyright © 2021 European Orthodontic Society. KEY WORDS: allergic reaction; orthodontics; biomedical and dental materials. A key role of inner-cation-Ï€ interaction in adsorption of Pb(II) on carbon nanotubes: Experimental and DFT studies. A nickel allergy occurs when a person has an adverse reaction to a food or object containing nickel. The remaining patients began routine orthodontic therapy and were retested 3 months into treatment to see whether sensitization occurred. include all articles that appeared in each of the da-tabases, dating from the inceptions of the databases until August, 2010. Dent Mater 2014: 30: 1325-1335. A search was conducted on PubMed to retrieve all available literature on allergy and orthodontics. A total of 106 articles were retrieved in nickel allergy and orthodontics. This article is also available for rental through DeepDyve. What is nickel allergy?. Allergic response to alloys in orthodontics, particularly nickel, has been extensively studied and several case reports of nickel-induced contact dermatitis have been documented. Data from 1085 consecutive girls in active orthodontic treatment or in retention were collected by means of a questionnaire. A computerized literature search was conducted in PubMed for articles published on allergy in relation to orthodontics. Nickel contact allergy seems to occur more frequently in women than men, probably related to body piercing and to wearing jewelry and clothing with metal ornamentation. Nickel-containing metal alloys are extensively used for dental prostheses and orthodontic appliances. Don't already have an Oxford Academic account? By continuing you agree to the use of cookies. Five of the patients had a positive nickel patch test, a rate of 18.5%. Nickel, Nickel release, Corrosion potential, Orthodontic alloy, Biocompatibility INTRODUCTION Nickel (Ni)-containing alloys are present in a substantial number and wide variety of appliances, auxiliaries, and utilities used in orthodontics and thus become an integral part of almost every routine orthodontic intervention. Nickel titanium wires are often used for orthodontics. Institute of Orthodontics, Royal Dental College, Address for correspondence: Lilian Staerkjaer, Institute of Orthodontics, Royal Dental College, Nerre Alle 20, 2200 Copenhagen N, Denmark. This consideration receives even greater attention with the expanded use of nickel titanium alloys, which contain up to 70% nickel. This article discusses the diagnosis of nickel allergy in orthodontics and describes alternative products that are nickel free or have a very low nickel content, which would be appropriate to use in patients diagnosed with a nickel allergy. Nickel is the most common contact allergen affecting females in Europe and the USA. Currently, several brands of orthodontic wires are made of nickel titanium alloy and potentially have a high enough nickel content to provoke manifestations of allergic reactions in the oral cavity. The amount of daily intake of metals from orthodontic appliances over time is a matter of great concern. Most studies have concluded that patients with a nickel allergy are able to wear appliances with stainless steel elements without a noticeable effect. Register, Oxford University Press is a department of the University of Oxford. [6-9] Nickel hypersensitivity is more prevalent in females than in males by a factor of 10 to 1. Alternatives to prevent chromium allergy in orthodontics would be the use of Teflon coated (Tooth-colored epoxy resin) wires, Optifelx archwires, Fiber Nickel results in one of the most common metal-induced allergic contact dermatitis in humans; it produces more allergic reactions than all the other metals combined together. Lilian Staerkjaer, Torkil Menné, Nickel allergy and orthodontic treatment, European Journal of Orthodontics, Volume 12, Issue 3, August 1990, Pages 284–289, https://doi.org/10.1093/ejo/12.3.284. This article discusses the diagnosis of nickel allergy in orthodontics and describes alternative products that are nickel free or have a very low nickel content, which would be appropriate to use in patients diagnosed with a nickel allergy. Settleable matter in a highly industrialized area: Chemistry and health risk assessment. Stainless steel orthodontic components are therefore very unlikely to cause nickel hypersensitivity. Allergic response to alloys in orthodontics, particularly nickel, has been extensively studied and several case reports of nickel-induced contact dermatitis have been documented. For example, Ni-based alloys are widely used in costume jewelry and dental materials, and Ni frequently causes contact allergy categorized as type IV delayed-type hypersensitivity (DTH), with skin inflammation mediated by hapten-specific T cells (1–5). Most users should sign in with their email address. The search revealed a total of 114 articles on the topic. Stainless steel orthodontic components are therefore very unlikely to cause nickel hypersensitivity. You could not be signed in. Nickel is one of the most common causes of allergic contact dermatitis and produces more allergic reactions than all other metals combined. Two patients converted from an initial degative patch test to a positive test. We use cookies to help provide and enhance our service and tailor content and ads. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Nickel is the most common contact allergen affecting females in Europe and the USA. The majority of the girls with unspecific mucosal reactions and skin lesions were atopics with a chronic dermatitis. Introduction. INTRODUCTION ˚ The study aimed to evaluate to which extent self-reported symptomatology, age, and sex are predictors of titanium and nickel allergic sensitization in patients in treatment with fixed orthodontic appliances. While nickel contact allergy is diagnosed with patch testing, the test only measures sensitization; not clinical disease; Positive patch tests to nickel are seen in 10-30% of women, 2-8% of males, 15.9% of children, and 13.7% of individuals older than 65. The percentage of nickel in orthodontic appliances ranges from 8% (in stainless steel) to more than 50% (in nickel-titanium alloys). Director Post Graduate Program in Orthodontics, and Dental Director, Center, for Craniofacial Disorders Albert Einstein College of Medicine and Montefiore Medical Center. You do not currently have access to this article. No nickel allergic reaction on the oral mucosa was found. 13 Fors R, Stenberg B, Stenlund H, Persson M. Nickel allergy in relation to piercing and orthodontic appliances … ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Nickel hypersensitivity in the orthodontic patient. But nickel can be found in many everyday items, such as coins, zippers, cellphones and eyeglass frames.It may take repeated or prolonged exposure to items containing nickel to develop a nickel allergy. Twenty-nine patients from the Division of Orthodontics, Albert Einstein/Montefiore Medical Center were tested, ranging in age from 12 to 48 years. non-coated nickel-titanium wires, which results in a reduction of the release of nickel and decreases the risk of an allergic response. The MeSH term used was allergy and orthodontics. The objectives of this study were (1) to detemine if standard orthodontic therapy can sensitize patients to nickel, and (2) to assess gingival response to nickel-containing orthodontic applicances in patients who are nickel sensitive before treatment. Nickel allergy a concern for the orthodontist because it is present in a vast array of materials frequently used in orthodontics. We continuously encounter materials containing Au, Ag, Hg, Ni, Ti, Cr, and Co in our daily lives. Nickel is the most common component of the super-elastic nickel-titanium (Ni-Ti) archwires used during the initial levelling and aligning phase of orthodontic treatment with a concentration of 47-50%. This study aimed to compare superelastic and heat-activated nickel-titanium orthodontic wires’ surface morphology and potential release of nickel ions following exposure to oral environment conditions. Orthodontics. Dimethylgloxime (DMG) spot-test is a method used to identify items that contain nickel. [3-5] Estimates are that 4.5% to 28.5% of the total population are sensitized to nickel. There may be a risk of sensitizing patients to nickel with long-term exposure to nickel-containing applicances as occurs in routine orthodontic therapy. Nickel allergy Nickel is the most common metal to cause contact dermatitis in orthodontics. Three-dimensional changes of the upper airway in patients with Class II malocclusion treated with functional appliances: a systematic review and meta-analysis, Dental anomalies frequency in submucous cleft palate versus complete cleft palate, Effects of root–cortex relationship, root shape, and impaction side on treatment duration and root resorption of impacted canines, Nasal ventilation and rapid maxillary expansion (RME): a randomized trial, The reporting quality of split-mouth trials in orthodontics according to CONSORT guidelines: 2015–19, About The European Journal of Orthodontics, Receive exclusive offers and updates from Oxford Academic, A comparison of space closure rates between preactivated nickel–titanium and titanium–molybdenum alloy T-loops: a randomized controlled clinical trial, The monitoring of gingival crevicular fluid volume during orthodontic treatment: a longitudinal randomized split-mouth study, Cytotoxic effect of orthodontic appliances. Furthermore, in all articles there was an association with nickel and in only one with chromium. Don't already have an Oxford Academic account? Nickel allergy is one of the most common causes of contact allergic dermatitis.In affected individuals, dermatitis (also called eczema) develops in places where nickel-containing metal is touching the skin. The five patients that tested positive were all female, meaning that the overall rate for females was 27.7% (5:18). If you originally registered with a username please use that to sign in. The following keywords were used in the search: “nickel-free”, associated to “or-thodontics”, “orthodontic brackets”, “nickel allergy and orthodontics”, “allergy”, “orthodontic appli- A computerized literature search was conducted in PubMed for articles published on allergy in relation to orthodontics. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Nickel ion release is higher when a cell phone is used a lot. Thesis submitted for partial fulfillment for certifficate in orthodonties, and presented at the American Association of Orthodontists Annual Conference in Seattle, Wash. Nickel is one of the most common causes of allergic contact dermatitis and produces more allergic reactions than all other metals combined. Of these, 14 articles were reviews on nickel allergy … The findings do not indicate that nickel sensitive persons are at greater risk of developing discomfort in the oral cavity when wearing an intraoral orthodontic appliance. Of these, 14 articles were reviews on nickel allergy … Adaptive domain misorientation approach for the EBSD measurement of deformation induced dislocation sub-structures. Nickel is the most common metal-based contact allergy among women, with the incidence of nickel sensitivity in the female population reported as high as 30% compared with only 3% of males among the studied individuals. Orthodontic Graduate Fellow, Albert Einstein and Montefiore Medical Center, Bronx, N.Y.; in private practice, Norfolk, Conn. Assistant Clincial Professor, Assistant Director, Post Graduate Program in Orthodontics, and in private practice, Mount Kisco, N.Y. Associated Professor, Pediatric Dentistry and Orthodontics. Please check your email address / username and password and try again. Treatments c… Despite gingival inflammation being considered an allergic reaction to metals in orthodontic appliances, 23 the onset of periodontal disease depends mainly on the accumulation of biofilm. Nickel allergy is a common cause of allergic contact dermatitis — an itchy rash that appears where your skin touches a usually harmless substance.Nickel allergy is often associated with earrings and other jewelry. This article discusses the diagnosis of nickel allergy in orthodontics and describes alternative products that are nickel free or have a very low nickel content, which would be appropriate to use in patients diagnosed with a nickel allergy.