A Clinical Study of Oral Mucosal Changes Adjacent to Amalgam Restorations

  • Lee AT Oral Health Division, Ministry of Health, Kuala Lumpur, Malaysia
  • Lai LW Oral Health Division, Ministry of Health, Kuala Lumpur, Malaysia
  • Goh YC Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, University Malaya, Kuala Lumpur, Malaysia
  • Chan SW Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, University Malaya, Kuala Lumpur, Malaysia
  • Siar CH Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, University Malaya, Kuala Lumpur, Malaysia

Abstract

Amalgam has been widely used in dentistry and its components may cause some oral mucosal changes (OMC), commonly presenting as oral lichenoid lesions (OLLs), acute or generalized sensitivity reaction or amalgam tattoo. Our objective was to determine the demographic and clinical profile of patients with and without OMC adjacent to their amalgam restorations (AR) and to evaluate the prevalence and types of AR-related OMC and associated clinical parameters. In this retrospective crosssectional study, 83 outpatients attending the Primary Dental Care Unit at the Faculty of Dentistry, University Malaya were examined for the presence of AR-related OMC. The study period was from early to mid July 2016. Firstly, patients’ personal details (age, gender, medical status, social habits) were analyzed and history of AR (the age, condition and number of restorations) was determined. Clinical examination of patient’s oral cavity was carried out to detect any AR-related OMC. The data collected was analyzed using SPSS 12.0.1 .Approximately 14.6 % patients had OMC. OLLs and amalgam tattoo made up 1.2% and 13.4% respectively. Females (8.4%) had higher predilection and Chinese were more commonly affected (8.4%). Social habits were not associated with OMC. Certain systemic diseases, age (p=0.005) and duration of amalgam (p=0.007) in the oral cavity were significant risk factors for OMC. Present findings suggest that AR-related OMC is uncommon. Three key parameters namely systemic diseases, patient’s age and duration of AR were identified as significant risk factors predisposing to the development of OMCs.

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Published
2018-02-09
How to Cite
AT, Lee et al. A Clinical Study of Oral Mucosal Changes Adjacent to Amalgam Restorations. Annals of Dentistry University of Malaya, [S.l.], v. 24, n. 1, p. 10-18, feb. 2018. ISSN 2462-2060. Available at: <https://adum.um.edu.my/article/view/10799>. Date accessed: 24 july 2019.
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Articles