Advertisement

Prospective analysis of the incidence of metal allergy in patients listed for total replacement of the temporomandibular joint

      Abstract

      We prospectively analysed the incidence of metal allergies in patients listed for total replacement of the temporomandibular joint (TMJ) and the efficacy of patch testing to prevent rejection phenomena. All patients (n = 101) that required a prosthetic TMJ between March 2004 and August 2012 were tested preoperatively. A total of 39% had an allergy to one or more metals and they were given all-titanium prostheses. Following the introduction of this protocol no patients have shown signs of an allergic rejection within 6 months of operation. We suggest that all patients listed for total TMJ replacement should have patch tests for metal allergies and that all-titanium prostheses are used when allergy is detected.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • National Institute for Health and Clinical Excellence
        Total prosthetic replacement of the temporomandibular joint (IPG329).
        2009 December (Available from:)
        • Sidebottom A.J.
        • Speculand B.
        • Hensher R.
        Foreign body response around total prosthetic metal-on-metal replacements of the temporomandibular joint in the UK.
        Br J Oral Maxillofac Surg. 2008; 46: 288-292
        • Thomas P.
        • Bandl W.D.
        • Maier S.
        • et al.
        Hypersensitivity to titanium osteosynthesis with impaired fracture healing, eczema, and T-cell hyperresponsiveness in vitro: case report and review of the literature.
        Contact Dermatitis. 2006; 55: 199-202
        • Thyssen J.P.
        • Linneberg A.
        • Menné T.
        • et al.
        The epidemiology of contact allergy in the general population—prevalence and main findings.
        Contact Dermatitis. 2007; 57: 287-299
        • Speculand B.
        Current status of replacement of the temporomandibular joint in the United Kingdom.
        Br J Oral Maxillofac Surg. 2009; 47: 37-41
        • Kreçisz B.
        • Kieć-Świerczyńska M.
        • Chomiczewska-Skóra D.
        Allergy to orthopedic metal implants—a prospective study.
        Int J Occup Med Environ Health. 2012; 25: 463-469
        • Thienpont E.
        • Berger Y.
        No allergic reaction after TKA in a chrome-cobalt-nickel-sensitive patient: case report and review of the literature.
        Knee Surg Sports Traumatol Arthrosc. 2013; 21: 636-640
        • Thyssen J.P.
        • Menné T.
        • Schalock P.C.
        • et al.
        Pragmatic approach to the clinical work-up of patients with putative allergic disease to metallic orthopaedic implants before and after surgery.
        Br J Dermatol. 2011; 164: 473-478