References

Pandis N, Pandis BD, Pandis V, Eliades T Occupational hazards in orthodontics: a review of risks and associated pathology. Am J Orthod Dentofacial Orthop. 2007; 132:280-292
Jacobsen N, Hensten-Pettersen A Changes in occupational health problems and adverse patient reactions in orthodontics from 1987 to 2000. Eur J Orthod. 2003; 25:591-598
Von Pirquet C Allergie. Munch Med Wochensch. 1906; 30:1457-1458
Leggat PA, Kedjarune U, Smith DR Occupational health problems in modern dentistry: a review. Ind Health. 2007; 45:611-621
Causton BE, Burke FJ, Wilson NH Implications of the presence of dithiocarbamate in latex gloves. Dent Mater. 1993; 9:209-213
Gell PGH, Coombs RRAOxford: Blackwell; 1963
Delves PJ, Martin SJ, Burton DR, Roitt IMOxford: Wiley-Blackwell; 2012
Buonocore MG A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. J Dent Res. 1955; 34:849-853
Banerjee A, Watson TFOxford: Oxford University Press; 2015
Munksgaard EC Permeability of protective gloves to (di)methacrylates in resinous dental materials. Scand J Dent Res. 1992; 100:189-192
Munksgaard EC Permeability of protective gloves by HEMA and TEGDMA in the presence of solvents. Acta Odontol Scand. 2000; 58:57-62
Lönnroth EC, Ruyter IE Permeability of medical gloves to mono- and dimethacrylate monomers in dental restorative materials. Int J Occup Saf Ergon. 2002; 8:497-509
Andreasson H, Boman A, Johnsson S, Karlsson S, Barregård L On permeability of methyl methacrylate, 2-hydroxyethyl methacrylate and triethyleneglycol dimethacrylate through protective gloves in dentistry. Eur J Oral Sci. 2003; 111:529-535
Lönnroth EC, Wellendorf H, Ruyter E Permeability of different types of medical protective gloves to acrylic monomers. Eur J Oral Sci. 2003; 111:440-446
Moore MM, Burke FJ, Felix DH Allergy to a common component of resin-bonding systems: a case report. Dent Update. 2000; 27:432-434
Kanerva L, Estlander T, Jolanki R Allergic contact dermatitis from dental composite resins due to aromatic epoxy acrylates and aliphatic acrylates. Contact Dermatitis. 1989; 20:201-211
Kanerva L, Turjanmaa K, Estlander T, Jolanki R Occupational allergic contact dermatitis caused by 2-hydroxyethyl methacrylate (2-HEMA) in a new dentin adhesive. Am J Contact Dermat. 1991; 2:24-30
Jolanki R, Kanerva L, Estlander T Occupational allergic contact dermatitis caused by epoxy diacrylate in ultraviolet-light-cured paint, and bisphenol A in dental composite resin. Contact Dermatitis. 1995; 33:94-99
Wallenhammar LM, Örtengren U, Andreasson H Contact allergy and hand eczema in Swedish dentists. Contact Dermatitis. 2000; 43:192-199
Wrangsjö K, Swartling C, Meding B Occupational dermatitis in dental personnel: contact dermatitis with special reference to (meth)acrylates in 174 patients. Contact Dermatitis. 2001; 45:158-163
Kanerva L, Estlander T, Jolanki R Occupational allergic contact dermatitis caused by acrylic tri-cure glass ionomer. Contact Dermatitis. 1997; 37:49-50
Wong M, Power S A Prospective Randomized Clinical Trial to Compare Pre-coated and Non-pre-coated Brackets. J Orthod. 2003; 30:155-158
Foersch M, Schuster C, Rahimi RK, Wehrbein H, Jacobs C A new flash-free orthodontic adhesive system: A first clinical and stereomicroscopic study. Angle Orthod. 2016; 86:260-264
Silverman E, Cohen M, Gianelly AA, Dietz VS A universal bonding system for both metal and plastic brackets. Am J Orthod. 1972; 62:235-244
El-Timamy AM, El-Sharaby FA, Eid FH, Mostafa YA Three-dimensional imaging for indirect-direct bonding. Am J Orthod Dentofacial Orthop. 2016; 149:928-931
Christensen LR Digital workflows in orthodontics. J Clin Orthod. 2018; 52:34-44
Wilson AD, Kent BE A new translucent cement for dentistry: The glass ionomer cement. Br Dent J. 1972; 132:133-135

Composite and bonding agent sensitivity in orthodontics

From Volume 14, Issue 2, April 2021 | Pages 105-107

Authors

Lilia Wong

BDS, MJDF RCS(Eng)

Orthodontic Registrar, Department of Orthodontics, Eastman Dental Hospital, 256 Gray's Inn Road, London, WC1X 8LD, UK

Articles by Lilia Wong

Sameer Patel

MClinDent, FDS RCS (Eng), FHEA

Consultant in Orthodontics, Orthodontic Department, King's College Hospital NHS Foundation Trust London

Articles by Sameer Patel

Lars Christensen

Tandlæge, MSc, PhD, MOrth RCS (Edin)

Specialist in Orthodontics, Oxford

Articles by Lars Christensen

Abstract

The nature of the type of treatment carried out in orthodontics frequently exposes clinical staff to potential occupational hazards. A lesser-known risk includes hypersensitivity to composite resins and bonding materials, as well as the permeability of gloves to these materials. This article highlights the importance of care when handling composite materials, and suggests methods to reduce potential exposure.

CPD/Clinical Relevance: Composite and bonding agents are frequently used in orthodontics; however, adverse effects resulting from exposure are not commonly discussed. This paper aims to increase awareness and provide practical methods of reducing risk.

Article

Exposure to occupational hazards in orthodontics is a daily occurrence and includes a range of physical, biological and chemical risks.1,2 Originally proposed by Pirquet in 1906, the term ‘allergy’ describing the influence of an external factor to the immune system has evolved over time.3 Allergens are antigens that cause allergy, and it is the immune response to them that can cause damage. The prevalence of dermatoses for dental personnel has been reported to vary between 15% and 33%, with common irritants being latex, methyl methacrylate, cyanoacrylates and certain glove constituents.4,5

Despite knowledge of various occupational hazards, there has been little awareness of occupational hypersensitivity to resin composites and bonding agents in orthodontics and general dentistry. The purpose of this article is to raise awareness of this particular vulnerability and discuss clinical options that can be easily applied to daily practice to minimize potential exposure.

Register now to continue reading

Thank you for visiting Orthodontic Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available