Delayed Hypersensitivity or Geographic Tongue: A Diagnostic Dilemma

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Authors

  • Shini Samuel
     Dental & Oral Surgery Department - II, CMC, Vellore ,IN
  • S. V. Soumya
     Dental & Oral Surgery Department - II, CMC, Vellore ,IN
  • Santosh Koshy
     Dental & Oral Surgery Department - II, CMC, Vellore ,IN

Keywords:

Delayed Hypersensitivity, Dental Amalgam, Geographic Tongue
Oral & Maxillofacial Surgery

Abstract

Delayed hypersensitivity can occur following the use of a wide range of materials used in dentistry. These adverse reactions can be either localized or diffuse, and can mimic oral lesions of other aetiology. Delayed hypersensitivity to dental amalgam commonly presents as lichenoid oral lesions. We report the case of a patient who presented to us with burning and itching sensations on the tongue three days after restoration of his lower permanent molars with silver amalgam. Within a day, the initially well circumscribed lesions of the tongue became diffuse. Atrophy of the lingual papillae gave an appearance of a geographic tongue. Following replacement of the amalgam restoration, symptoms rapidly subsided and there was a significant improvement of the lesion.

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Published

2018-09-20

How to Cite

Samuel, S., Soumya, S. V., & Koshy, S. (2018). Delayed Hypersensitivity or Geographic Tongue: A Diagnostic Dilemma. Journal of Pierre Fauchard Academy (India Section), 28(4), 122–124. Retrieved from https://informaticsjournals.co.in/index.php/jpfa/article/view/22282

Issue

Volume 28, Issue 4, December 2014

Section

Original Articles

License

All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).

 

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