Contact and irritant stomatitis

Antonella Tosti, B. M. Piraccini, A. M. Peluso

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Contact stomatitis is rather uncommon because of the relative resistance of the oral mucosa to irritant agents and allergens. The clinical manifestations of contact stomatitis are extremely variable and include erythema, erosions, ulcerations, leukoplakia-like lesions, and lichenoid reactions. Clinical signs are frequently less pronounced than subjective symptoms, and patients commonly experience severe functional problems despite only mild mucosal alterations. Allergic stomatitis is rare and almost always attributable to metallic mercury and gold salts. A careful history and an accurate examination of the oral cavity, teeth, and dental restorations are essential for a correct diagnosis. Patch testing is indicated in all lesions that are not clearly related to trauma or physical injuries. Patch testing is not useful in the burning mouth syndrome. Evaluation of clinical relevance of patch test results is always very difficult and requires an interdisciplinary approach to the patient. Successful treatment requires the identification and elimination of the causative factor, when possible. It is important to bear in mind that replacement of dental restorations and prostheses may be very expensive and stressful for the patient and thus should not be recommended when their causative role is doubtful.

Original languageEnglish
Pages (from-to)314-319
Number of pages6
JournalSeminars in Cutaneous Medicine and Surgery
Volume16
Issue number4
DOIs
StatePublished - Dec 1 1997
Externally publishedYes

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Stomatitis
Irritants
Tooth
Burning Mouth Syndrome
Dental Prosthesis
Leukoplakia
Patch Tests
Wounds and Injuries
Mouth Mucosa
Erythema
Mercury
Gold
Allergens
Mouth
Salts
History
Therapeutics

ASJC Scopus subject areas

  • Dermatology

Cite this

Contact and irritant stomatitis. / Tosti, Antonella; Piraccini, B. M.; Peluso, A. M.

In: Seminars in Cutaneous Medicine and Surgery, Vol. 16, No. 4, 01.12.1997, p. 314-319.

Research output: Contribution to journalArticle

Tosti, Antonella ; Piraccini, B. M. ; Peluso, A. M. / Contact and irritant stomatitis. In: Seminars in Cutaneous Medicine and Surgery. 1997 ; Vol. 16, No. 4. pp. 314-319.
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