Journal of Conservative Dentistry
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CASE REPORT
Year : 2016  |  Volume : 19  |  Issue : 3  |  Page : 289-292

Lichenoid reaction associated with silver amalgam restoration in a Bombay blood group patient: A case report


Department of Conservative Dentistry and Endodontics, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashtra, India

Correspondence Address:
Rohini Rangarao Pawar
Department of Conservative Dentistry and Endodontics, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad - 415 110, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.181950

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The pathogenic relationship between the oral lichenoid reaction (OLR) and dental restorative materials has been confirmed many times. An OLR affecting oral mucosa in direct contact with an amalgam restoration represents a delayed, type IV, cell mediated immune response to mercury or one of the other constituents of the dental amalgam. Bombay blood group patients are more prone to this. A case of bilateral OLR is presented, which is present in relation to amalgam restoration. The lesion healed up after the replacement of restorations with an intermediate restorative material. The clinician should be aware of all the possible pathological etiologies of white lesions. If there is any doubt about the nature or management of a usual oral lesion, a referral to an appropriate specialist is mandatory.


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