Allergic Reactions to Dental Materials: Exploring Osteomyelitis and Tinnitus - Dentistry

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Allergic reaction to dental implants? Issues related to the sequelae of cellulitis?


Hello Doctor, in 2018, I had my lower molar, which had undergone a root canal treatment, restored with a dental crown.
At that time, although the crown itself was made of a semi-precious metal (silver-palladium alloy), I chose to use a base metal for the post, thinking it wouldn't matter since it would be enclosed.
I'm wondering if using a base metal post could cause allergic reactions or absorption issues? My gums are fine, but in the past two years, I've developed dyshidrotic eczema on my hands.
I'm not sure if this is due to aging and a decline in my immune system or if it could be related to the dental post.
Additionally, I would like to ask about the molar that was not adequately treated during my childhood root canal.
Before placing the crown, I had to undergo another root canal, which led to the development of cellulitis, causing swelling in my lower jaw for a few days (I went to the emergency room and received antibiotics).
I'm also experiencing unilateral tinnitus on the same side, and I've had a full set of tests, including Doppler ultrasound and CT scans at an ENT specialist, which showed no issues.
After all these years, I've gotten used to it, but could the unilateral cellulitis in my lower jaw potentially cause tinnitus?

Niu, 30~39 year old female. Ask Date: 2023/12/24

Dr. Lin Jiayong reply Dentistry


Hello: "Could the use of cheap metals in dental implants cause allergic reactions? My gums are fine, but I have been experiencing hand eczema for the past two years." Cheap metals can indeed cause allergic reactions, but they usually present with localized symptoms first (such as localized gum redness or recession) before leading to more widespread systemic discomfort.
If your gums are not inflamed or swollen, the systemic immune issues are likely not significantly related to your teeth.
"Can unilateral cellulitis of the mandible cause tinnitus?" It is indeed possible during the acute phase, but if it occurred several years ago, the correlation is likely minimal.
If there are concerns, it is advisable to visit a major hospital for a CT scan of the head and neck for a more direct assessment!

Reply Date: 2023/12/24

More Info


Allergic reactions to dental materials can indeed lead to various complications, including osteomyelitis and tinnitus, although these connections are not always straightforward. In your case, the use of a dental post made from a less expensive metal could potentially lead to allergic reactions, especially if you have a history of sensitivities. Metals such as nickel, which is often found in cheaper dental materials, are known to cause allergic reactions in some individuals. Symptoms may include localized inflammation, swelling, or even systemic reactions, which could manifest as skin conditions like dyshidrotic eczema (the hand eczema you mentioned).

The relationship between dental procedures and subsequent health issues, such as tinnitus, can be complex. Tinnitus, or ringing in the ears, can arise from various causes, including dental infections or procedures that affect the jaw and surrounding structures. In your case, the history of periapical infection and subsequent treatment of the tooth could have contributed to inflammation in the area, potentially affecting the nearby auditory structures. The proximity of the jaw to the ear means that any inflammation or infection in the jaw can sometimes lead to referred sensations in the ear, including tinnitus.

Osteomyelitis, an infection of the bone, can occur if bacteria enter the bone tissue, often following dental procedures or infections. If the dental post or the surrounding tissue became infected, this could lead to osteomyelitis, particularly if the infection was not adequately treated. While your dental treatment involved antibiotics, it is crucial to ensure that any signs of infection are monitored closely.

Regarding your concerns about the connection between your dental history and the development of tinnitus, it is plausible that the inflammation from the dental procedures could have contributed to your ear symptoms. The body’s inflammatory response can sometimes affect nearby structures, leading to sensations such as ringing in the ears. However, it is essential to consider other potential causes of tinnitus, such as age-related hearing loss, exposure to loud noises, or other medical conditions.

If you suspect that your dental materials may be contributing to your symptoms, it would be wise to consult with a dentist who specializes in biocompatible materials. They can evaluate your dental work and determine if any materials may be causing an allergic reaction. Additionally, a thorough evaluation by an otolaryngologist (ear, nose, and throat specialist) may be beneficial to rule out other causes of your tinnitus and to assess any potential connections to your dental history.

In summary, while it is possible that the dental materials used in your treatment could be contributing to your symptoms, it is essential to consider the broader context of your health. Monitoring for any changes in your symptoms and seeking professional evaluations can help clarify the situation and guide appropriate management.

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