Pathology · single question

Each of the following is a common manifestation of an allergic response to a dental material EXCEPT one. Which is the EXCEPTION?

  1. Tingling and itching of the oral mucosa
  2. Erythema multiforme
  3. Oral lichenoid lesions
  4. Cheilitis
Show answer and explanation

Correct answer: B. Erythema multiforme

  • A. INCORRECT — Tingling and itching of the oral mucosa is a typical early sign of contact allergic stomatitis from dental materials (e.g., acrylics, metals).
  • B. CORRECT (EXCEPTION) — Erythema multiforme is NOT a common allergic response to dental materials. It is an acute immune-mediated mucocutaneous condition most often triggered by HSV infection or drugs (e.g., sulfonamides), not by contact with dental materials.
  • C. INCORRECT — Oral lichenoid lesions (lichenoid contact reactions) are well-documented allergic responses to amalgam or other dental materials, especially in adjacent mucosa.
  • D. INCORRECT — Cheilitis (lip inflammation) can occur as an allergic reaction to dental materials, particularly acrylics, rubber, or topical agents.

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