Patients' choice of dental treatment following examination at a specialty unit for adverse reactions to dental materials

The Dental Biomaterials Adverse Reaction Unit in Bergen, Norway, is a national unit for the examination of patients with suspected adverse reactions to dental materials. The aim of this study was to investigate whether patients with suspected adverse reactions to dental materials experienced improvement in health after dental restorations had been replaced, and whether they had acted according to the recommendations of the Unit. A questionnaire was sent to 358 patients who had been examined at the Unit 18 months to 7 years earlier. Of the 207 patients who completed the questionnaire, 85 had had restorative materials replaced with other types of materials. A majority had had amalgam fillings replaced. After replacement, 51 patients reported an improvement in health. Twelve patients reported that they felt worse after replacement. The Unit recommended replacement of materials in 31 patients, of whom 24 followed the recommendation. Among 176 patients who were not given specific recommendations as to replacement of dental materials, 67 had had their restorations replaced, and 40 had started to have them replaced. It appears that the examination at the Dental Biomaterials Adverse Reaction Unit is one of several inputs that influence a person's decision to replace dental materials.