ORIGINAL PAPER
Pilot study of contact sensitization to rubber allergens and bisphenol A amongst dental students
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1
Medical University – Sofia, Sofia, Bulgaria
(Faculty of Medicine, Department of Hygiene, Medical Ecology and Nutrition)
2
Medical University – Sofia, Sofia, Bulgaria
(Faculty of Dental Medicine, Department “Oral and Image Diagnostic”)
3
National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria
(Laboratory of Allergy)
4
Medical University – Sofia, Sofia, Bulgaria
(Faculty of Public Health, Department of Medical Ethics and Law)
Online publication date: 2017-03-08
Corresponding author
Maya Grigorievna Lyapina
Medical University – Sofia, Faculty of Medicine, Department of Hygiene, Medical Ecology and Nutrition, 15 Blvd.
“Acad. Ivan Evstr. Geshov,” 1431 Sofia, Bulgaria
Int J Occup Med Environ Health. 2017;30(3):397-405
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ABSTRACT
Objectives: The aim of this study has been to evaluate the rate of contact sensitization to some rubber allergens and to
bisphenol A (BPA) amongst students of dental medicine and dental patients. Material and Methods: A total of 50 participants
were included in the study: 40 students of dental medicine exposed to the studied rubber allergens and BPA-based
dental materials during the course of their education; 10 dental patients without occupational exposure to the latter substances
served as a control group. All of them were patch-tested with the studied rubber allergens and bisphenol A. Results: Highest was the sensitizing action of carba mix, followed by benzoyl peroxide and mercapto mix. The sensitization rate for
carba mix was significantly higher for dental students as well as for the whole studied population, if compared to the one for
thiuram mix (Chi2 = 12.9, p < 0.001; Chi2 = 13.9, p < 0.001), bisphenol A (Chi2 = 8.9, p < 0.001; Chi2 = 11.9, p < 0.001),
toluenesulfonamide formaldehyde resin (Chi2 = 10.7, p < 0.001; Chi2 = 13.9, p < 0.001) and benzoyl peroxide (Chi2 = 4.7,
p = 0.03; Chi2 = 5.8, p = 0.016), and for dental patients, if compared to the one for mercapto mix (Chi2 = 7.07, p = 0.008).
Concomitant positive skin patch-test reactions to carba mix and to benzoyl peroxide, and to all the studied allergens were
established. Conclusions: Carba mix could be outlined as a sensitizer of paramount importance for dental students as well
as for dental patients. Benzoyl peroxide was the second ranked sensitizer for dental students. Positive skin patch-test reactions
to bisphenol A and toluenesulfonamide formaldehyde resin were established only among the group of dental students.
Int J Occup Med Environ Health 2017;30(3):397–405