References

What are the symptoms of zinc poisoning?. http://www.wisegeek.com/what-are-the-symptoms-of-zinc-poisoning (accessed 16/02/11)
DeNoon Daniel J Reports Suggest Overuse of Fixodent and Older Version of Poligrip May Cause Nerve Damage. http://www.medicinenet.com/script/main/art.asp?articlekey=126007
Nations SP, Boyer PJ, Love AMF, Butz JA, Wolfe GI, Hynan LS, Reisch J, Tivedi JR. An unusual source of excess zinc, leading to hypocupremia and neurologic disease. Neurology. 2009; 73:(1)
Greenberg SA, Briemberg HR. A neurological and haematological syndrome associated with zinc excess and copper deficiency. J Neurology. 2008; 71:(1)
National Institute for Clinical Excellence. 2004. http://www.nice.org.uk/CG019NICEguideline

Denture fixative cream and the potential for neuropathy

From Volume 39, Issue 8, October 2012 | Pages 575-577

Authors

Yasir Shammaa

BDS, MFDS RCPS(Glas)

Specialty Dentist, Oral and Maxillofacial Surgery, Forth Valley Royal Hospital, Stirling Road, Larbert FK5 4WR, Scotland

Articles by Yasir Shammaa

Jennifer Rodgers

Consultant in Dental Public Health, NHS Forth Valley, Stirling Road, Larbert FK5 4WR, Scotland

Articles by Jennifer Rodgers

Abstract

The body requires zinc in small amounts to remain healthy. Because the body balances zinc and copper, people who ingest excessive zinc have resulting dangerously low levels of copper. An acute zinc overdose itself may be toxic and chronic zinc ingestion results in bone marrow suppression and degeneration of the spinal cord, usually resulting in crippling nerve damage. It's been called ‘human swayback disease’. A case of a 54-year-old female whose nerve damage greatly reduced her mobility due to copper deficiency myelopathy as a result of the use of denture fixative cream is discussed.

Clinical Relevance: Many cases of mysterious nerve damage turn out to be caused by overuse of popular denture products, eg Fixodent. Thus we are encouraging patients to read the manufacturer's leaflet and follow the instructions carefully.

Article

Zinc is a mineral which the body requires in small amounts from the diet to remain healthy. It is essential for sustaining life. The body uses zinc-containing enzymes to regulate growth, promote fertility and to aid in digestion.

Zinc is also needed for nucleic acid synthesis. The body requires zinc in the tissues where new cell development takes place, such as the bone marrow, immune cells and the lining of the gut.

When zinc is consumed in large amounts it causes zinc poisoning and can also result in the depletion of copper and iron. An acute zinc overdose itself may be toxic and chronic zinc ingestion results in bone marrow suppression and degeneration of the spinal cord, usually resulting in crippling nerve damage. It's been called ‘human swayback disease.’1,2 It may also cause a widespread neuropathy. Excessive use of denture adhesive cream can result in the consumption, and so absorption of, excess zinc.1

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