Intra-oral formication induced by occupational exposure mimicking inhalation abuse.

Multiple cases of nail salon workers with occupational exposure to acetone, toluene, and acrylic monomers, namely methyl methacrylate and cyanoacrylates, presented separately to our clinic with similar complaints of factitious gingival stomatitis and formication--an abnormal sensation like ants crawling on or inside the skin. Recognizing oral manifestations resulting from possible toxic chemical exposure is not generally thought to be within the realm of most dental practices, yet to assure appropriate care, dentists must be vigilant and include thorough patient interviews in the diagnostic equation.