Premium
Localized alveolar bone necrosis following the use of an arsenical paste: a case report
Author(s) -
Özmeriç N.
Publication year - 2002
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1046/j.1365-2591.2002.00491.x
Subject(s) - dentistry , medicine , dental alveolus , periodontium , root canal , pulp necrosis , arsenic trioxide , arsenic , materials science , metallurgy
Aim To describe some toxic effects of arsenic trioxide in the mouth, to condemn its continued use, and present a case in which a tooth was preserved despite significant bony destruction. Summary A case is presented in which severe alveolar bone necrosis resulted from leakage of an arsenical devitalization paste into the periodontium. The tooth was root canal treated before root amputation, and restored with a cuspal coverage restoration. The tooth was observed to be symptomless and functional at the one‐year follow‐up. Key learning points• Arsenic and its compounds have no place in contemporary endodontics. • Dentists should protect their patients by avoiding the use of arsenic‐containing materials and refusing to use products whose constituents are not known. • Localized bone necrosis may not require tooth extraction. Depending on the severity of the case, the tooth may be preserved by a combination of endodontic, periodontal, prosthodontic and maintenance therapies.