Reddy K Krishna Mohana, Shankar B Shiva, Reddy K Amarendher, Reddy S Nagalakshmi, Sudhakar Jaradoddi, Reddy P Sunil Kumar
Professor & Head, Department of Periodontology & Implantology, G Pulla Reddy Dental College & Hospital, Kurnool, Andhra Pradesh, India.
Associate Professor, Department of Periodontology & Implantology, G Pulla Reddy Dental College & Hospital, Kurnool, Andhra Pradesh, India.
J Int Oral Health. 2014 Jul;6(4):73-5.
Restorative dentistry involves use of various intracoronal and intracanal medicaments. Commonly used endodontic medicaments include paraformaldehyde, sodium hypochlorite and hydrogen peroxide. These agents are caustic and in higher and in inappropriate concentrations can cause immediate damage to the surrounding hard and/or soft tissues. Proper knowledge of such agents and careful use of such intracanal medicaments is necessary to avoid iatrogenic injuries. This report presented a case of localized alveolar bone necrosis which is an iatrogenic damage occurred because of improper use of intracanal medicaments and improper management of carious tooth structure. Subsequent management of the case is also discussed in this case report.
修复牙科学涉及使用各种冠内和根管内药物。常用的根管治疗药物包括多聚甲醛、次氯酸钠和过氧化氢。这些药物具有腐蚀性,浓度过高或使用不当会立即对周围的硬组织和/或软组织造成损害。正确了解这些药物并谨慎使用根管内药物对于避免医源性损伤是必要的。本报告介绍了一例局部牙槽骨坏死的病例,这是由于根管内药物使用不当和龋洞牙体结构处理不当而发生的医源性损害。本病例报告还讨论了该病例的后续处理。