GINGIVAL AND LOCALIZED ALVEOLAR BONE NECROSIS FOLLOWING DEVITALIZATION IN PRIMARY TOOTH: A CASE REPORT
Dr. Aashima Arora*, Dr. Indushekhar K. R., Dr. Divesh Sardana, Dr. Bhavna Gupta, Dr. Neha Sheoron, Dr. Tarun Arora
The use of pulp devitalising pastes in vital endodontics has reduced worldwide because of their capacity to kill cells in the surrounding tissues as these are not confined to the pulp canal, and hence may be expressed through patent lateral, apical or accessory canals causing periodontal injury[1,1]. Despite the harmful effects, 'devitalising' agents are still commonly used by some dentists who find it difficult to extirpate pulp due to difficulty in obtaining pulpal anesthesia. Among these substances the most causative component in associated injury is perhaps paraformaldehyde or arsenic. Newer and more effective local anaesthesia and its techniques no longer necessitates use of these pastes in dentistry. Numerous reports of injury to periodontium due to devitalizing agents in permanent teeth have been presented, [1,1,1] however; similar reports in primary teeth are rare. The purpose of this case report is to present one such complication that occurred due to the use of pulp devitalizer by a general dentist and its successful management. Also, use of pulp devitalising pastes is discouraged through this case report highlighting the importance of behaviour management techniques in children.
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