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Periodontal changes following coronal/root perforation and formocresol pulpotomy.
H Abrams1, C J Cunningham, S B Lee
1University of Kentucky College of Dentistry, Lexington.
Journal of Endodontics
|August 1, 1992
Summary
An iatrogenic perforation and formocresol pulpotomy led to severe tissue damage and tooth loss. This case highlights potential complications from formocresol in dental treatments.
Area of Science:
- Dentistry
- Endodontics
- Oral Surgery
Background:
- Iatrogenic dental injuries, such as lateral crown/root perforations, can complicate endodontic procedures.
- Formocresol has been historically used in pulpotomy procedures, but its long-term effects are debated.
Observation:
- A clinical case involving a lateral crown/root perforation and a subsequent formocresol pulpotomy is detailed.
- The patient experienced significant post-operative hard and soft tissue destruction following the initial treatment.
Findings:
- The described iatrogenic injury and pulpotomy resulted in severe complications, including extensive tissue loss.
- The ultimate outcome of the treatment was the loss of the affected tooth.
Implications:
- This case underscores the critical importance of preventing iatrogenic perforations during endodontic therapy.
- The findings raise concerns regarding the safety and potential sequelae of using formocresol in pediatric or adult endodontics, warranting further investigation into its role in tissue destruction.