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Localized interdental bone necrosis: a case report
K Krishna Mohana Reddy1, B Shiva Shankar2, K Amarendher Reddy3
1Professor & Head, Department of Periodontology & Implantology, G Pulla Reddy Dental College & Hospital, Kurnool, Andhra Pradesh, India.
Journal of International Oral Health : JIOH
|September 13, 2014
Summary
Improper use of endodontic medicaments can cause severe tissue damage, including alveolar bone necrosis. Careful management and knowledge of these agents are crucial to prevent iatrogenic injuries in restorative dentistry.
Area of Science:
- Restorative Dentistry
- Endodontics
- Oral Pathology
Background:
- Restorative dentistry utilizes intracoronal and intracanal medicaments.
- Commonly used endodontic agents include paraformaldehyde, sodium hypochlorite, and hydrogen peroxide.
- These agents are caustic and can damage hard and soft tissues if misused.
Observation:
- A case report details localized alveolar bone necrosis.
- This iatrogenic damage resulted from improper intracanal medicament use.
- The condition was linked to inadequate management of carious tooth structure.
Findings:
- Localized alveolar bone necrosis is a potential complication of endodontic medicament misuse.
- Iatrogenic injuries can occur due to inappropriate concentrations or application of these agents.
- Proper knowledge and careful application are essential for safe endodontic procedures.
Implications:
- Highlights the critical need for precise handling of endodontic medicaments.
- Underscores the importance of thorough diagnosis and management of carious teeth.
- Emphasizes the prevention of iatrogenic damage in restorative dental practice.

