Postanaesthetic Aseptic Palatal Necrosis - A Case Report
Archana Chaurasia1, Meenal Airan1, Sunil Mall2
1Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.
Annals of Maxillofacial Surgery
|September 15, 2021
Summary
Forceful local anesthetic injections in dentistry can lead to palatal necrosis. Conservative management with irrigation and a splint effectively treated a case, resulting in complete mucosal healing.
Area of Science:
- Dentistry
- Oral Surgery
- Anesthesiology
Background:
- Local anesthesia is fundamental in dental procedures.
- The palatal mucosa's adherence to bone limits anesthetic deposition space.
- Forceful injections risk palatal necrosis due to vascular pressure.
Observation:
- A 25-year-old male presented with a palatal ulcer.
- Diagnosis was post-anesthetic aseptic palatal necrosis.
Findings:
- Conservative management involved copious irrigation and a palatal acrylic splint.
- Complete healing with healthy mucosa observed at 6-month follow-up.
Implications:
- Avoiding forceful local anesthetic administration is crucial.
- This prevents severe postoperative complications like palatal necrosis.
- Conservative treatment can lead to successful outcomes.
