Open Access
Subscription Access
Open Access
Subscription Access
Bone Necrosis after Devigen™ Application: A Case Report and Medico-Legal Discussion
Subscribe/Renew Journal
Methods: This report describes a case of bone necrosis after an inappropriate off-label use of paraformaldehyde-containing paste and the connected breach of the duty of care owed to the patient.
Results: Patients is still in follow-up since she is waiting for a compensation.
Conclusions: Dentists should be aware of the severe risks to patient health of the use of aldehyde paste in endodontic practice and of the medico-legal consequences of such sub-standard procedures. The clinical and medico-legal issues of the reported case support the sale dismission of such toxic materials and the discontinuation of their use by endodontic practitioners.
Clinical significance statement: Paraformaldehyde compounds are extremely toxic to teeth and surrounding tissues. We strongly believe that use of such toxic materials should be banned everywhere and we present the main medico-legal issues connected with their use.
Keywords
- Bataineh AB, Al-Omari MA and Owais Al. Arsenical necrosis of the jaws. Int Endod J 1997; 30: 283-287.
- Ingle JL and Beveredge EE. Endodontics. 2 ed. Philadelphia. Lea and Febinger 1976.
- Sommer L, Ostrander B and Crowniy Y. Clinical endodontics. Philadelphia: WB Saunders 1961.
- Lambjerrg Hansen X .Vital and mortal pulpectomy on permanent teeth: an experimental comparative histologic investigation. Scand J Dent Res 1974;82: 243-332.
- Ozmeric N. Localized alveolar bone necrosis following the use o fan arsenical paste: a case report”. Int Endod J 2002; 35: 295-9.
- Kunisada M, Adachi A, Asano H and Horikawa T. Anaphylaxis due to formaldehyde released from ischolar_main-canal disinfectant. Contact dermatitis 2002; 47:215-218.
- Ozgoz M, Yagiz H, Cicek Y and Tezel A. Gingival necrosis following the use of a paraformaldehydecontaining paste: a case report. Int Endod J 2004; 37: 157-161.
- Ehrmann EB. Root canal treatment with N2. Aust Dent J 1983; 8:434-8.
- Di Felice R and Lombardi T . Gingival and mandibular necrosis caused by paraformaldehyde containung paste. Endod Dent Traumatoly 1998; 14:196-198.
- Heling B, Ram Z and Heling I. The ischolar_main treatment of teeth with Toxavit: Report of a case. Oral Surg Oral Med Oral Pat 1977; 43: 306-309.
- Tortorici S, Burruano F and Difalco P. Maxillary bone necrosis following the use of formaldehyde containing paste: management and case series. British Dental J 2007; 203: 511-512.
- Topazian RG, Goldberg M and Hupp J . Oral and maxillofacial infections. 4th edition, W.B. Saunders Co, Philadelphia. 2002.
- Ruggiero SL. Bisphosphonate-related osteonecrosis of the jaw: an overview. Ann N Y Acad Sci 2011; 1218: 38-46.
- Barker BC and Lockett BC. The effect of N2 and other paraformaldehyde preparation on dog pulp. Journal of Dentistry 1972; 22: 329-38.
- Rappaport HM, Lilly GE and Kapsimalis P. Toxicity of endodontic filling materials. Oral Surg Oral Med Oral Pat 1964; 18: 785-802 .
- Smart ER and Barnes IE. Tissue necrosis after using an arsenical endodontic preparation: a case report. Int Endod J 1991; 24: 263-9.
- Stabholz A and Blush MS. Necrosis of crestal bone caused by the use of toxavit. J Endod 1983; 9: 110-113.
- European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006; 39: 921-930.
- Patel S, Dawood A, Pitt Ford T and Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007; 40: 818-30.
- Treister NS, Friedland B and Woo SB. Use of conebeam computerized tomography for evaluation of bisphosphonate-associated osteonecrosis of the jaws. Oral Surg Oral Med Oral Pat Oral Radiol Endod 2010; 109: 753-764.
Abstract Views: 277
PDF Views: 0