A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
De Luca, Federica
- Bone Necrosis after Devigen™ Application: A Case Report and Medico-Legal Discussion
Authors
1 Department of Anatomy, Histology and Legal Medicine, Legal-Medicine Section, University of Florence, Florence, IT
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 1 (2013), Pagination: 226-230Abstract
Objectives: Paraformaldehyde compounds are extremely toxic to teeth and surrounding tissues. The literature has reported several cases of damage to soft and hard tissues caused by the leakage or spread of the devitalising toxic compounds away from the dental filling, such as bone or gum necrosis, paraesthesia due to toxic nerve damage and allergic responses and important scientific Society of Endodontology (American Association of Endodontists and the European Society of Endodontology ) recommended against their use.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
Paraformaldehyde Compounds, Informed Consent, Endodontic Treatment, off-Label Use
References
- 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.