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Mandibular bone necrosis after use of paraformaldehyde-containing paste

Restorative Dentistry & Endodontics 2016년 41권 4호 p.332 ~ 337
이치환, 최유리나, 박수정,
소속 상세정보
이치환 ( Lee Chi-Hwan ) - Wonkwang University School of Dentistry Department of Conservative Dentistry
최유리나 ( Choi Yoorina ) - Wonkwang University School of Dentistry Department of Conservative Dentistry
박수정 ( Park Su-Jung ) - Wonkwang University School of Dentistry Department of Conservative Dentistry

Abstract


Paraformaldehyde has been used in the past as a pulpotomy agent. However, it has a severe cytotoxic effect and may cause alveolar bone necrosis. Depulpin, a devitalizing agent containing 49% paraformaldehyde, is no longer used frequently due to its severe side effects. In the two cases described in the present study, Depulpin was used as a devitalizing agent during root canal treatment. It caused a gradual loss of sensibility in adjacent teeth, gingival necrosis, and osteomyelitis. This case report demonstrates the serious side effects of using a paraformaldehyde-containing paste as a devitalizing agent for pulp, particularly mandibular bone necrosis.

키워드

Depulpin; Mandibular bone necrosis; Osteomyelitis; Paraformaldehyde

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