Palatal perforation: A rare complication of postanesthetic necrosis

The everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record of local anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factors such as direct effects of the drug, blanching of the...

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Main Authors: Vidisha Gargi, Ravi Prakash Sasankoti Mohan, Nagaraju Kamarthi, Swati Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2017;volume=8;issue=3;spage=501;epage=505;aulast=Gargi
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author Vidisha Gargi
Ravi Prakash Sasankoti Mohan
Nagaraju Kamarthi
Swati Gupta
author_facet Vidisha Gargi
Ravi Prakash Sasankoti Mohan
Nagaraju Kamarthi
Swati Gupta
author_sort Vidisha Gargi
collection DOAJ
description The everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record of local anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factors such as direct effects of the drug, blanching of the tissues during injection, relatively poor blood supply, and reactivation of the latent forms of herpes can all promote to tissue ischemia and a lesion in the palate. Among various complications, anesthetic necrotic ulcer is a rare and uncommon condition occurring mostly in the hard palate possibly after a local anesthetic infiltration. The ulceration is often deep and shows spontaneous but delayed healing. If proper treatment is not instituted on time, the necrosis can reach deep into the bone causing sequestrum formation and ultimately leading to palatal perforation. Here, we report a case of palatal perforation in a male patient followed by surgical interventions and follow-up.
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spelling doaj.art-e16b5425a03a48b2a581949fdac915222022-12-22T01:25:37ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612017-01-018350150510.4103/ccd.ccd_123_17Palatal perforation: A rare complication of postanesthetic necrosisVidisha GargiRavi Prakash Sasankoti MohanNagaraju KamarthiSwati GuptaThe everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record of local anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factors such as direct effects of the drug, blanching of the tissues during injection, relatively poor blood supply, and reactivation of the latent forms of herpes can all promote to tissue ischemia and a lesion in the palate. Among various complications, anesthetic necrotic ulcer is a rare and uncommon condition occurring mostly in the hard palate possibly after a local anesthetic infiltration. The ulceration is often deep and shows spontaneous but delayed healing. If proper treatment is not instituted on time, the necrosis can reach deep into the bone causing sequestrum formation and ultimately leading to palatal perforation. Here, we report a case of palatal perforation in a male patient followed by surgical interventions and follow-up.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2017;volume=8;issue=3;spage=501;epage=505;aulast=GargiAnesthetic necrosislocal anesthesiapalatal perforationsequestrum
spellingShingle Vidisha Gargi
Ravi Prakash Sasankoti Mohan
Nagaraju Kamarthi
Swati Gupta
Palatal perforation: A rare complication of postanesthetic necrosis
Contemporary Clinical Dentistry
Anesthetic necrosis
local anesthesia
palatal perforation
sequestrum
title Palatal perforation: A rare complication of postanesthetic necrosis
title_full Palatal perforation: A rare complication of postanesthetic necrosis
title_fullStr Palatal perforation: A rare complication of postanesthetic necrosis
title_full_unstemmed Palatal perforation: A rare complication of postanesthetic necrosis
title_short Palatal perforation: A rare complication of postanesthetic necrosis
title_sort palatal perforation a rare complication of postanesthetic necrosis
topic Anesthetic necrosis
local anesthesia
palatal perforation
sequestrum
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2017;volume=8;issue=3;spage=501;epage=505;aulast=Gargi
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AT raviprakashsasankotimohan palatalperforationararecomplicationofpostanestheticnecrosis
AT nagarajukamarthi palatalperforationararecomplicationofpostanestheticnecrosis
AT swatigupta palatalperforationararecomplicationofpostanestheticnecrosis