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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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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. |
first_indexed | 2024-12-11T01:24:10Z |
format | Article |
id | doaj.art-e16b5425a03a48b2a581949fdac91522 |
institution | Directory Open Access Journal |
issn | 0976-237X 0976-2361 |
language | English |
last_indexed | 2024-12-11T01:24:10Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Contemporary Clinical Dentistry |
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 |
work_keys_str_mv | AT vidishagargi palatalperforationararecomplicationofpostanestheticnecrosis AT raviprakashsasankotimohan palatalperforationararecomplicationofpostanestheticnecrosis AT nagarajukamarthi palatalperforationararecomplicationofpostanestheticnecrosis AT swatigupta palatalperforationararecomplicationofpostanestheticnecrosis |