Acta Scientific Dental Sciences (ISSN: 2581-4893)

Case Report Volume 5 Issue 1

Bone Necrosis After Pulp Treatment of Temporary Molar with Calcium Hydroxide: In Vivo Confirmation

Cristina Cardoso-Silva1*, Maria Llanes2 and Elena Barbería3

1Department of Paediatric Dentistry, Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
2Department of Biomedics and Medicine, University of Algarve, Faro, Portugal
3Department of Clinical Odontological Specialities, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain

*Corresponding Author: Cristina Cardoso Silva, Department of Paediatric Dentistry, Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal.

Received: November 25, 2020; Published: December 16, 2020

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Abstract

  Calcium hydroxide has been used for a variety of purposes in dentistry including pulpotomy of temporary molars. Several studies examining inflammatory response to its use generally demonstrated a mild inflammatory reaction. However, it may cause adverse reactions damaging bone and soft tissues either by direct contact after poor implementation or after ion diffusion. The severity and extent of the lesion depends on the quantity and concentration used, as well as on the time of contact. The following report describes a case of bone necrosis after a pulpotomy with calcium hydroxide in a temporary molar. Pathological analysis confirmed de diagnosis.

Keywords: Bone Necrosis; Calcium Hydroxide; Pulpotomy; Temporary Molars; Bone Lesion

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References

  1. Huang TH., et al. “Root canal sealers induce cytotoxicity and necrosis”. Journal of Materials Science: Materials in Medicine 15 (2004): 767-771.
  2. Barbosa SV., et al. “Cytotoxicity of endodontic irrigants containing calcium hydroxide and sodium lauryl sulfate on fibroblasts derived from mouse L929 cell line”. Brazilian Dental Journal 20 (2009): 118-121.
  3. Zmener O. “Evaluation of the apical seal obtained with two calcium hydroxide based endodontic sealers”. International Endodontic Journal 20 (1987): 87-90.
  4. Tronstad L., et al. “Solubility and biocompatibility of calcium hydroxide-containing root canal sealers”. Endodontics in Dental Traumatology 4 (1988): 152-159.
  5. Hannuksela M., et al. “Caustic ulcers caused by cement”. British Journal of Dermatology 95 (1976): 547-549.
  6. Lindgren P., et al. “Severe facial ischemia after endodontic treatment”. Journal of Oral and Maxillofacial Surgery 60 (2002): 576-579.
  7. Luong KV and Nguyen LT. “Cement burn”. Journal of Family Practice 41 (1995): 601-602.
  8. Gomes IC., et al. “Diffusion of calcium through dentin”. Journal of Endodontics 22 (1996): 590-595.
  9. Ahlgren FK., et al. “Displaced calcium hydroxide paste causing inferior alveolar nerve paraesthesia: report of a case”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 96 (2003): 734-737.
  10. Santos-Pinto L., et al. “Iatrogenic chemical burns caused by chemical agents used in dental pulp therapy”. Burns 30 (2004): 614-615.
  11. De Bruyne MAA., et al. “Necrosis of the gingiva caused by calcium hydroxide: a case report”. International Endodontic Journal 33 (2000): 67-71.
  12. Gencay K., et al. “In vitro evaluation of pH changes induced by calcium hydroxide liners”. Quintessence International 35 (2004): 560-562.
  13. Siqueira-Jr JF and Lopes HP. “Mechanisms of antimicrobial potencial of calcium hydroxide: a critical review”. International Endodontic Journal 32 (1999): 361-369.
  14. Nelson-Filho P., et al. “Connective tissue responses to calcium hydroxide-based root canal medicaments”. International Endodontic Journal 32 (1999): 303-311.
  15. Bramante CM., et al. “Alveolar mucosa necrosis induced by utilisation of calcium hydroxide as root canal dressing”. International Dental Journal 58 (2008): 81-85.
  16. Himel VT., et al. “Evaluation of repair of mechanical perforations of the chamber floor using biodegradable tricalcium phosphate or calcium hydroxide”. Journal of Endodontics 11 (1985): 161-165.
  17. Andreasen JO and Kristerson L. “The effect extra-alveolar root filing with calcium hydroxide on periodontal healing after replantation of permanent incisors in monkeys”. Journal of Endodontics 7 (1981): 349-354.
  18. Boiesen J and Brodin P. “Neurotoxic effect of two root canal sealers with calcium hydroxide on rat phrenic nerve in vitro”. Endodontics in Dental Trauma 7 (1991): 588-593.
  19. Yano K., et al. “Experimental study on alkaline skin injuries-periodic cahnges in subcutaneous tissue pH and the effects exerted by washing”. Burns 19 (1993): 320-323.
  20. De Moor RJ and De Witte AM. “Periapical lesions accidentally filled with calcium hydroxide”. International Endodontic Journal 35 (2002): 946-958.
  21. Ahonen M and Tjäderhane L. “Endodontic-related paraesthesia: a case report and literature review”. JOE 37 (2011): 1460-1464.
  22. Ioannidis K., et al. “Lack of periradicular healing and gradually increasing swelling two years after intentional extrusion of calcium hydroxide into periapical lesion: report of a case”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 109 (2010): e86-e91.
  23. Yatsuhashi T., et al. “Inferior alveolar nerve paresthesia relieved by microscopic endodontic treatment”. Bulletin of Tokyo Dental College 44 (2003): 209e212.
  24. Sharma S., et al. “Severe tissue necrosis following intra-arterial injection of endodontic calcium hydroxide: a case series”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 105 (2008): 666e669.
  25. Olsen JJ., et al. “Nerve lesions following apical extrusion of non-setting calcium hydroxide: A systematic case review and report of two cases”. Journal of Craniomaxillofacial Surgery 42 (2014): 757-762.
  26. Foreman PC and Barnes IE. “A review of calcium hydroxide”. International Endodontic Journal 23 (1990): 283-297.
  27. Maalouf EM and Gutmann JL. “Biological perspectives on the nonsurgical endodontic management of periradicular pathosis”. International Endodontic Journal 27 (1994): 154-162.
  28. Caruso S., et al. “Clinical and radiographic evaluation of biodentine versus calcium hydroxide in primary teeth pulpotomies: a retrospective study”. BMC Oral Health 18 (2018): 54.
  29. Moretti A., et al. “The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth”. International Endodontic Journal 41 (2008): 547-555.
  30. Juneja P and Kulkami S. “Clinical and radiographic comparison of biodentine, mineral trioxide aggregate and formocresol as pulpotomy agents in primary molars”. European Archives of Paediatric Dentistry 18 (2017): 271-278.
  31. Cardoso-Silva C., et al. “Clinical study of mineral trioxide aggregate in primary molars. Comparison between grey and white MTA – a long term follow-up (84 months)”. Journal of Dentistry 39 (2011): 187-193.

 

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Citation

Citation: Cristina Cardoso-Silva., et al. “Bone Necrosis After Pulp Treatment of Temporary Molar with Calcium Hydroxide: In Vivo Confirmation". Acta Scientific Dental Sciences 5.1 (2021): 93-99.




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