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Necrosis of the gingiva caused by calcium hydroxide: a case report

Mieke De Bruyne (UGent) , Roeland De Moor (UGent) and Filiep Raes (UGent)
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Abstract
The present case demonstrates the possible detrimental effect of an overextension of a calcium hydroxide intracanal dressing into the periradicular and soft tissue after iatrogenic buccal root perforation of a maxillary central incisor. At first this perforation was not recognized by the dentist, which resulted in the introduction of a large amount of nonsetting calcium hydroxide paste under the gingival tissues through a dehiscence on the buccal side of the root. This report describes the consequences and management of the necrosis of the buccal gingiva and mucosa, and the subsequent treatment and follow-up of the root perforation.
Keywords
glass ionomer cement, calcium hydroxide, necrosis, perforation, surgical repair

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Citation

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Chicago
De Bruyne, Mieke, Roeland De Moor, and Filiep Raes. 2000. “Necrosis of the Gingiva Caused by Calcium Hydroxide: a Case Report.” International Endodontic Journal 33 (1): 67–71.
APA
De Bruyne, Mieke, De Moor, R., & Raes, F. (2000). Necrosis of the gingiva caused by calcium hydroxide: a case report. INTERNATIONAL ENDODONTIC JOURNAL, 33(1), 67–71.
Vancouver
1.
De Bruyne M, De Moor R, Raes F. Necrosis of the gingiva caused by calcium hydroxide: a case report. INTERNATIONAL ENDODONTIC JOURNAL. 2000;33(1):67–71.
MLA
De Bruyne, Mieke, Roeland De Moor, and Filiep Raes. “Necrosis of the Gingiva Caused by Calcium Hydroxide: a Case Report.” INTERNATIONAL ENDODONTIC JOURNAL 33.1 (2000): 67–71. Print.
@article{127823,
  abstract     = {The present case demonstrates the possible detrimental effect of an overextension of a calcium hydroxide intracanal dressing into the periradicular and soft tissue after iatrogenic buccal root perforation of a maxillary central incisor. At first this perforation was not recognized by the dentist, which resulted in the introduction of a large amount of nonsetting calcium hydroxide paste under the gingival tissues through a dehiscence on the buccal side of the root. This report describes the consequences and management of the necrosis of the buccal gingiva and mucosa, and the subsequent treatment and follow-up of the root perforation.},
  author       = {De Bruyne, Mieke and De Moor, Roeland and Raes, Filiep},
  issn         = {0143-2885},
  journal      = {INTERNATIONAL ENDODONTIC JOURNAL},
  keyword      = {glass ionomer cement,calcium hydroxide,necrosis,perforation,surgical repair},
  language     = {eng},
  number       = {1},
  pages        = {67--71},
  title        = {Necrosis of the gingiva caused by calcium hydroxide: a case report},
  url          = {http://dx.doi.org/10.1046/j.1365-2591.2000.00269.x},
  volume       = {33},
  year         = {2000},
}

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