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KMID : 0358920050320040657
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Journal of the Korean Academy of Pedodontics
2005 Volume.32 No. 4 p.657 ~ p.661
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NECROSIS OF ALVEOLAR BONE BY FORMOCRESOL CASE REPORT
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Park Cheol-Hong
Lee Nan-Young
Lee Chang-Seep
Lee Sang-Ho
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Abstract
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Various chemotherapeutic agents have been recommended for pulpotomy of primary teeth, and there are formocresol, ferric sulfate, and calcium hydroxide.
Of those, formocresol has fixation effect of pulp tissue and high clinical success rate, so it is most commonly used agent. But formocresol has strong cytotoxic effects, thus many articles reported displacement and loss of permanent successor, amelogenesis imperfecta, mutation by general absorption, possibility of cancer induction. Recently, it has been reported that leakage by imperfect temporary sealing when FC-soaked cotton was inserted into the root canal caused necrosis of surrounding tissues, and that necrosis of alveloar bone related to the use of excessive formocresol.
In this case, 2nd primary molar of upper left jaw was treated using formocresol in local clinic, but extracted because of lasting pain, Furthermore, symptoms didn’t disappear, so patient was refered to us. The patient was 8-year-old male, had foul oder from oral cavity and circular alveolar bone necrosis around the permanent successor crown. Thus sequestrectomy was operated and observed through 19 months after operation, we found normal root development of permanent successor but no complete regeneration of alveolar bone defect and attached gingiva.
Lesion of periodontal tissues by formocresol is irrelversible, so we have to confirm the indication in using formocresol and pay attention to complete temporary sealing.
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KEYWORD
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Formocresol, Alveolar bone necrosis, Primary molar, Sequestrectomy
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