• Journal of endodontics · Feb 2009

    Case Reports

    Osteonecrosis related to intraosseous anesthesia: report of a case.

    • Karl F Woodmansey, Robert K White, and Jianing He.
    • Department of Graduate Endodontics, Baylor College of Dentistry, Dallas, TX 75246, USA. KFW@Prodigy.net
    • J Endod. 2009 Feb 1;35(2):288-91.

    AbstractIntraosseous anesthesia is an effective and increasingly used technique with few reported complications. The technique uses a specialized drill to perforate the osseous cortex where local anesthetic can then be deposited to anesthetize teeth. It has been reported that separation of the perforation drills from their plastic bases can occur because of the friction generated during osseous perforation. Prolonged rotation of the perforator drills in the bone can also cause excessive heat, which can lead to bone necrosis. This report describes a case of focal osteonecrosis subsequent to intraosseous anesthesia and discusses possible etiologies of this sequela.

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