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CASE REPORT
Year : 2017  |  Volume : 2  |  Issue : 1  |  Page : 26-31

Unique case of dental practice negligence using calcium hydroxide intracanal medicament: A case report


1 Assistant Professor, Department of Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, KSA
2 Dental Intern, College of Dentistry, King Khalid University, Abha, KSA
3 Assistant Professor, Department of Department of Oral Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, KSA

Correspondence Address:
BDS, MSc, FRCD(C) Adel S Alobaid
Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha
KSA
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Source of Support: None, Conflict of Interest: None


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Safe dental practice is based on the rule of do no harm. Procedural errors in endodontics are mainly based on wrong case selection with underestimation of case difficulty. The aim of this report was to discuss a case of negligence in dental practice leading to multidisciplinary treatment and pain management approach. This case reported to emergency clinics at King Khalid University, College of Dentistry (KKUCOD) after an accident of overextrusion of calcium hydroxide (Ca(OH)2) from tooth # 22 extended distally to greater palatine foramen area without sinus communication. Patient pain was unbearable and needed strong acting pain medication. The tooth was treated with nonsurgical endodontic with buccal perforation repair followed by surgical endodontic to establish apical seal and remove the extruded material. Then a full thickness palatal flap was needed to remove the extended material. This approach was effective in alleviating patient pain. Such incidence could have been avoided if a safe practice rules were strictly followed thus case difficulty assessment form must be used in such cases.


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