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Charter Oak Endodontics
404 East College Street Suites E,F
Dickson, TN 37055


September 11, 2012

Something for My Colleagues

It is reported antecdotally, that articaine (septocaine) causes gingival necrosis. Especially in the palate. I searched PubMed and the Journal of Endodontics for information. Currently, there are no published articles or case reports verifying that articaine causes gingival necrosis.

This is where I always advise colleagues to do what is comfortable and what works in their office. If a patient returns after treatment with sloughing of the palatal or lingual gingiva: 1) Reassure the patient. 2) Prescribe Peridex. Have the patient rinse twice a day for 1 week. 3) Pain medication may be warranted depending on the degree of discomfort.