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Charter Oak Endodontics
404 East College Street Suites E,F
Dickson, TN 37055
615-441-6131

Day

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.