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- Original Article Iatrogenic chemical burn on facial skin by 37% phosphoric acid etchant
- Jong-Hyun Park1, Hye-Jin Shin2, Se-Hee Park1, Jin-Woo Kim1, Kyung-Mo Cho1
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2009;34(1):-41.
DOI: https://doi.org/10.5395/JKACD.2009.34.1.038
Published online: January 31, 2009
1Department of Conservative Dentistry, Graduated school, Kangnung National University, Korea.
2Department of Conservative Dentistry, College of Medicine, A-jou University, Korea.
- Corresponding Author: Kyung-Mo Cho. Department of Conservative Dentistry, College of Dentistry, Kangnung National University, Jibyun-Dong, Kangnung City, Kangwon-Do, Korea, 210-702. Tel: 82-33-640-3155, Fax: 82-33-640-3103, drbozon@kangnung.ac.kr
• Received: November 10, 2008 • Revised: December 3, 2008 • Accepted: December 29, 2008
Copyright © 2009 The Korean Academy of Conservative Dentistry
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Abstract
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When we use the total-etch dentin adhesive system for composite resin restorations, gel or liquid acid etchant such as 37% phosphoric acid is commonly used. Thirty seven percentage phosphoric acid is very powerful erosive agent, and can cause severe harmful effects when it contacts with an oral mucosa and facial skin.This case describes iatrogenic chemical burn on facial skin caused by phosphoric acid which was happened during composite resin restorative procedure.Chemical burn by acid etchant can be evoked by careless handling of remnant and syringe. In order to prevent these iatrogenic injuries, we should check the complete removal of the etching agent both in intra and extra-oral environments after etching and rinsing procedure and it is necessary to use of the rubber dam or isolation instruments.If accidental burn were occurred, immediate wash with copious water. And bring the patient to the dermatologist as soon as possible.
- 1. Gutteridge DL. Iatrogenic oral ulceration following restorative treatment with an acid-etch material. Br Dent J. 1984;156: 403-404.ArticlePubMedPDF
- 2. Lewis GK. Chemical burns. Am J Surg. 1959;98: 928.Article
- 3. Cabnadian Center for Occupational health and safety. Material Safety Data Sheat. 1991.
- 4. Gruber RP, Laub DR, Vistinness LM. The effect of hydrotherapy on the clinical course and pH of experimental cutaneous chemical burns. Plast Reconstr Surg. 1975;55: 200.ArticlePubMed
REFERENCES
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REFERENCES
- 1. Gutteridge DL. Iatrogenic oral ulceration following restorative treatment with an acid-etch material. Br Dent J. 1984;156: 403-404.ArticlePubMedPDF
- 2. Lewis GK. Chemical burns. Am J Surg. 1959;98: 928.Article
- 3. Cabnadian Center for Occupational health and safety. Material Safety Data Sheat. 1991.
- 4. Gruber RP, Laub DR, Vistinness LM. The effect of hydrotherapy on the clinical course and pH of experimental cutaneous chemical burns. Plast Reconstr Surg. 1975;55: 200.ArticlePubMed
Citations
Citations to this article as recorded by 
- Cytotoxicity of V-Prep Versus Phosphoric Acid Etchant on Oral Gingival Fibroblasts
Victor Ghoubril, Sylvie Changotade, Didier Lutomski, Joseph Ghoubril, Carole Chakar, Maher Abboud, Louis Hardan, Naji Kharouf, Elie Khoury
Journal of Functional Biomaterials.2022; 13(4): 266. CrossRef - Effects of dental acid etchants in oral epithelial cells
Do-kyeong Kim, Jae-won Kwak, Ryeong-mi Jo, Da-som Jung, Da-young Youn, Na-yeon Oh, Ji-hye Jang
Oral Biology Research.2019; 43(4): 299. CrossRef
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XML DownloadIatrogenic chemical burn on facial skin by 37% phosphoric acid etchant
Figure 1
Immediate Post OP. Vesicular and corrosive lesion formation
Figure 2
2 Weeks follow-up Crust formation
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1 Month follow-up Depressed scar formation
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2 Months follow-up
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3 Months follow-up. Decreased scar
Figure 6
Corrosive change on facial skin
Figure 7
Difference appearance after air-blow
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Figure 7
Iatrogenic chemical burn on facial skin by 37% phosphoric acid etchant
