{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:17:41Z","timestamp":1787840261168,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>The everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record of local anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factors such as direct effects of the drug, blanching of the tissues during injection, relatively poor blood supply, and reactivation of the latent forms of herpes can all promote to tissue ischemia and a lesion in the palate. Among various complications, anesthetic necrotic ulcer is a rare and uncommon condition occurring mostly in the hard palate possibly after a local anesthetic infiltration. The ulceration is often deep and shows spontaneous but delayed healing. If proper treatment is not instituted on time, the necrosis can reach deep into the bone causing sequestrum formation and ultimately leading to palatal perforation. Here, we report a case of palatal perforation in a male patient followed by surgical interventions and follow-up.<\/jats:p>","DOI":"10.4103\/ccd.ccd_123_17","type":"journal-article","created":{"date-parts":[[2017,9,18]],"date-time":"2017-09-18T23:22:34Z","timestamp":1505776954000},"page":"501-505","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Palatal Perforation: A Rare Complication of Postanesthetic Necrosis"],"prefix":"10.4103","volume":"8","author":[{"given":"Vidisha","family":"Gargi","sequence":"first","affiliation":[{"name":"Department of Oral Medicine and Radiology, Subharti Dental College, Meerut, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi Prakash Sasankoti","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Subharti Dental College, Meerut, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagaraju","family":"Kamarthi","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Subharti Dental College, Meerut, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Subharti Dental College, Meerut, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250603","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1111\/adj.12120","article-title":"Superficial skin necrosis and neurological complications following administration of local anaesthetic: A case report","volume":"58","author":"Pattni","year":"2013","journal-title":"Aust Dent J"},{"key":"R3-20250603","first-page":"118","article-title":"Palatal ulceration: A complication of regional anesthesia of the oral cavity - 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