Dental complications of herpes zoster: Two case reports and review of literature.
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Date
2015-03
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Abstract
Herpes zoster (HZ) (shingles) results due to reactivation of varicella‑zoster virus. Unusual dental
complications like osteonecrosis, exfoliation of teeth, periodontitis, and calcified and devitalized
pulps, periapical lesions, and resorption of roots as well as developmental anomalies such as
irregular short roots and missing teeth may arise secondary to involvement of 2nd or 3rd division of
trigeminal nerve by HZ. Such cases pose both a diagnostic as well as a therapeutic challenge. We
report two such rare dental complications of HZ‑spontaneous tooth exfoliation and osteonecrosis
of the maxilla in a 70‑year‑old female patient; and multiple periapical pathoses affecting right
half of the mandibular teeth in a 45‑year‑old female patient. Both the patients did not have any
associated systemic illness. The aim of this paper was to compare the present cases with all the
46 cases of osteonecrosis and 6 cases of multiple periapical pathoses secondary to trigeminal
zoster reported in literature till date The article also throws light that the occurrence of such
dental complications of HZ is not entirely dependent on the immune status of the host.
Description
Keywords
Complications, herpes zoster, osteonecrosis, periapical pathoses, exfoliation spontaneous tooth
Citation
Gupta Swati, Sreenivasan V, Patil Prashant B. Dental complications of herpes zoster: Two case reports and review of literature. Indian Journal of Dental Research. 2015 Mar-Apr; 26(2): 214-219.