Symptomatic foreign body reaction to haemostatic alginate.
Kaltostat, a haemostatic wound dressing made from non-woven sodium calcium alginate fibres is becoming more frequently and widely used by practitioners. We report a florid foreign body giant cell reaction elicited by Kaltostat which had been used to obtain haemostasis in an apicectomy cavity on an upper lateral incisor approximately 7 months earlier. The case demonstrates that alginate fibres left in situ may elicit a long-lasting and symptomatic adverse foreign body reaction. This material should be reserved for problematic haemorrhage and be removed from the tooth socket soon after haemostasis.
Odell
E W
EW
Department of Oral Medicine and Pathology, UMDS, Guy's Hospital, London, UK.
Oades
P
P
Lombardi
T
T
D000464:Alginates / Q000009:adverse effects*; D001047:Apicoectomy / Q000009:adverse effects*; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000628:therapy; D020723:Glucuronic Acid; D006490:Hemostatics / Q000009:adverse effects*; D006603:Hexuronic Acids; D006801:Humans; D007180:Incisor; D008437:Maxilla; D008875:Middle Aged; D010484:Periapical Granuloma / Q000601:surgery
D000464:Alginates; D006490:Hemostatics; D006603:Hexuronic Acids; D020723:Glucuronic Acid