Tooth pain management of chronic pulpitis in a patient with toxic epidermal necrolysis- A Case Report

Toxic epidermal necrolysis (TEN) is acute life threatening mucocutaneous reactions due to various drugs. Oxicam NSAIDs, Acetic acid NSAIDs (e.g.: diclofenac), aminopenicillins and Cephalosporins are lower risk group of drugs that cause epidermal necrolysis. Protocol for medication is early recognition and withdrawal of the offending drugs and supportive care. Healing of extracted socket and mucosa is compromised due to various factors of toxic epidermal necrolysis. Impaired alimentation, photophobia and painful micturition and malabsorption cause impaired wound healing. This case study discuss about interventions to manage odontogenic pain in a patient with TEN