Massive extrusion of calcium hydroxide paste containing barium sulphate during endodontic treatment.

Szczegóły
Abstrakt

Tytuł:: Massive extrusion of calcium hydroxide paste containing barium sulphate during endodontic treatment.
Autorzy:: Montenegro Fonsêca J; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Rangel Palmier N; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Amaral-Silva GK; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Aristizabal Arboleda LP; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Affonso Almeida JF; Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
de Goes MF; Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Agustin Vargas P; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Ajudarte Lopes M; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Santos-Silva AR; Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
Źródło:: Australian endodontic journal : the journal of the Australian Society of Endodontology Inc [Aust Endod J] 2020 Aug; Vol. 46 (2), pp. 257-262. Date of Electronic Publication: 2019 Nov 14.
Typ publikacji:: Case Reports
Język:: English
Imprint Name(s):: Publication: Richmond, VIC : Wiley-Blackwell Publishing Asia
Original Publication: Melbourne, Vic. : Australian Society of Endodontology
MeSH Terms:: Calcium Hydroxide*
Root Canal Filling Materials*
Adult ; Barium Sulfate ; Female ; Humans ; Paresthesia ; Periapical Tissue ; Root Canal Irrigants
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Pogrel MA. Damage to the inferior alveolar nerve as the result of root canal therapy. J Am Dent Assoc 2007; 138: 65-9.
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López-López J, Estrugo-Devesa A, Jané-Salas E, Segura-Egea JJ. Inferior alveolar nerve injury resulting from overextension of an endodontic sealer: non-surgical management using the GABA analogue pregabalin. Int Endod J 2012; 45: 98-104.
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Poveda R, Bagán JV, Fernández JM, Sanchis JM. Mental nerve paresthesia associated with endodontic paste within the mandibular canal: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102: e46-9.
Köseoğlu BG, Tanrikulu S, Sübay RK, Sencer S. Anesthesia following overfilling of a root canal sealer into the mandibular canal: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 803-6.
Gatot A, Tovi F. Prednisone treatment for injury and compression of inferior alveolar nerve: report of a case of anesthesia following endodontic overfilling. Oral Surg Oral Med Oral Pathol 1986; 62: 704-6.
Yatsuhashi T, Nakagawa K, Matsumoto M et al. Inferior alveolar nerve paresthesia relieved by microscopic endodontic treatment. Bull Tokyo Dent Coll 2003; 44: 209-12.
Grant Information:: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; Conselho Nacional de Desenvolvimento Científico e Tecnológico
Contributed Indexing:: Keywords: accidental extrusion; barium sulphate; calcium hydroxide; lower alveolar nerve; neurotoxic effects
Substance Nomenclature:: 0 (Root Canal Filling Materials)
0 (Root Canal Irrigants)
25BB7EKE2E (Barium Sulfate)
PF5DZW74VN (Calcium Hydroxide)
Entry Date(s):: Date Created: 20191115 Date Completed: 20200821 Latest Revision: 20200821
Update Code:: 20240105
DOI:: 10.1111/aej.12382
PMID:: 31724802
: Raport

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A 31-year-old woman was referred for the evaluation of persistent lower lip numbness following endodontic treatment of tooth #36. Imaging examinations showed a large amount of radiopaque/hyperdense material spread in an angiographic distribution in the left mandibular body region. Laboratory analyses of tooth #36 and adjacent periapical tissue, surgically extracted in an external Service due to acute pain following endodontic treatment, identified chronic inflammatory reaction and birefringent crystalloid foreign bodies rich in barium and sulphur, leading to the diagnosis of alveolar nerve injury due to accidental extrusion of intracanal dressing material composed of calcium hydroxide [Ca(OH) 2 ] paste incorporated with barium sulphate. Clinicians should be aware that Ca(OH) 2 when in contact with periapical tissues may lead to persistent toxicities, such as necrosis, pain and paraesthesia. Therefore, injectable Ca(OH) 2 systems should be used with caution because they can cause paste extrusion and damage to the lower alveolar nerve.
(© 2019 Australian Society of Endodontology Inc.)

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