Non-surgical management of paraesthesia and pain associated with endodontic sealer extrusion into the mandibular canal
| Autor: | Águida Maria Menezes Aguiar Miranda, Fernanda N. S. J. Riche, Fabiana Gama Benevides Froes, Fábio Ramôa Pires, Ernani da Costa Abad |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Radiography Iatrogenic Disease Anti-Inflammatory Agents Dentistry Mandibular canal Pain Computed tomography Mandible Right mandibular canal Spontaneous pain Calcium Hydroxide Root Canal Filling Materials Radiography Panoramic Medicine Humans Pain Management Paresthesia General Dentistry Radiography Bitewing Orthodontics medicine.diagnostic_test business.industry Conventional radiographs Foreign Bodies Root Canal Therapy medicine.anatomical_structure Female Differential diagnosis Gutta-Percha business Follow-Up Studies |
| Zdroj: | Australian endodontic journal : the journal of the Australian Society of Endodontology Inc. 35(3) |
| ISSN: | 1747-4477 |
| Popis: | The aim of this report was to present a case of endodontic sealer extrusion into the mandibular canal in a 42-year-old woman. The patient was referred to the Endodontology and Stomatology Clinics, School of Dentistry, Estacio de Sa University, complaining of 5-day duration intense spontaneous pain and paraesthesia, both arising after an endodontic intervention. Conventional radiographs and computed tomography of the mandible showed the presence of radiopacities inside the right mandibular canal. History and these radiographs confirmed extrusion of endodontic sealer. Treatment included an anti-inflammatory drug, completion of endodontic treatment and follow up. The patient reported gradual improvement, becoming asymptomatic after 2 months. Radiographs 30 months after initial examination revealed partial resorption of the foreign material. In conclusion, iatrogenic extrusion of endodontic materials should be included in differential diagnosis of endodontic pain and can sometimes be managed through non-surgical interventions in some cases. |
| Databáze: | OpenAIRE |
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