Death from air embolism during root canal therapy

Rickles, Norman H.; Joshi, Bhaskar A.

doi:10.14219/jada.archive.1963.0291

Cited by 67 publications

(11 citation statements)

References 11 publications

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“…Advanced cases may demonstrate stripping of muscle attachments, poor healing of involved soft tissues and chronic pain. The actual occurrence of death has been reported experimentally in dogs (14), in addition to the case mentioned above (8).…”

Section: Literaturementioning

confidence: 85%

Implications, prevention and management of subcutaneous emphysema during endodontic treatment

Battrum¹,

Gutmann²

1995

Dental Traumatology

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Battrum DE, Gutmann JL. Implications, prevention, an(d management of subcutaneous emphysema during endodontic treatment. Endod Dent Traumatol 1995; 11: 109^114. © Munksgaard, 1995.Abstract -Subcutaneous emphysema (SCE) is a possible complication of both nonsurgical and surgical endodontic treatment. A review of the literature pertinent to endodontic intervention and SCE is highlighted, while the causes of and recommendations for the prevention of SCE are provided. A review of the pathways whereby compressed air may travel through potential spaces in the head and neck is also illustrated in an attempt to identify the possibility' of morbidity and even mortality should operator induced SCE occur in a patient.

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Section: Literaturementioning

confidence: 85%

Implications, prevention and management of subcutaneous emphysema during endodontic treatment

Battrum¹,

Gutmann²

1995

Dental Traumatology

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“…Although the present work is not related to gas embolism, fatal incidences caused by intravenous air embolism during root canal treatment or dental implant placement for replacing extracted teeth have been reported in the dental literature. 104,105 It is pertinent to highlight that a similar mechanism of air infusion through open intraosseous sinusoids has been used to account for the cause of venous air embolism during dental implant surgery in the mandible. 105 …”

Section: Intravenous Infusion Of Naoclmentioning

confidence: 99%

Anatomy of sodium hypochlorite accidents involving facial ecchymosis—A review

Zhu

Gyamfi

Niu

et al. 2013

Journal of Dentistry

113

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Objectives Root canal treatment forms an essential part of general dental practice. Sodium hypochlorite (NaOCl) is the most commonly used irrigant in endodontics due to its ability to dissolve organic soft tissues in the root canal system and its action as a potent antimicrobial agent. Although NaOCl accidents created by extrusion of the irrigant through root apices are relatively rare and are seldom life-threatening, they do create substantial morbidity when they occur. Methods To date, NaOCl accidents have only been published as isolated case reports. Although previous studies have attempted to summarise the symptoms involved in these case reports, there was no endeavor to analyse the distribution of soft tissue distribution in those reports. In this review, the anatomy of a classical NaOCl accident that involves facial swelling and ecchymosis is discussed. Results By summarising the facial manifestations presented in previous case reports, a novel hypothesis that involves intravenous infusion of extruded NaOCl into the facial vein via non-collapsible venous sinusoids within the cancellous bone is presented. Conclusions Understanding the mechanism involved in precipitating a classic NaOCl accident will enable the profession to make the best decision regarding the choice of irrigant delivery techniques in root canal débridement, and for manufacturers to design and improve their irrigation systems to achieve maximum safety and efficient cleanliness of the root canal system.

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“…Additional reports on air emphysema during endodontic treatment have been published by Nehlsen (1927), Berg (1928), Müller‐Stade (1931), Salvas (1931), Seidner (1938), Langegger (1950), Glahn (1953), Magnin (1958), Harnisch (1976), Spaulding (1979), Arnold (1979), and Hülsmann & Denden (1997). In an animal study the possibility could not be completely excluded by Rickles & Joshi (1963), that air emphysema during root canal therapy was the reason for the death of four of seven dogs. Similar dramatic sequelae following air emphysema after root canal treatment have not been reported in man.…”

Section: Introductionmentioning

confidence: 99%