Disabling complications following inadvertent overextension of a root canal filling material

Inferior Alveolar Nerve Paresthesia after Overfilling of Endodontic Sealer into the Mandibular Canal

“…An initial pretreatment radiograph of the mandibular teeth will reveal the proximity of the canal to the apices (2). Preventive measures such as the use of an electronic apex detector, the application of a good apical stop, or moderate condensation will help avoid overfilling or overextending the endodontic material (11).…”

“…Some of them can cause serious neurotoxic complications when extruded into the mandibular canal (3)(4)(5). Undesirable complications such as anesthesia, paresthesia, hypoesthesia, hyperesthesia, and dysesthesia can follow the extrusion of an endodontic sealer into the mandibular canal (6)(7)(8)(9)(10)(11)(12).…”

Inferior Alveolar Nerve Damage Because of Overextended Endodontic Material: A Problem of Sealer Cement Biocompatibility?

“…There have been reports of IAN damage in up to 1% of cases when performing defective root canal treatment (overextended or overfilled) of a lower premolar (4). The different filling systems used in endodontics as well as the type of sealer cement used can also influence the incidence of this complication to one degree or another (5).…”

Treatment of mental nerve paraesthesia caused by the endodontic infection of lower second premolar: A case report

“…Endodontik tedavi kaynaklı zararlı etkiler, zarar gören alan, taşkınlığın miktarına, sinir dokusunun maruz kalma süresine, kimyasal bileşenlerin içeriğine bağlı olarak değişmektedir. [13][14][15][16][17] Alt çenede özellikle premolar ve molar diş köklerinin, mental foramen ve IAS ile yakın ilişkide olduğu ve yapıla-cak endodontik tedaviler açısından büyük önem taşıdığı bilinmektedir. Bürklein ve ark.…”