Gross extrusion of endodontic obturation materials into the maxillary sinus: a case report

Yamaguchi, Keiji; Matsunaga, Tsunenori; Hayashi, Yoshihiko

doi:10.1016/j.tripleo.2006.11.021

Cited by 40 publications

(30 citation statements)

References 9 publications

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“…In the literature, overfilling is seen most commonly in the lower first and second premolars. [6,7] In our case, during root canal treatment, the accidentally displaced gutta-perchas were seen in the lower second premolar region.…”

Section: Discussionmentioning

confidence: 57%

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Accidental displacement of gutta-percha to the lingual periosteum: a case report

Kılınç¹

2016

Turk Endod J

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Section: Discussionmentioning

confidence: 57%

“…[6,7] One of the most frequent complications of root canal treatment is overfilling, which adversely affects the outcome of root canal treatment. In the literature, overfilling is seen most commonly in the lower first and second premolars.…”

Section: Discussionmentioning

confidence: 99%

Accidental displacement of gutta-percha to the lingual periosteum: a case report

Kılınç¹

2016

Turk Endod J

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“…Various surgical/ non-surgical procedural mishaps during root canal treatment pose iatrogenic cause of inferior alveolar nerve injury. If the sealer is extruded into the mandibular canal space, it can cause problems varying from mild inflammatory reactions to severe neurotoxic damage (Scolozzi 2004, Yamaguchi 2007) [17], [18]. Risk of injury to the inferior alveolar nerve during root canal treatment is dependent on several other factors; these include the (B. S. Chong et al 2015) [15]: i).…”

Section: Discussionmentioning

confidence: 99%

Estimation of inferior alveolar nerve proximitytothe root api-ces : A CBVI analysis

Pagare¹,

Roy²,

Vahanwala³

et al. 2018

IJDR

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A sound knowledge of the relative three dimensional (3D) approximations to the inferior alveolar nerve (IAN) to the root apices of the mandibular premolars and molars and their significance to gender and age is imperative for any dental procedure. Utilization of Cone Beam Computed Tomography (CBCT) has facilitated increased accuracy, higher resolution, and scan time and dose reduction. Literature reveals that various procedures in endodontics and oral surgery may lead to IAN injury, a rare but serious treatment complication. It can result from over instrumentation, periapical surgery and over filling by root canal obturation materials. Surgical endodontic procedures require a thorough knowledge of anatomic structures that might be traumatized. What better view than CBCT, where it gives a thorough knowledge about the 3D position of the IAN, allowing 3D reconstruction in true 1:1 anatomic representation. Majority of IAN injury cases reported were in relation to the mandibular second molars hence before undertaking procedures with potential damage to the IAN, it is essential to know the location of the IAN with respect to the surrounding structures to avoid injury or harm. A study was undertaken with an aim to assess the distance between the apical tips of the mesial roots of the first, second molars and second premolars to the superior border of the IAN. The findings of which could be used to prevent injuries to the inferior alveolar nerve.

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“…11 Due to this close relationship between the root of maxillary premolar-molar teeth and the maxillary sinus, careful radiographic diagnosis must be done during the endodontic treatment of these teeth. 6 However, an accidental perforation of the schneiderian membrane during the root canal treatment or an intrusion of the obturation materials into the maxillary sinus may also cause sinusitis or aspergillosis. 12 In this case report, there was no alveolar bone between the apex of the roots and the sinus membrane; consequently the roots of the maxillary teeth were in the maxillar sinus.…”

Section: Discussionmentioning

confidence: 99%

Maxillary Sinusitis As a Complication of an Extruded Gutta-Percha: A Case Report

Oğuz¹,

Soydan²

2014

Cumhuriyet Dent J

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A B S T R A C TThe purpose of this article is to report the maxillary sinusitis caused by the extruded root canal material into the sinus. A 35-year-old woman was referred to our clinic with facial pain, accompanied by sinusitis, swelling, tenderness to palpation and sensitivity to chewing in the right maxillary region. The radiograph showed extruded gutta-percha (GP) from the apex of the right maxillary second premolar into the maxillary sinus. A well-circumscribed radiopaque mass in relation to the root and extending into the sinus owing to chronic inflammation was easily observed. Surgical management was performed under local anaesthesia. The inflammatory tissue around the apex of the tooth was removed by the help of a curette. The root end and the extruded GP were resected with a fissure bur, and the sinus was irrigated with saline solution. An initial panoramic radiograph will reveal the proximity of the apices to the maxillary sinus. Using an electronic apex detector, applying a good apical stop, or moderate condensation will help to avoid overfilling or overextending of the endodontic material. Besides, periapical radiographs can also be taken to avoid any mistakes. However, contaminated root canal materials can easily induce maxillar sinusitis or aspergillosis.

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Gross extrusion of endodontic obturation materials into the maxillary sinus: a case report

Cited by 40 publications

References 9 publications

Accidental displacement of gutta-percha to the lingual periosteum: a case report

Accidental displacement of gutta-percha to the lingual periosteum: a case report

Estimation of inferior alveolar nerve proximitytothe root api-ces : A CBVI analysis

Maxillary Sinusitis As a Complication of an Extruded Gutta-Percha: A Case Report

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