Mental nerve paresthesia associated with endodontic paste within the mandibular canal: report of a case

Endodontic-related Paresthesia: A Case Report and Literature Review

“…Adequate irrigation technique with low pressure and the use of side-perforated irrigation needles reduce the risk of irrigant extrusion (10). Calcium hydroxide, which is used for intracanal medication, is a strong alkali and is able to cause permanent nerve damage as well, although these cases are rarely seen in the literature (11). Guttapercha is traditionally considered inert root-filling material, and the paresthesia cases involving gutta-percha usually result from overfill of thermoplastic gutta-percha (11).…”

Extrusion of root canal sealer in periapical tissues: Report of two cases with different treatment management and literature review

“…Regarding the treatment of symptoms that sealer extrusion can cause, the first choice, in case of pain, is a wait-and-see approach, including anti-inflammatory drugs and periodic follow up 49,3,4,50 . According to some authors, the use of biocompatible materials did not suggest an immediate surgical approach, but rather a wait-and-see approach, since these materials usually undergo resorption overtime 29 .…”

A Remarkable Rare Case of Fractured Endodontic Instrument in Periradicular Region Compressing Inferior Alveolar Nerve

“…The proximity of roots to these important structures must be acknowledged through accurate radiographic imaging. [1] Clinicians should be aware of the fact that endodontic instruments and filling materials (solid or liquid) can be extended in such a degree that can lead to neurological or sinus complications, due to the proximity of the apices of the mandibular molars and premolars to the inferior alveolar canal and the maxillary posterior teeth to the sinus floor membrane. [2] Sealers, broken file, gutta-percha extruded in the periapical area causes a foreign reaction of the connective tissue.…”