Periapical lesions accidentally filled with calcium hydroxide.
OBJECTIVE
To evaluate the effect of accidental and voluminous calcium hydroxide overextensions into periradicular lesions and tissues on the prognosis of periapical healing.


CONCLUSIONS
Eleven cases with periapical lesions and voluminous calcium hydroxide overextension are presented. Despite literature reports on the deleterious effects of calcium hydroxide extension in the periapical area, none of the endodontic treatments failed and surgical intervention was not indicated.


CONCLUSIONS
Extensive extrusion of calcium hydroxide into the periapical tissues does not appear to comprise periapical healing. Despite this finding, the deliberate extrusion of dental materials into the apical tissues is not advocated.
De Moor
R J G
RJ
Department of Operative Dentistry and Endodontology, Dental School, Ghent University, Ghent University Hospital, Gent, Belgium. roeland.demoor@rug.ac.be
De Witte
A M J C
AM
D000059:Accidents; D000293:Adolescent; D000328:Adult; D001729:Bismuth / Q000627:therapeutic use; D002126:Calcium Hydroxide / Q000009:adverse effects*; D003751:Dental Fistula / Q000503:physiopathology; D004338:Drug Combinations; D004853:Epoxy Resins / Q000627:therapeutic use; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000209:etiology*; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010146:Pain / Q000503:physiopathology; D010483:Periapical Diseases / Q000503:physiopathology*; D010486:Periapical Tissue / Q000187:drug effects; D011379:Prognosis; D012189:Retrospective Studies; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000009:adverse effects*; D012389:Root Canal Obturation; D018915:Root Canal Preparation; D012834:Silver / Q000627:therapeutic use; D014025:Titanium / Q000627:therapeutic use; D014945:Wound Healing
D004338:Drug Combinations; D004853:Epoxy Resins; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D012834:Silver; C028044:epoxy resin AH-26; D006171:Gutta-Percha; D014025:Titanium; D002126:Calcium Hydroxide; D001729:Bismuth