title: Non-surgical management of paraesthesia and pain associated with endodontic sealer extrusion into the mandibular canal.
abstract: The aim of this report was to present a case of endodontic sealer extrusion into the mandibular canal in a 42-year-old woman. The patient was referred to the Endodontology and Stomatology Clinics, School of Dentistry, Estácio de Sá University, complaining of 5-day duration intense spontaneous pain and paraesthesia, both arising after an endodontic intervention. Conventional radiographs and computed tomography of the mandible showed the presence of radiopacities inside the right mandibular canal. History and these radiographs confirmed extrusion of endodontic sealer. Treatment included an anti-inflammatory drug, completion of endodontic treatment and follow up. The patient reported gradual improvement, becoming asymptomatic after 2 months. Radiographs 30 months after initial examination revealed partial resorption of the foreign material. In conclusion, iatrogenic extrusion of endodontic materials should be included in differential diagnosis of endodontic pain and can sometimes be managed through non-surgical interventions in some cases.
authors: Department of Endodontology, School of Dentistry, Estácio de Sá University, Rio de Janeiro/RJ, Brazil.
authors: Fabiana Gama Benevides
authors: FG
authors: Froes
authors: Aguida Maria Menezes Aguiar
authors: AM
authors: Miranda
authors: Ernani da Costa
authors: Eda C
authors: Abad
authors: Fernanda Nehme
authors: FN
authors: Riche
authors: Fábio Ramôa
authors: FR
authors: Pires
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002126:Calcium Hydroxide / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000209:etiology / Q000628:therapy*; D006171:Gutta-Percha / Q000009:adverse effects; D006801:Humans; D007049:Iatrogenic Disease; D008334:Mandible; D010146:Pain / Q000209:etiology; D059408:Pain Management; D010292:Paresthesia / Q000209:etiology / Q000628:therapy*; D016300:Radiography, Bitewing; D011862:Radiography, Panoramic; D012387:Root Canal Filling Materials / Q000009:adverse effects* / Q000627:therapeutic use; D012390:Root Canal Therapy
chemical_list: D000893:Anti-Inflammatory Agents; D012387:Root Canal Filling Materials; D006171:Gutta-Percha; D002126:Calcium Hydroxide