Inferior alveolar nerve paresthesia after overfilling of endodontic sealer into the mandibular canal.
The present study describes a case of endodontic sealer (AH Plus) penetration within and along the mandibular canal from the periapical zone of a lower second molar after endodontic treatment. The clinical manifestations comprised anesthesia of the left side of the lower lip, paresthesia and anesthesia of the gums in the third quadrant, and paresthesia and anesthesia of the left mental nerve, appearing immediately after endodontic treatment. The paresthesia and anesthesia of the lip and gums were seen to decrease, but the mental nerve paresthesia and anesthesia persisted after 3.5 years. This case illustrates the need to expend great care with all endodontic techniques when performing nonsurgical root canal therapy, especially when the root apices are in close proximity to vital anatomic structures such as the inferior alveolar canal.
González-Martín
Maribel
M
Department of Stomatology, School of Dentistry, University of Seville, 41009 Seville, Spain.
Torres-Lagares
Daniel
D
Gutiérrez-Pérez
José Luis
JL
Segura-Egea
Juan José
JJ
D000328:Adult; D002680:Chin / Q000294:innervation; D004853:Epoxy Resins / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications*; D005881:Gingiva / Q000294:innervation; D005882:Gingival Diseases / Q000209:etiology; D006801:Humans; D008046:Lip / Q000294:innervation; D008047:Lip Diseases / Q000209:etiology; D008334:Mandible; D008340:Mandibular Nerve / Q000503:physiopathology*; D008963:Molar; D010292:Paresthesia / Q000209:etiology*; D010482:Periapical Abscess / Q000628:therapy; D010486:Periapical Tissue; D012387:Root Canal Filling Materials / Q000009:adverse effects*
D004853:Epoxy Resins; D012387:Root Canal Filling Materials; C534916:epoxy resin-based root canal sealer