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Inadvertent apical extrusion of sodium hypochlorite with evaluation by dental volumetric tomography.

Başer Can ED, Karapınar Kazandağ M, Kaptan RF - Case Rep Dent (2015)

Bottom Line: The patient was followed up every other day and became asymptomatic on the 10th day.Endodontic therapy was completed with routine procedures.Determining working length precisely and following irrigation protocols meticulously are indispensable to prevent this type of complication. 3D visualization of the affected area may reveal the cause of the incident.

View Article: PubMed Central - PubMed

Affiliation: Department of Endodontics, Faculty of Dentistry, Yeditepe University, Bagdat Caddesi 238, Göztepe, 34728 Istanbul, Turkey.

ABSTRACT
This case report describes the tissue injury caused by inadvertently extruded NaOCl through the apical constriction. A 56-year-old female patient with complaints of pain, swelling, and ecchymosis on the left side of her face was referred to our clinic. The symptoms had emerged following root canal treatment of the maxillary left first premolar, and a soft tissue complication due to apical extrusion of NaOCl was diagnosed. Antibiotics and analgesics were prescribed. DVT images revealed that the buccal root apex had perforated the maxillary bone. The patient was followed up every other day and became asymptomatic on the 10th day. Endodontic therapy was completed with routine procedures. Determining working length precisely and following irrigation protocols meticulously are indispensable to prevent this type of complication. 3D visualization of the affected area may reveal the cause of the incident.

No MeSH data available.


Related in: MedlinePlus

Infraorbital ecchymosis and slight bruising near the nasolabial fold.
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Related In: Results  -  Collection


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fig1: Infraorbital ecchymosis and slight bruising near the nasolabial fold.

Mentions: Approximately 48 hours after the incident, extraoral examination revealed significant soft tissue swelling extending from the left infraorbital region to the mandibular border. Infraorbital ecchymosis and slight bruising near the nasolabial fold were observed (Figure 1). Intraorally, there were no signs of mucosal ulceration or necrosis. The tooth being treated was tender to vertical and horizontal percussion. Panoramic radiography showed evidence of a previous root canal therapy with periapical radiolucency (Figure 2).


Inadvertent apical extrusion of sodium hypochlorite with evaluation by dental volumetric tomography.

Başer Can ED, Karapınar Kazandağ M, Kaptan RF - Case Rep Dent (2015)

Infraorbital ecchymosis and slight bruising near the nasolabial fold.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4390169&req=5

fig1: Infraorbital ecchymosis and slight bruising near the nasolabial fold.
Mentions: Approximately 48 hours after the incident, extraoral examination revealed significant soft tissue swelling extending from the left infraorbital region to the mandibular border. Infraorbital ecchymosis and slight bruising near the nasolabial fold were observed (Figure 1). Intraorally, there were no signs of mucosal ulceration or necrosis. The tooth being treated was tender to vertical and horizontal percussion. Panoramic radiography showed evidence of a previous root canal therapy with periapical radiolucency (Figure 2).

Bottom Line: The patient was followed up every other day and became asymptomatic on the 10th day.Endodontic therapy was completed with routine procedures.Determining working length precisely and following irrigation protocols meticulously are indispensable to prevent this type of complication. 3D visualization of the affected area may reveal the cause of the incident.

View Article: PubMed Central - PubMed

Affiliation: Department of Endodontics, Faculty of Dentistry, Yeditepe University, Bagdat Caddesi 238, Göztepe, 34728 Istanbul, Turkey.

ABSTRACT
This case report describes the tissue injury caused by inadvertently extruded NaOCl through the apical constriction. A 56-year-old female patient with complaints of pain, swelling, and ecchymosis on the left side of her face was referred to our clinic. The symptoms had emerged following root canal treatment of the maxillary left first premolar, and a soft tissue complication due to apical extrusion of NaOCl was diagnosed. Antibiotics and analgesics were prescribed. DVT images revealed that the buccal root apex had perforated the maxillary bone. The patient was followed up every other day and became asymptomatic on the 10th day. Endodontic therapy was completed with routine procedures. Determining working length precisely and following irrigation protocols meticulously are indispensable to prevent this type of complication. 3D visualization of the affected area may reveal the cause of the incident.

No MeSH data available.


Related in: MedlinePlus