Piezosurgical management of sealer extrusion-associated mental nerve anaesthesia: A case report.
mental nerve
paraesthesia
piezosurgery
sealer extrusion
Journal
Australian endodontic journal : the journal of the Australian Society of Endodontology Inc
ISSN: 1747-4477
Titre abrégé: Aust Endod J
Pays: Australia
ID NLM: 100888004
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
accepted:
14
09
2018
pubmed:
20
10
2018
medline:
23
10
2019
entrez:
20
10
2018
Statut:
ppublish
Résumé
The present report describes a case where sealer extrusion (Sealapex) occurred during root canal obturation of a left lower second premolar tooth, and the patient experienced sudden pain and followed by complete anaesthesia of the lower lip. After 3 weeks of conservative therapy and an unaltered anaesthesia period, piezosurgical removal of the extruded sealer and root-end resection was performed despite the direct contact with the mental neurovascular bundle. At suture removal, 1 week after surgery, there was no improvement in sensation. Two weeks after the operation, the patient reported some changes, including a short paraesthesia period alternating with anaesthesia. At the fourth post-operative week, neurosensory function recovered completely. This case represents successful use of the piezoelectric technique for mental nerve decompression and periapical surgery of a lower second premolar with close contact of the mental nerve.
Substances chimiques
Root Canal Filling Materials
0
Types de publication
Case Reports
Langues
eng
Pagination
274-280Subventions
Organisme : Magyar Tudományos Akadémia
ID : BO/00074/16/5
Organisme : Hungarian Dental Association-NSK (MFE-NSK)
Informations de copyright
© 2018 Australian Society of Endodontology Inc.
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