Accidental overextension of endodontic filling material in patients with neurologic complications: a retrospective case series

Kim, Jo‐Eun; Cho, Jun-Bum; Yi, Won-Jin; Heo, Min-Suk; Lee, Sam-Sun; Choi, Soon-Chul; Huh, Kyung-Hoe

doi:10.1259/dmfr.20150394

Cited by 10 publications

(9 citation statements)

References 13 publications

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“…The high incidence of post endodontic pain present in (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) In (55-65) age group, the causative factors were mostly (28%) under-filled canal with (35.71%) have intermittent pain, and (26%) due to Unhealed periapical lesion with (53.84%) start suffering from pain after two weeks or more post-operatively.…”

Section: Resultsmentioning

confidence: 99%

“…Diagnosis of complications caused by accidental overextension of endodontic filling material will require an accurate dental history to determine the onset of altered sensation and its evolution. When complications are suspected from the patient's complaints, history, and clinical examinations, overextension of filling material should be confirmed via radiography to verify any overextension of materials and to determine the specific location of the overfilled materials 23 . The second most common factor of PEP was under-filled root canal in (20.8%) of cases that were mostly suffering from intermittent pain (34.61%) every now and then.…”

Section: Figure1: Showes the Effect Of Teeth Discussionmentioning

confidence: 99%

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Radiographic Assessment of Post-Endodontic Pain

Sameer Hatem Abdul Haleem

2021

Indian Journal of Forensic Medicine & Toxicology

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Aim:To radiographically assess and identify the factors that influence post-endodontic pain (PEP) in patients received nonsurgical root canal treatment. Study Design: a longitudinal study. Place and Duration of Study: the study performed on 375 patients (200 male, 175 female), aged 15-65 years randomly attend Dr. Sameer Hatem private clinic in Karbala between 2014-2019 Method. the complete history of patients was taken, clinically examined and then radiographically examined by CSN x-ray machine and Xpod digital sensor to identify the possible factors and assess the status of previously treated teeth, the patients divided into groups according to the age, causative factors, and the onset of pain from patients' chief complain. Results:(Table .2) shows the differences in numbers and percentages of overall patients according to the onset and the causative factors of pain after root canal treatment, the high percentage of the pain of 102/ (27.2%) of patients was due to overextension of filling material, (most of these patients were suffering from spontaneous pain 47.05%). Followed by 78/(20.8%) which were due to failure of treatment due to underfilled root canal (most of them 34.61% have intermittent pain). Conclusion: Periapical x-ray radiography is a valuable technique to identify the causative factors of post endodontic pain and evaluate the success of RCT and the status of endo treated tooth and periapical tissues. All procedural errors can not be depicted on radiographs.

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Section: Resultsmentioning

confidence: 99%

Section: Figure1: Showes the Effect Of Teeth Discussionmentioning

confidence: 99%

Radiographic Assessment of Post-Endodontic Pain

Sameer Hatem Abdul Haleem

2021

Indian Journal of Forensic Medicine & Toxicology

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“…It is well established that endodontic materials should be restricted to the root canals without extrusion into periapical tissues during endodontic treatment [ 29 , 30 ]. However, overextension of root canal materials may take place unintentionally due to overinstrumentation or perforation of the root canals [ 29 ]. This is of major concern when the teeth being treated are in close proximity to anatomically neighboring structures such as the maxillary sinus, mandibular canal, or facial spaces.…”

Section: Discussionmentioning

confidence: 99%

Risk Factor in Endodontic Treatment: Topographic Evaluation of Mandibular Posterior Teeth and Lingual Cortical Plate Using Cone Beam Computed Tomography (CT)

Aksoy

Orhan

2018

Med Sci Monit

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BackgroundTopographic relationships of mandibular posterior teeth with mandibular cortical plate are extremely important both in terms of infection spread and endodontic and surgical procedures to be performed. The aim of this study was to determine the relationship between root apex of the mandibular posterior teeth and lingual plate of the mandible.Material/MethodsCBCT data of 138 patients were retrospectively analyzed. The topographic relationship between root apex and lingual plate was classified as non-contact, contact, or perforation. Morphology of the mandibular lingual plate was classified into the 4 types (convex, parallel, undercut, slanted) and recorded for each tooth region. The prevalence of each group was calculated.ResultsIn 6.2% of all mandibular posterior teeth, the lingual plate was perforated by at least 1 root of the corresponding tooth. The teeth with the highest perforation rate were the third molar tooth (31.6%) and the second molar tooth (14.7%). The most common mandibular lingual plate morphology type was “undercut type” (61.3%) in the molar teeth region, while “parallel type” (55.7%) was most common in the premolar teeth region.ConclusionsIn conclusion, a high percentage of mandibular second and third molars root apex have topographically close relationships to the lingual plate of the mandible. Hence, endodontic consultants must be aware by this anatomical relationship and be aware of possible complications during endodontic and surgical procedures using radiographical modalities.

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“…Accidental overextension of filling material during endodontic treatment can cause chemical and mechanical irritation of the adjacent tissue. It is well established that endodontic materials should be limited to root canals without extension into periapical tissues during root canal treatment (Kim et al, 2016). However, overextension of these materials may take place accidentally through over instrumentation or perforation of the root canals, allowing passage of dressing agents, sealers, or filling material to neighboring structures (Siddique et al, 2019).…”

Section: Perforation and Vertical Root Fracturesmentioning

confidence: 99%

Causes of Endodontic Failure and Remedies

Nirubama.¹,

Kowluru²,

Ezhilarasan³

2021

cibg

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The ultimate goal of any endodontic treatment is to provide a correct diagnosis, optimal mechanical and chemical preparation, and to three-dimensional obturation of the root canal. Persistence of microorganism like bacteria in the apex and canals, poor obturation quality, over and under an extension of the root canal filling, inappropriate mechanical debridement, and coronal leakage noted as come of the commonly attributable causes of failure. Review of literature by collecting and retrieving information from a minimum of 47 articles. Articles were retrieved from search engines such as PubMed, Google Scholar, etc. Despite the high success rate regarding the endodontic treatment, failures also occur in a large no. of cases. The failures that occur most of the time can be attributed to the previously mentioned causes. Since several endodontic treatments are done every day, it has become essential to minimize or avoid the most fundamental of reasons leading to endodontic failure. This paper reviews and highlights the most common causes of endodontic failure.

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Accidental overextension of endodontic filling material in patients with neurologic complications: a retrospective case series

Cited by 10 publications

References 13 publications

Radiographic Assessment of Post-Endodontic Pain

Radiographic Assessment of Post-Endodontic Pain

Risk Factor in Endodontic Treatment: Topographic Evaluation of Mandibular Posterior Teeth and Lingual Cortical Plate Using Cone Beam Computed Tomography (CT)

Causes of Endodontic Failure and Remedies

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