Injury of the inferior alveolar nerve after overfilling of the root canal with endodontic cement: a case report

Carlo, Fábio Di; Quaranta, A. Alberigi; Piattelli, Adriano

doi:10.1016/j.tripleo.2007.01.036

Cited by 29 publications

(22 citation statements)

References 14 publications

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“…This finding agrees with previous studies, which show hypoesthesia as the commonest sensory disturbance after BSSO, endodontic treatment, local anaesthesia injection and post-procedural inflammatory process [21][22][23][24].…”

Section: Discussionsupporting

confidence: 93%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

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Objective To report the incidence of trigeminal neuropathy seen among new patients in a referral center within a period of 1 year (2013). The cause of damage, method of management and treatment outcome was assessed after 1-year follow-up. Materials and Methods The records of all new patients visiting the oral and maxillofacial unit of the University hospital of Leuven in 2013 were screened for a history of damage to branches of the trigeminal nerve. The selected records were examined and the duration of nerve damage, received treatment as well as the outcome of the neuropathy after treatment was noted after 1-year follow-up. Results 56 patients (21 males, 35 females) from 7602 new patients had symptoms of damage to the trigeminal nerve branch. These symptoms persist in more than onethird of the patients [21/56 (37.5 %)] after 1-year followup. The least recovery is seen from oral surgery, implant placement, orthognathic surgery and tooth extraction. After 1 year 85 % (12/14) of neuropathic pain cases still have their symptoms as compared to 19 % (5/26) of patients with hypoesthesia. Conclusion This study shows a low incidence of nerve damage among the new patients presenting in oral and maxillofacial surgery clinic (\1 %); however, one-third of patients who sustain nerve damage never recover fully. Early diagnosis of the cause of neuropathy is essential. There is a need to objectively assess all patients with symptoms of trigeminal nerve damage before, during and after treatment.

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Section: Discussionsupporting

confidence: 93%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

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“…6,7,13 On the other hand in some clinical case reports if the patient had no complaints, no surgical treatment was performed and the patients was followed up with periodic radiographic examination. 3,8 In their case reports Koseoglu et al 6 …”

Section: Discussionmentioning

confidence: 97%

“…Components of these materials cause reactions of inflammation in periapical tissues; and in maxillary sinus these materials cause blocking of ciliary movement because of inflammation. 3,8 Many of previous clinical reports shows that surgical removal of the root canal filling material from the mandibular canal and maxillary sinus is an effective treatment and complete resolution of the problem. 6,7,13 On the other hand in some clinical case reports if the patient had no complaints, no surgical treatment was performed and the patients was followed up with periodic radiographic examination.…”

Section: Discussionmentioning

confidence: 99%

“…1 Irreversible injury of the inferior alveolar nerve (IAN) following endodontic treatment of the mandibular teeth is a rare complication but it causes some sensory disturbances like pain, hyperesthesia, hypoesthesia, anesthesia and paresthesia. 2,3 These complications generally occur following the extrusion of a canal sealer into the mandibular canal. If the root canal filling materials are too close or intimate contact with the nerve structures, the toxic effects of the materials consists irreversibly.…”

Section: Introductionmentioning

confidence: 99%

“…4 Sensory disturbances of the IAN generally give symptoms in the soft tissue of the lower lip and chin. 3,5 It is reported that surgical removal of root sealer from the mandibular canal is an effective treatment and often complete resolution of anesthesia and paresthesia. 6,7 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endodontic Paste Penetration Both in Maxillary Sinus and Mandibular Canal: Report of a Case Treated by Piezosurgery

Ozden¹,

Koyuncu²,

Günbay³

2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Endodontic incorrect preparation and overfilling can cause root canal filling material pushing into the adjacent vital anatomical structures such as maxillary sinus and mandibular canal. This condition can cause undesirable sensitivity symptoms. Although in some cases spontaneous resorption of some materials has been described; surgically removing the material presents the most favorable prognosis. In this study; a case of endodontic paste penetration both in maxillary sinus and mandibular canal which was treated by piezosurgery is presented.

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A cone‐beam computed tomography study of the anatomical relationships between mandibular teeth and the mandibular canal, with a review of the current literature

Aksoy¹,

Aksoy²,

Orhan

2017

Microscopy Res & Technique

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The purpose of this study was to evaluate age- and sex-related changes in the anatomical relationships between the roots of the molars and premolars and the mandibular canal using cone-beam computed tomography (CBCT) images. A total of 243 patients (116 males, 127 females) aged 16-83 years for whom previous CBCT scans were available were enrolled in this study. The patients were subcategorized by sex and age (Group I, <21 years; Group II, 21-40 years; and Group III, >40 years). The distances between the mandibular canal and the molars and premolars were measured. The mandibular canal was significantly closer to the root apices of the second and third molars than to the apices of other evaluated teeth (p < 0.05). All measurements were significantly higher in male than in female subjects (p < 0.05). Group I subjects exhibited significantly shorter distances between the mandibular canal and root apices of the first and second premolars, and the molars, than those of Group II and III subjects (p < 0.05). Direct contact relationships were found in 1.6%, 3.3%, 3.3%, 16%, and 32.2% of teeth (running from the first premolar to the third molar, respectively). Age and sex influenced the anatomical relationships between mandibular teeth and the mandibular canal, and these should be considered when planning endodontic and surgical procedures to avoid potential nerve injury.

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Injury of the inferior alveolar nerve after overfilling of the root canal with endodontic cement: a case report

Cited by 29 publications

References 14 publications

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Endodontic Paste Penetration Both in Maxillary Sinus and Mandibular Canal: Report of a Case Treated by Piezosurgery

A cone‐beam computed tomography study of the anatomical relationships between mandibular teeth and the mandibular canal, with a review of the current literature

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