overextension of nonsetting calcium hydroxide in endodontic treatment: literature review and case report

نویسندگان

arash shahravan

shahrzad jalali

behrooz mozaffari

nasim pourdamghan

چکیده

premixed non-setting calcium hydroxide (caoh 2 ) paste in pressure syringe system is commonly used in root canal therapy. the aim of this paper is to present a case involving an iatrogenic extrusion of the medicament during endodontic treatment and a literature review of similar reports. the present case demonstrates severe tissue necrosis and other deleterious effects following the extrusion of caoh 2 paste beyond root apex. a 21-year old female was referred for endodontic treatment of her maxillary left first premolar. after completion of the canal preparation, root canals were filled by premixed caoh 2 paste. in the second appointment, a gingival detachment and an irregular zone of necrosis adjacent to the tooth apex was observed. to treat this complication, a mucoperiosteal flap was raised and the extruded material and necrotic tissues were currettaged and the area sutured. the patient was prescribed antibiotics and followed up at 2 weeks, 6 months and 2 years. two week follow up showed good soft tissue healing. two years postoperatively, complete radiographic and clinical healing was observed. we can conclude that the application of caoh 2 should be carried out with care and preferably applied free hand or with a lentulo spiral rather than in a pressure syringe.

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عنوان ژورنال:
iranian endodontic journal

جلد ۷، شماره ۲، صفحات ۱۰۲-۱۰۸

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