Inferior alveolar nerve damage after extrusion of an endodontic sealer into the mandibular canal: a case reportZeliha Y?lmaz, Emel Uzunoglu, Ozge ErdoganHacettepe University Faculty of Dentistry Department of Endodontics Ankara/ Turkey
The aim of this case report was to discuss the consequences and treatment options of inferior alveolar nerve damage after the overextension of an endodontic sealer into the mandibular canal. A 33-year-old female patient was referred to the clinic of endodontics with persistent numbness around her left commissura as a consequence of her initial endodontic treatment of a lower left first molar. The patient’s complaints started to occur after the anesthesia has worn off. An endodontic sealer was extruded and spread into the mandibular canal, which caused anesthesia, paresthesia and tingling sensation around the left part of lower lip. Performing an interdisciplinary framework with the department of oral surgery, it was decided to monitor the patient regularly without any surgical intervention in order not to cause more trauma to the inferior alveolar nerve and not to jeopardize the present health status of the patient. Although damage to the inferior alveolar nerve is a relatively rare complication in dental practice, longlasting consequences of such a complication stress the significance of showing absolute attention and care during all endodontic. Keywords: Inferior alveolar nerve, paresthesia, root canal sealer.
Kök Kanal Dolgu Pat?n?n Mandibular Kanala Ta?mas? Sonucu Olu?an Inferior Alveolar Sinir Hasar?: Bir Vaka RaporuZeliha Y?lmaz, Emel Uzunoglu, Ozge ErdoganHacettepe Üniversitesi Di? Hekimli?i Fakültesi Endodonti Bölümü Ankara /Türkiye
Bu vaka raporunun amac? mandibuler kanala ta?an kök kanal dolgu pat?n?n neden oldu?u inferior alveolar sinir hasar?n?n sonuçlar?n? ve tedavi yöntemlerini tart??makt?r. 33 ya??nda kad?n hasta alt birinci büyük az? di?inin kanal tedavisini takiben sol dudak kö?esindeki devam eden uyu?ukluk ?ikayeti ile endodonti klini?ine yönlendirilmi?tir. Hastan?n ?ikayetleri anestezinin etkisinin ortadan kalkmas?yla ba?lam??t?r. Hastan?n yap?lan radyografik muayenesinde kök kanal dolgu pat?n?n mandibular kanala ta?t??? ve yay?ld??? görülmü?tür. Ta?an kök kanal dolgu pat?n?n hastan?n alt sol dudak kö?esinde anestezi, parestezi ve kar?ncalanmaya neden oldu?u anla??lm??t?r. A??z, di? ve çene cerrahisi bölümü ile yap?lan konsültasyon sonucunda ileri bir sinir hasar?n?n önüne geçilmesi aç?s?ndan hastan?n takibine karar verilmi?tir. ?nferior alveolar sinir hasar? nadir görülen bir komplikasyon olmas?na ra?men olu?tu?unda uzun süreli ?ikayetlere neden olur; bu nedenle özellikle mandibuler kanal ile yak?n kom?ulu?u olan di?lerin kök kanal tedavisinde daha dikkatli olunmal? çal??ma boyu do?ru belirlenmelidir. Anahtar Kelimeler: ?nferior alveolar sinir, parestezi, kök kanal dolgu pat?.
Zeliha Y?lmaz, Emel Uzunoglu, Ozge Erdogan. Inferior alveolar nerve damage after extrusion of an endodontic sealer into the mandibular canal: a case report. Turk Endod J. 2016; 1(2): 91-95
Corresponding Author: Emel Uzunoglu, Türkiye |
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