Non-Surgical Management of Extrusion of а Root Canal Material into Periapical Tissues: A Case Report

Volume 4 - Issue 3

Bistra Blagova¹*, Svetlana Shekerova² and Nikolay Yanev³

Received: July 15, 2020;   Published: August 04, 2020

DOI: 10.32474/IPDOAJ.2020.04.000190

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Abstract

Extrusion of root canal sealers may cause damage to the surrounding anatomic structures. Clinical symptoms like pain, swelling and paresthesia or anesthesia may be present. The purpose of this presentation is to describe a conservative management of root canal sealer penetration into periapical tissues. A 17-year-old female underwent root canal treatment of her right maxillary second premolar due to a tooth decay, involving the pulp chamber. A postoperative X-ray revealed the presence of a root canal material beyond the root apex within surrounding tissues. The patient reported neither pain nor other complains. Radiographic examination after 4 months showed complete resorption of the root canal sealer and healing of the periapical area without performing any surgical management. That result was confirmed a year later by the same imaging technique examination. In cases of root canal sealer extrusion, surgical management should be proposed only in association with clinical symptoms or with radiographic evidence of increasing periapical lesion.

Keywords: Foreign body; management; maxillary sinus; root canal materials; tissue reaction

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