The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Surgical treatment for dysesthesia after overfilling of endodontic material into the mandibular canal

하치조신경관으로 과충전된 근관치료 충전재에 의한 감각이상의 외과적 처치

  • Song, Jae-Min (Department of oral and maxillofacial surgery, School of dentistry, Pusan National University) ;
  • Kim, Yong-Deok (Department of oral and maxillofacial surgery, School of dentistry, Pusan National University) ;
  • Lee, Jae-Yeol (Department of oral and maxillofacial surgery, School of dentistry, Pusan National University)
  • 송재민 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이재열 (부산대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2016.08.02
  • Accepted : 2016.09.26
  • Published : 2016.11.01
Download PDF
⟨ Previous Next ⟩

Abstract

Damage to the inferior alveolar nerve(IAN) is a relatively infrequent complication in endodontic treatment. However, endodontic overfilling involving the mandibular canal may cause an injury of the inferior alveolar nerve resulting in sensory disturbances such as pain, dysesthesia, paresthesia or anesthesia. Two mechanism(chemical neurotoxicity and mechanical compression) are responsible for the IAN injury. When absorbent materials overfilled, it can be treated as a non-surgical procedure. But early surgical intervention required when mechanical, chemical nerve damage expected. We report surgical removal of overfilled gutta-percha and IAN decompression through sagittal split osteotomy in case of dysesthesia after overfilling of endodontic material into the mandibular canal. Dysesthesia recovered 3 months after surgical treatment.

Keywords

Acknowledgement

Supported by : 부산대학교

References

  1. Koseoglu BG, Tanrikulu S, Subay RK, Sencer S. Anesthesia following overfilling of a root canal sealer into the mandibular canal: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jun;101(6):803-806. https://doi.org/10.1016/j.tripleo.2005.07.015
  2. Tamse A, Kaffe I, Littner MM, Kozlovsky A. Paresthesia following overextension of AH-26: report of two cases and review of the literature. J Endod 1982;8:88-90. https://doi.org/10.1016/S0099-2399(82)80265-3
  3. LaBanc JP, Epker BN. Serious inferior alveolar nerve dysesthesia after endodontic procedure: report of three cases. J Am Dent Assoc 1984;108:605-607. https://doi.org/10.14219/jada.archive.1984.0393
  4. Fanibunda K, Whitworth J, Steele J. The management of thermomechanically compacted gutta percha extrusion in the inferior dental canal. Br Dent J 1998;184:330-332. https://doi.org/10.1038/sj.bdj.4809618
  5. Tilotta-Yasukawa F1, Millot S, El Haddioui A, Bravetti P, Gaudy JF. Labiomandibular paresthesia caused by endodontic treatment: an anatomic and clinical study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e47-59. https://doi.org/10.1016/j.tripleo.2006.02.017
  6. Scolozzi P, Lombardi T, Jaques B. Successful inferior alveolar nerve decompression for dysesthesia following endodontic treatment: report of 4 cases treated by mandibular sagittal osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:625-631. https://doi.org/10.1016/j.tripleo.2004.01.002
  7. Evans A. Removal of endodontic paste from the inferior alveolar nerve by sagittal splitting of the mandible. Br Dent J 1998;164:18-20.
  8. Meyer RA. Applications of microneurosurgery to the repair of trigeminal nerve injuries. Oral Maxillofac Surg Clin North Am 1992;4:405-414.
  9. LaBanc JP. Classification of nerve injuries. Oral Maxillofac Surg Clin North Am 1992;4:288-295.
  10. Grant GA, Goodkin R, Kliot M. Evaluation and surgical management of peripheral nerve problems. Neurosurgery 1999;4:825-839.
  11. Ahonen M1, Tjaderhane L. Endodontic-related paresthesia: a case report and literature review. J Endod. 2011 Oct;37(10):1460-1464. https://doi.org/10.1016/j.joen.2011.06.016
  12. Brodin P, Roed A, Aars H, Orstavik D. Neurotoxic effects of root filling materials on rat phrenic nerve in vitro. J Dent Res 1982;6:1020-1023.
  13. AR Eriksson, T Albrektson. Temperature threshold levels for heat-induced bone tissue injury: A vital microscopic study in the rabbit. J Prosthet Dent. 1983;50:101-107. https://doi.org/10.1016/0022-3913(83)90174-9
  14. Blanas N, Kienle F, Sandor G. Injury to the inferior alveolar nerve due to thermoplastic utta percha. J Oral Maxillofac Surg 2002;60:574-576. https://doi.org/10.1053/joms.2002.31858
  15. Callskan M, Piskin B. Internal resorption occurring after accidental extrusion of iodoform paste into the mandibular canal. Endod Dent Traumatol 1993;9:81-84. https://doi.org/10.1111/j.1600-9657.1993.tb00667.x
  16. LaBanc JP, Van Boven RW. Surgical management of inferior alveolar nerve injuries. Oral Maxillofac Surg Clin North Am 1992;4:425-437.
  17. Teerijoki-Oksa T, Jaaskelainen SK, Forssell K. Risk factors of nerve injury during mandibular sagittal split osteotomy. Int J Oral lMaxillofac Surg 2002;31:33-39. https://doi.org/10.1054/ijom.2001.0157
  18. Alhassani, AA, AlGhamdi AST. Inferior alveolar nerve injury in implant dentistry: diagnosis, causes, prevention, and management. J Oral Implantol 2010;36:401-407. https://doi.org/10.1563/AAID-JOI-D-09-00059
  19. Pavlikova G, Foltan R, Horka M, Hanzelka T, Borunska H, Sedy J. Piezosurgery in oral and maxillofacial surgery. Int J?Oral?Maxillofac Surg 2011;40:451-457. https://doi.org/10.1016/j.ijom.2010.11.013