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http://dx.doi.org/10.14402/jkamprs.2013.35.4.260

Nerve Injury from Overfilled Calcium Hydroxide Root Canal Filling Paste for Maxillary Lateral Incisor Endodontic Treatment  

Na, Kwang Myung (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Kim, Jong-Bae (Department of Dentistry, College of Medicine, Keimyung University)
Chin, Byung-Rho (Department of Dentistry, College of Medicine, Yeungnam University)
Kim, Jin-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Kim, Chin-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Kwon, Tae-Geon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.35, no.4, 2013 , pp. 260-264 More about this Journal
Abstract
Calcium hydroxide root canal filing paste (vitapex) is widely used as canal filling paste for infected canal. However, chemical burn is possible because of the high alkali base of calcium hydroxide. A 57-year old woman was admitted to our clinic for consistent dull pain and paresthesia in the left upper lip, zygoma and buccal cheek area, which developed during an endodontic treatment of the left lateral incisor. Radiographic finding showed radiopaque material, which exits from the left incisor root apex, and was within the left canine and first premolar buccal soft tissue. The overfilled Vitapex extended to the soft tissue was surgically curetted. The result of the surgical curettage was favorable. Though slight hypoesthesia on the upper lip was still remained, paresthesia on zygomatic and buccal cheek area was completely recovered. As far as we know, this is the first case report of infraorbital nerve damage from overfilled Vitapex material.
Keywords
Vitapex; Calcium hydroxide; Apical leakage; Paresthesia;
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