Accidental overextension of endodontic filling material in patients with neurologic complications: a retrospective case series

Dentomaxillofac Radiol. 2016;45(5):20150394. doi: 10.1259/dmfr.20150394. Epub 2016 Feb 26.

Abstract

Accidental overextension of filling material during endodontic treatment may cause mechanical and chemical irritation of the adjacent tissue. In this case series, seven patients who complained of neurologic complication after overextension of canal filling material during endodontic treatment were presented. Overextensions of filling material into the surrounding tissues, such as the mandibular canal, bone marrow, and submucosal layer, were confirmed with panoramic radiograph and computed tomographic images. When patients complain of neurological disturbances after root canal treatment, proper radiographic images should be taken to verify any overextension of materials and to determine the specific location of the overfilled materials.

Keywords: canal filling material; neurologic complications; overextension; radiographs.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Medical Errors / adverse effects*
  • Middle Aged
  • Nervous System Diseases / diagnostic imaging
  • Nervous System Diseases / etiology*
  • Retrospective Studies
  • Root Canal Filling Materials / adverse effects*
  • Root Canal Filling Materials / therapeutic use
  • Root Canal Therapy*
  • Young Adult

Substances

  • Root Canal Filling Materials