1 Section 04 - Forensic Odontology, Department of Odontology, Faculty of Health and Medical Sciences, Københavns Universitet2 Department of Oral and Maxillofacial Surgery, Hospital of South West Jutland, Esbjerg, Denmark.3 Clinical Diagnostic Center, Hospital of South West Jutland, Esbjerg, Denmark.4 Section 04 - Forensic Odontology, Department of Odontology, Faculty of Health and Medical Sciences, Københavns Universitet
We present two cases of apical extrusion of non-setting, calcium hydroxide paste which had been placed as an interappointment root canal dressing during routine endodontic treatment and which resulted in tissue necrosis of a large part of themandible, while. Surgical intervention consisted of resections in both instances. In relation to the cases presented, a systematic review of similar cases in the literature between 1980 and April 2013 was conducted which resulted in eight cases meeting the criteria outlined. As with the two presented cases, half of these eight cases showed serious adverse effects and the use of an injectable system had most often been related to apical extrusion. Consequently, great care should be taken when applying the paste into the canal system. 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-maxillo-facial Surgery, 2014, Vol 42, p. 757-762