This report highlights a rare occurrence of inferior alveolar nerve (IAN) injury resulting from calcium hydroxide extrusion during endodontic treatment. The patient experienced severe pain and paresthesia in the lower right lip following root canal treatment due to the inadvertent overflow of calcium hydroxide into the IAN canal. No surgical intervention was performed, and the patient received non-steroidal anti-inflammatory analgesics and vitamin B complex injections to manage the symptoms. At 6 months, complete resorption of the root canal material occurred, resulting in further reduction in paresthesia. After a 2-year follow-up, the complete disappearance of paresthesia occurred. The importance of the preoperative radiographs is highlighted. The lack of radiographic assessment at the patient's request led to calcium hydroxide overflow.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11888619PMC
http://dx.doi.org/10.4103/jpbs.jpbs_160_24DOI Listing

Publication Analysis

Top Keywords

calcium hydroxide
16
root canal
12
inferior alveolar
8
alveolar nerve
8
hydroxide extrusion
8
canal treatment
8
diagnosis management
4
management inferior
4
nerve injury
4
injury caused
4

Similar Publications

Effectiveness of phosphate binders on mortality and cardiovascular disease in end-stage renal disease patients with hyperphosphatemia: a multicenter real-world cohort study.

BMC Nephrol

March 2025

Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 3rd Floor, Research Center Building, 270 RAMA VI Road. Ratchathewi, Bangkok, 10400, Thailand.

Background: Uncontrolled hyperphosphatemia in end stage renal disease (ESRD) increases the risk of cardiovascular disease (CVD), bone disorders, and premature mortality. Randomized controlled trials show reduced CVD risk of non-calcium-based phosphate-binders (NCBPBs) compared to CBPBs although evidence from real world data is less consistent. This study aimed to compare the effectiveness of NCBPBs, CBPBs, to no phosphate-binder (PB) on mortality and cardiovascular disease in Thai hyperphosphatemic ESRDs.

View Article and Find Full Text PDF

This report highlights a rare occurrence of inferior alveolar nerve (IAN) injury resulting from calcium hydroxide extrusion during endodontic treatment. The patient experienced severe pain and paresthesia in the lower right lip following root canal treatment due to the inadvertent overflow of calcium hydroxide into the IAN canal. No surgical intervention was performed, and the patient received non-steroidal anti-inflammatory analgesics and vitamin B complex injections to manage the symptoms.

View Article and Find Full Text PDF

Objective: To compare the efficiency of four methods for removing calcium hydroxide in root canals.

Methods: 80 mandibular single-tube permanent premolars were instrumented to ProTaper Universal F4. The teeth were split in two lengthwise, standardized grooves, and depressions were prepared on the wall of the root canal and filled with calcium hydroxide.

View Article and Find Full Text PDF

Aim: The purpose of the study was to clinically evaluate interappointment flare-ups, on placing (neem), garlic ( L.), Triphala, and calcium hydroxide (CH) as an intracanal medicament (ICM), using Verbal Rating Scale (VRS) in a patient with a primary endodontic lesion.

Methodology: Two hundred and forty patients indicated for root canal therapy were divided into two main groups as single-rooted teeth and multirooted teeth.

View Article and Find Full Text PDF

Background: Preserving pulp vitality is crucial for maintaining tooth function and structure. Vital pulp therapy uses pulp capping agents to promote pulp healing and regeneration.

Aims: This study evaluated the outcomes of four different pulp capping agents.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!