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.
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http://dx.doi.org/10.4103/jpbs.jpbs_160_24 | DOI Listing |
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 PDFJ Pharm Bioallied Sci
December 2024
Department of Clinical Sciences, College of Dentistry, Ajman University, Centre of Medical and Bio-Allied Health Sciences Research, Ajman, Unite Arab Emirates.
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 PDFJ Endod
March 2025
Department of Endodontics, Jinan Stomatological Hospital, Jinan, Shandong, 250001, P.R. China.
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.
J Conserv Dent Endod
February 2025
Endodontist, M and M Dental Art Studio, Vodadara, Gujarat, India.
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.
J Conserv Dent Endod
February 2025
Department of Periodontology, King George's Medical University, Lucknow, Uttar Pradesh, India.
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.
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