1Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institue of Higher Education and Research (BIHER), Velachery Main Road, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, India
2Professor and Head of the Department Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institue of Higher Education and Research (BIHER), Velachery Main Road, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, India
3Associate Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institue of Higher Education and Research (BIHER), Velachery Main Road, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, India
4Professor, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institue of Higher Education and Research (BIHER), Velachery Main Road, Narayanapuram, Pallikaranai, Chennai, Tamil Nadu, India
*Corresponding Author Arunajatesan Subbiya, MDS Professor and Head of the Department, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Bharath Institue of Higher Education and Research (BIHER), Velachery Main Road, Narayanapuram, Pallikaranai, Chennai, 600 100, Tamil Nadu, India. Mobile- 09840197437, E mail- drsubbiya@gmail.com
Online published on 26 September, 2019.
To evaluate the post operative complications and tissue tolerance of accidentally extruded epoxy resin sealer in a mandibular second molar.
AH plus sealer has been widely used in dentistry as root canal sealer. In our case report the sealer had extruded beyond the mandibular second molar, close to the mandibular canal. Previous reports of paresthesia have been documented after extrusion of endodontic materials into mandibular canal. In our case, the extruded sealer has remained inert and the patient is asymptomatic.
Three dimensional obturation of root canal determines the ultimate success of root canal treatment. While doing so the obturating material and the sealer should not extrude into the periapical region. Such an extrusion may cause irritation to the periapical tissues and lead to post operative pain. Despite taking precautions there may be accidental extrusion of sealer due to inadvertent instrumentation. The fate of such extruded sealer depends upon the type of the sealer. Here is one such case report involving accidental epoxy resin sealer extrusion which had remained inert over a follow-up period of three years.
The treatment outcome has not been affected by the extruded sealer since the root canals have been adequately obturated. AH plus has been well tolerated by the periapical tissues and the patient is asymptomatic for the past three years.
This case report shows that sealer extrusion cases show long term success rates if the root canals are adequately obturated and the extruded sealer is well tolerated by the periapical tissues.
Sealer, AH plus, extrusion, periapical region, inert
