A series of complications following extrusion of root canal sealer: a rare case report


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Kurt B., KARACA İ. R.

Brazilian Journal of Oral Sciences, cilt.25, 2026 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25
  • Basım Tarihi: 2026
  • Doi Numarası: 10.20396/bjos.v25i00.8676295
  • Dergi Adı: Brazilian Journal of Oral Sciences
  • Derginin Tarandığı İndeksler: Scopus, Directory of Open Access Journals
  • Anahtar Kelimeler: Foreign bodies, Mandibular nerve injuries, Root canal therapy
  • Gazi Üniversitesi Adresli: Evet

Özet

Aim: In this study, we aimed to draw attention to the mismanagement of a rare complication that develops during root canal treatment. The report follows the guidelines of the Case Report Guide (CARE) and focuses on steps to eliminate the complication that has occurred. Methods: The widespread acute infection of a 51-year-old female patient who applied to our clinic with an extraoral abscess was first brought under control. Afterward, during the root canal treatment performed on the lower third molar tooth, which was the source of the infection, endodontic paste residues that penetrated the mandibular canal were surgically removed, and the patient was followed up. Results: It was understood that the source of the patient's widespread infection was the medicament-impregnated cotton that the endodontic treatment physician placed into the tooth extraction socket for analgesia. It was observed that the patient's paresthesia, which occurred due to nerve damage, did not regress during long-term follow-up. Conclusion: This case report shows that while it is essential to avoid complications in dentistry, the knowledge and ability to manage them are truly remarkable.