Mental nerve injury caused by Gutta-Percha Overextension: A case report

Gözde Akbal Dinçer; Deniz Erdoğan; Ali Türkyılmaz; Ali Erdemir

Olgu Sunumu

GÜTAPERKA TAŞMASININ NEDEN OLDUĞU MENTAL SİNİR YARALANMASI: BİR OLGU SUNUMU

Yıl 2021, Cilt: 7 Sayı: 2, 41 - 45, 31.08.2021

Gözde Akbal Dinçer Deniz Erdoğan Ali Türkyılmaz Ali Erdemir

Öz

Amaç: İnferior alveolar sinir hasarına bağlı olarak parestezi görülebilir. Nadiren, bu sinir hasarı endodontik tedavi öncesinde, sırasında veya sonrasında ortaya çıkabilir. Endodonti kaynaklı parestezi nedenleri; periapikal enfeksiyonlar, lokal anestezi, kök kanal yıkama, şekillendirme ve dolgu işlemleri sırasında ortaya çıkan kimyasal ve mekanik iritasyonlardır. Endodonti kaynaklı parestezi en çok alt molar dişlerde görülür ve cerrahi tedavi yaklaşımı izlenir. Bu olgu sunumunda, sağ ikinci premolar apeksinden gütaperka ekstrüzyonuna bağlı gelişen mental sinir parestezisinin konik ışınlı bilgisayarlı tomografi (CBCT) ile tanı ve cerrahi dışı tedavisinin sunulması amaçlanmıştır. Olgu: 40 yaşındaki kadının sağ alt dudağında ve çenesinde mandibular sağ ikinci küçük azının endodontik tedavisinden iki gün sonra ağrı ve uyuşma meydana gelmiştir. Gütaperka tek parça halinde kök kanalından çıkarılmış ve hastanın şikayetleri ortadan kalkmıştır. Bir yıllık takipte hastanın şikayeti bulunmamaktadır. Sonuç: CBCT, endodontik tedavi komplikasyonuna bağlı inferior alveolar sinir parestezisinden şüphelenildiğinde etkili bir tanı aracı olarak düşünülebilir. Gütaperka ekstrüzyonunun neden olduğu parestezi vakalarında cerrahi olmayan retreatment prosedürleri faydalı olabilir.

Anahtar Kelimeler

endodonti, mental sinir yaralanması, olgu sunumu, iatrojenik yaralanma, güta taşması

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

Bu makale, çok nadir ve ilginç bir vaka sunumunu içermektedir. Olguyu literatür taraması ile de pekiştirdik. Bu bağlamda bu vaka sunumu çalışmasının literatüre katkı sağlayacağına inanıyoruz. Vakit ayırdığınız için teşekkür ederim. Saygılarımla, Dr. Öğr. Üyesi Gözde Akbal Dinçer

Kaynakça

1. Gambarini G, Plotino G et al. Differential diagnosis of endodontic‐related inferior alveolar nerve paraesthesia with cone beam computed tomography: a case report. Int Endod J 2011;44:176-181.
2. Kruse A, Hellmich N et al. Neurological deficit of the facial nerve after root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: 46–48.
3. Morse DR. Endodontic-related inferior alveolar nerve and mental foramen paresthesia. Compend Contin Educ Dent. 1997; 18: 963–968.
4. Mohammadi Z. Endodontics-Related Paresthesia of the Mental and Inferior Alveolar Nerves: An Updated Review. J Can Dent Assoc. 2010; 76: 117.
5. Cohenca N, Rotstein I. Mental nerve paresthesia associated with a non-vital tooth. Endod Dent Traumatol. 1996; 12: 298-300.
6. Chong BS, Gohil K et al. Anatomical relationship between mental foramen, mandibular teeth and risk of nerve injury with endodontic treatment. Clin Oral Invest. 2017; 21: 381-387.
7. Knowles KI, Jergenson MA et al. Paresthesia associated with endodontic treatment of mandibular premolars. J Endod. 2003; 29: 768–770.
8. Renton T, Yilmaz Z. Profiling of patients presenting with post traumatic neuropathy of the trigeminal nerve. J Orofac Pain. 2011; 25: 333–344.
9. Ahonen M. Tjäderhane L. Endodontic-related paresthesia: a case report and literature review. J Endod. 2011; 37: 1460-1464.
10. Andrabi, Syed Mukhtar-Un-Nisar et al. Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report. Restor Dent Endod. 2014; 39: 215-219.
11. Biglioli F, Kutanovaite O et al. Surgical treatment of painful inferior alveolar nerve injuries following endodontic treatment: a consecutive case series of seven patients. J Oral Maxillofac Surg. 2017;21:461-466. https://doi.org/10.1007/s10006-017-0656-8.
12. Blanas N, Kienle F et al. Inferior alveolar nerve injury caused by thermoplastic gutta-percha overextension. J Can Dent Assoc. 2004; 70: 384-387.
13. Escoda-Francoli J, Canalda-Sahli C et al. Inferior alveolar nerve damage because of overextended endodontic material: a problem of sealer cement biocompatibility? J Endod. 2007; 33: 1484-1489.
14. González-Martín M, Torres-Lagares D et al. Inferior alveolar nerve paresthesia after overfilling of endodontic sealer into the mandibular canal. J Endod. 2010; 36: 1419-1421.
15. López‐López J, Estrugo‐Devesa A et al. Inferior alveolar nerve injury resulting from overextension of an endodontic sealer: non‐surgical management using the GABA analogue pregabalin. Int Endod J. 2012; 45: 98-104.
16. Poveda R, Bagán JV et al. Mental nerve paresthesia associated with endodontic paste within the mandibular canal: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 46-49.
17. Scarano A, Di Carlo F et al. Injury of the inferior alveolar nerve after overfilling of the root canal with endodontic cement: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104: 56-59.
18. Devine M, Modgill O et al. Mandibular division trigeminal nerve injuries following primary endodontic treatment. A case series. Aust Endod J. 2017; 43: 56-65.
19. Patel S, Dawood A et al. The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography – an in vivo investigation. Int Endod J. 2009; 42: 831–838.
20. Alves FR, Coutinho MS et al. Endodontic-related facial paresthesia: systematic review. J Can Dent Assoc. 2014; 80: 13.
21. Koseoglu BG, Tanrikulu S et al. Anesthesia following overfilling of a root canal sealer into the mandibular canal: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101: 803-806.

Mental nerve injury caused by Gutta-Percha Overextension: A case report

Yıl 2021, Cilt: 7 Sayı: 2, 41 - 45, 31.08.2021

Gözde Akbal Dinçer Deniz Erdoğan Ali Türkyılmaz Ali Erdemir

Öz

Aim: Paresthesia can be seen due to inferior alveolar nerve damage. Rarely, this nerve injury can occur before, during or after endodontic treatment. Endodontics-related causes of paresthesia are periapical infections, local anesthesia, chemical and mechanical irritations that occurs during root canal irrigation, shaping and filling procedures. Endodontic-related paresthesia is mostly seen in lower molar teeth and surgical treatment approach is followed. This case report aimed to present diagnosis and non-surgical treatment of mental nerve paresthesia caused by gutta-percha overextension from the apex of right second premolar with the usage of cone-beam computed tomography (CBCT). Case: 40-year-old woman had pain and numbness in her right lower lip and chin which occured two days later following endodontic therapy for her mandibular right second premolar. The gutta-percha was removed from the root canal in one piece and the patient's complaints were gone. One-year follow-up was uneventful. Conclusion: CBCT can be considered as an effective diagnostic tool when inferior alveolar nerve paraesthesia due to endodontic treatment complication is suspected. Non-surgical retreatment procedures could be beneficial in cases of paraesthesia caused by gutta-percha extrusion.

Anahtar Kelimeler

overextention, mental nerve injury, endodontics, iatrogenic injury, case report

Proje Numarası

yok

Kaynakça

1. Gambarini G, Plotino G et al. Differential diagnosis of endodontic‐related inferior alveolar nerve paraesthesia with cone beam computed tomography: a case report. Int Endod J 2011;44:176-181.
2. Kruse A, Hellmich N et al. Neurological deficit of the facial nerve after root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: 46–48.
3. Morse DR. Endodontic-related inferior alveolar nerve and mental foramen paresthesia. Compend Contin Educ Dent. 1997; 18: 963–968.
4. Mohammadi Z. Endodontics-Related Paresthesia of the Mental and Inferior Alveolar Nerves: An Updated Review. J Can Dent Assoc. 2010; 76: 117.
5. Cohenca N, Rotstein I. Mental nerve paresthesia associated with a non-vital tooth. Endod Dent Traumatol. 1996; 12: 298-300.
6. Chong BS, Gohil K et al. Anatomical relationship between mental foramen, mandibular teeth and risk of nerve injury with endodontic treatment. Clin Oral Invest. 2017; 21: 381-387.
7. Knowles KI, Jergenson MA et al. Paresthesia associated with endodontic treatment of mandibular premolars. J Endod. 2003; 29: 768–770.
8. Renton T, Yilmaz Z. Profiling of patients presenting with post traumatic neuropathy of the trigeminal nerve. J Orofac Pain. 2011; 25: 333–344.
9. Ahonen M. Tjäderhane L. Endodontic-related paresthesia: a case report and literature review. J Endod. 2011; 37: 1460-1464.
10. Andrabi, Syed Mukhtar-Un-Nisar et al. Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report. Restor Dent Endod. 2014; 39: 215-219.
11. Biglioli F, Kutanovaite O et al. Surgical treatment of painful inferior alveolar nerve injuries following endodontic treatment: a consecutive case series of seven patients. J Oral Maxillofac Surg. 2017;21:461-466. https://doi.org/10.1007/s10006-017-0656-8.
12. Blanas N, Kienle F et al. Inferior alveolar nerve injury caused by thermoplastic gutta-percha overextension. J Can Dent Assoc. 2004; 70: 384-387.
13. Escoda-Francoli J, Canalda-Sahli C et al. Inferior alveolar nerve damage because of overextended endodontic material: a problem of sealer cement biocompatibility? J Endod. 2007; 33: 1484-1489.
14. González-Martín M, Torres-Lagares D et al. Inferior alveolar nerve paresthesia after overfilling of endodontic sealer into the mandibular canal. J Endod. 2010; 36: 1419-1421.
15. López‐López J, Estrugo‐Devesa A et al. Inferior alveolar nerve injury resulting from overextension of an endodontic sealer: non‐surgical management using the GABA analogue pregabalin. Int Endod J. 2012; 45: 98-104.
16. Poveda R, Bagán JV et al. Mental nerve paresthesia associated with endodontic paste within the mandibular canal: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 46-49.
17. Scarano A, Di Carlo F et al. Injury of the inferior alveolar nerve after overfilling of the root canal with endodontic cement: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104: 56-59.
18. Devine M, Modgill O et al. Mandibular division trigeminal nerve injuries following primary endodontic treatment. A case series. Aust Endod J. 2017; 43: 56-65.
19. Patel S, Dawood A et al. The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography – an in vivo investigation. Int Endod J. 2009; 42: 831–838.
20. Alves FR, Coutinho MS et al. Endodontic-related facial paresthesia: systematic review. J Can Dent Assoc. 2014; 80: 13.
21. Koseoglu BG, Tanrikulu S et al. Anesthesia following overfilling of a root canal sealer into the mandibular canal: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101: 803-806.

Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Diş Hekimliği
Bölüm	Olgu Sunumu
Yazarlar	Gözde Akbal Dinçer 0000-0001-5188-334X Deniz Erdoğan Ali Türkyılmaz 0000-0003-0641-0062 Ali Erdemir 0000-0003-1140-3887
Proje Numarası	yok
Yayımlanma Tarihi	31 Ağustos 2021
Kabul Tarihi	16 Nisan 2021
Yayımlandığı Sayı	Yıl 2021 Cilt: 7 Sayı: 2

Kaynak Göster

APA	Akbal Dinçer, G., Erdoğan, D., Türkyılmaz, A., Erdemir, A. (2021). Mental nerve injury caused by Gutta-Percha Overextension: A case report. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), 7(2), 41-45.
AMA	Akbal Dinçer G, Erdoğan D, Türkyılmaz A, Erdemir A. Mental nerve injury caused by Gutta-Percha Overextension: A case report. J Int Dent Sci. Ağustos 2021;7(2):41-45.
Chicago	Akbal Dinçer, Gözde, Deniz Erdoğan, Ali Türkyılmaz, ve Ali Erdemir. “Mental Nerve Injury Caused by Gutta-Percha Overextension: A Case Report”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 7, sy. 2 (Ağustos 2021): 41-45.
EndNote	Akbal Dinçer G, Erdoğan D, Türkyılmaz A, Erdemir A (01 Ağustos 2021) Mental nerve injury caused by Gutta-Percha Overextension: A case report. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 7 2 41–45.
IEEE	G. Akbal Dinçer, D. Erdoğan, A. Türkyılmaz, ve A. Erdemir, “Mental nerve injury caused by Gutta-Percha Overextension: A case report”, J Int Dent Sci, c. 7, sy. 2, ss. 41–45, 2021.
ISNAD	Akbal Dinçer, Gözde vd. “Mental Nerve Injury Caused by Gutta-Percha Overextension: A Case Report”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 7/2 (Ağustos 2021), 41-45.
JAMA	Akbal Dinçer G, Erdoğan D, Türkyılmaz A, Erdemir A. Mental nerve injury caused by Gutta-Percha Overextension: A case report. J Int Dent Sci. 2021;7:41–45.
MLA	Akbal Dinçer, Gözde vd. “Mental Nerve Injury Caused by Gutta-Percha Overextension: A Case Report”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), c. 7, sy. 2, 2021, ss. 41-45.
Vancouver	Akbal Dinçer G, Erdoğan D, Türkyılmaz A, Erdemir A. Mental nerve injury caused by Gutta-Percha Overextension: A case report. J Int Dent Sci. 2021;7(2):41-5.

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