Modern surgical endodontic treatment of altered sensation following extrusion of endodontic filling materials.

Abstract

Aim: This study presents the use of a modern surgical endodontic technique for the treatment of altered sensation following extrusion of endodontic filling materials.

Case presentation: A patient presented with an altered sensation following a root canal treatment and extrusion of root filling material at the mandibular canine and lateral incisor. She was treated using a modern surgical technique that included removal of the extruded filling materials followed by root-end management and obturation. The treatment resulted in complete periapical and neurosensory healing.

Conclusions: Modern endodontic surgery may be beneficial for patients with nerve injury due to extruded endodontic filling materials, since it enables a relatively safe removal of the irritating extruded endodontic materials, proper root-end management and preservation of the natural tooth.