Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?

ABSTRACT: The objective of this study is to discuss and analyze whether extrusion of endodontic material constitutes avoidable intercurrence, discussing the clinical, ethical and legal implications. Patient LSR, 31 years old, female, attended a dental consultation complaining of pain in the second l...

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Autores principales:	Scartezini,Guilherme Romano, Souza,Paulo Otávio Carmo, Mathne,Jacqueline da Silva Telles, Felter,Matheus, Ferrari-Piloni,Carolina, Rodrigues,Livia Graziele, Silva,Rhonan Ferreira
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2019
Materias:	endodontics extravasation of therapeutic materials tooth apex apicoectomy oral surgery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2019000400392
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spelling	oai:scielo:S0718-381X20190004003922019-10-07Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?Scartezini,Guilherme RomanoSouza,Paulo Otávio CarmoMathne,Jacqueline da Silva TellesFelter,MatheusFerrari-Piloni,CarolinaRodrigues,Livia GrazieleSilva,Rhonan Ferreira endodontics extravasation of therapeutic materials tooth apex apicoectomy oral surgery ABSTRACT: The objective of this study is to discuss and analyze whether extrusion of endodontic material constitutes avoidable intercurrence, discussing the clinical, ethical and legal implications. Patient LSR, 31 years old, female, attended a dental consultation complaining of pain in the second left maxillary premolar (tooth 25). Radiographically, a single root canal and thickening of the periodontal ligament associated with extravasation of 8 mm of gutta percha to the maxillary sinus were observed. The first endodontic session aimed to performing the desobturation, root canal preparation and intracanal medication placement. The root canal obturation was performed in the second session. Was carried out an apical surgery that removed 2 mm from the root apex and also performed the covered with a collagen membrane. A 22 months follow-up revealed a tooth function, absence of painful symptomatology or infection, and radiographically normal periodontal ligament and bone neoformation. The second single-root premolar is the type of premolar with less distance with the floor of the maxillary sinus. In this case, the extrusion of the obturator material occurred due to the superinstrumentation of the root canal associated with the proximity of the root with the membrane of the maxillary sinus. From the ethical and legal point of view, the patient has the right to be informed about any intercurrences that may arise during or after the treatment, and the informed consent form is essencial. This document will allow the patient to make a decision about performing an endodontic treatment in which the risk of an accident or complication is imminent or that treatment failure is already expected. It is important that professionals make appropriate diagnosis and treatment plan for each case, since this conduct may avoid clinical intercurrences. In addition, if the intercurrences occur, the patient should be advised of how to proceed.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.13 n.4 20192019-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2019000400392en10.4067/S0718-381X2019000400392
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	endodontics extravasation of therapeutic materials tooth apex apicoectomy oral surgery
spellingShingle	endodontics extravasation of therapeutic materials tooth apex apicoectomy oral surgery Scartezini,Guilherme Romano Souza,Paulo Otávio Carmo Mathne,Jacqueline da Silva Telles Felter,Matheus Ferrari-Piloni,Carolina Rodrigues,Livia Graziele Silva,Rhonan Ferreira Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?
description	ABSTRACT: The objective of this study is to discuss and analyze whether extrusion of endodontic material constitutes avoidable intercurrence, discussing the clinical, ethical and legal implications. Patient LSR, 31 years old, female, attended a dental consultation complaining of pain in the second left maxillary premolar (tooth 25). Radiographically, a single root canal and thickening of the periodontal ligament associated with extravasation of 8 mm of gutta percha to the maxillary sinus were observed. The first endodontic session aimed to performing the desobturation, root canal preparation and intracanal medication placement. The root canal obturation was performed in the second session. Was carried out an apical surgery that removed 2 mm from the root apex and also performed the covered with a collagen membrane. A 22 months follow-up revealed a tooth function, absence of painful symptomatology or infection, and radiographically normal periodontal ligament and bone neoformation. The second single-root premolar is the type of premolar with less distance with the floor of the maxillary sinus. In this case, the extrusion of the obturator material occurred due to the superinstrumentation of the root canal associated with the proximity of the root with the membrane of the maxillary sinus. From the ethical and legal point of view, the patient has the right to be informed about any intercurrences that may arise during or after the treatment, and the informed consent form is essencial. This document will allow the patient to make a decision about performing an endodontic treatment in which the risk of an accident or complication is imminent or that treatment failure is already expected. It is important that professionals make appropriate diagnosis and treatment plan for each case, since this conduct may avoid clinical intercurrences. In addition, if the intercurrences occur, the patient should be advised of how to proceed.
author	Scartezini,Guilherme Romano Souza,Paulo Otávio Carmo Mathne,Jacqueline da Silva Telles Felter,Matheus Ferrari-Piloni,Carolina Rodrigues,Livia Graziele Silva,Rhonan Ferreira
author_facet	Scartezini,Guilherme Romano Souza,Paulo Otávio Carmo Mathne,Jacqueline da Silva Telles Felter,Matheus Ferrari-Piloni,Carolina Rodrigues,Livia Graziele Silva,Rhonan Ferreira
author_sort	Scartezini,Guilherme Romano
title	Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?
title_short	Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?
title_full	Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?
title_fullStr	Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?
title_full_unstemmed	Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?
title_sort	extrusion of endodontic material to the maxillary sinus: avoidable intercurrence?
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2019000400392
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Extrusion of Endodontic Material to the Maxillary Sinus: Avoidable Intercurrence?

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