Antral bony wall erosion, trigeminal nerve injury, and enophthalmos after root canal surgery.

ABSTRACT:

Introduction

The frequently used irrigant in dental surgery, sodium hypochlorite, is occasionally the cause of minor, usually circumscribed, adverse effects. Severe, extensive complications, with lasting sequelae, however, also can occur, as in the case we report herein.

Case report

A 55-year-old woman underwent an endodontic procedure on a maxillary molar, whose roots, unknown to the surgeon, were protruding into the maxillary sinus. After sodium hypochlorite root canal irrigation, the patient immediately developed intense facial pain, facial edema, and periorbital cellulitis. An emergency department evaluation diagnosed an intense inflammatory disease of the maxillary sinus, with significant destruction of its bony walls, accompanied by midface paraesthesia due to infraorb

SUBMITTER: Costa T 

PROVIDER: S-EPMC5010441 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature