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Neurological deficit of the facial nerve after root canal treatment


Kruse, A; Hellmich, N; Lübbers, H T; Grätz, K W (2009). Neurological deficit of the facial nerve after root canal treatment. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 108(2):e46-e48.

Abstract

Here we report the unusual case of a patient who suffered neurological deficit of the facial nerve as a complication of a root canal treatment. During the canal treatment, 3% hydrogen peroxide and 90% ethanol rinses were performed. The present case demonstrated rinse toxicity to vital tissue as evidenced by severe clinical damage. Chlorhexidine can be used instead of potentially toxic rinses with good antimicrobiological results. Furthermore, special attention should be paid to determination of the root canal length and the integrity of the canal system before rinsing. Also irrigation should be applied at a low pressure.

Abstract

Here we report the unusual case of a patient who suffered neurological deficit of the facial nerve as a complication of a root canal treatment. During the canal treatment, 3% hydrogen peroxide and 90% ethanol rinses were performed. The present case demonstrated rinse toxicity to vital tissue as evidenced by severe clinical damage. Chlorhexidine can be used instead of potentially toxic rinses with good antimicrobiological results. Furthermore, special attention should be paid to determination of the root canal length and the integrity of the canal system before rinsing. Also irrigation should be applied at a low pressure.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:August 2009
Deposited On:01 Feb 2010 13:32
Last Modified:17 Feb 2018 23:37
Publisher:Elsevier
ISSN:1079-2104
OA Status:Green
Publisher DOI:https://doi.org/10.1016/j.tripleo.2009.03.045
PubMed ID:19615644

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