Accidental nasal fossa perforation during endodontic treatment - Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.14645

Keywords:

Root Canal Therapy; Ultrasonics; Nasal Cavity; Endodontics; Cone beam computed tomography.

Abstract

Fracture of an endodontic instrument within the root canal system can occur due to incorrect use of instruments, and clinicians are confronted with a few removal options when considering this situation. The purpose of this article is to present the removal of a fractured endodontic file from the periapical region of the right upper central incisor, that caused a nasal floor perforation and otorhinolaryngological symptoms, with the aid of a dental operating microscope (DOM) and cone bean computed tomography (CBCT). Success was achieved when the fragment was visible and removed from the nasal fossa. The standardized techniques of removal or bypassing fracture file were not effective, and success was obtained with the aid of CBCT that made possible the visualization of the broken file inside the nasal fossa.

References

Ball, R. L., Barbizam, J. V., & Cohenca, N. (2013). Intraoperative endodontic applications of cone-beam computed tomography. Journal of endodontics, 39(4), 548–557. https://doi.org/10.1016/j.joen.2012.11.038

Brain D. J. (1980). Septo-rhinoplasty: the closure of septal perforations. The Journal of laryngology and otology, 94(5), 495–505. https://doi.org/10.1017/s0022215100089179

Cannon, D. E., Frank, D. O., Kimbell, J. S., Poetker, D. M., & Rhee, J. S. (2013). Modeling nasal physiology changes due to septal perforations. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 148(3), 513–518. https://doi.org/10.1177/0194599812472881

Cujé, J., Bargholz, C., & Hülsmann, M. (2010). The outcome of retained instrument removal in a specialist practice. International endodontic journal, 43(7), 545–554. https://doi.org/10.1111/j.1365-2591.2009.01652.x

D'Addazio, P. S., Campos, C. N., Özcan, M., Teixeira, H. G., Passoni, R. M., & Carvalho, A. C. (2011). A comparative study between cone-beam computed tomography and periapical radiographs in the diagnosis of simulated endodontic complications. International endodontic journal, 44(3), 218–224. https://doi.org/10.1111/j.1365-2591.2010.01802.x

Fu, M., Huang, X., He, W., & Hou, B. (2018). Effects of ultrasonic removal of fractured files from the middle third of root canals on dentinal cracks: a micro-computed tomography study. International endodontic journal, 51(9), 1037–1046. https://doi.org/10.1111/iej.12909

Gandevivala, A., Parekh, B., Poplai, G., & Sayed, A. (2014). Surgical removal of fractured endodontic instrument in the periapex of mandibular first molar. Journal of international oral health: JIOH, 6(4), 85–88. Retirado de: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4148581/

Hülsmann, M., & Schinkel, I. (1999). Influence of several factors on the success or failure of removal of fractured instruments from the root canal. Endodontics & dental traumatology, 15(6), 252–258. https://doi.org/10.1111/j.1600-9657.1999.tb00783.x

Lee, H. P., Garlapati, R. R., Chong, V. F., & Wang, D. Y. (2010). Effects of septal perforation on nasal airflow: computer simulation study. The Journal of laryngology and otology, 124(1), 48–54. https://doi.org/10.1017/S0022215109990971

McGuigan, M. B., Louca, C., & Duncan, H. F. (2013). Clinical decision-making after endodontic instrument fracture. British dental journal, 214(8), 395–400. https://doi.org/10.1038/sj.bdj.2013.379

McGuigan, M. B., Louca, C., & Duncan, H. F. (2013). The impact of fractured endodontic instruments on treatment outcome. British dental journal, 214(6), 285–289. https://doi.org/10.1038/sj.bdj.2013.271

Nevares, G., Cunha, R. S., Zuolo, M. L., & Bueno, C. E. (2012). Success rates for removing or bypassing fractured instruments: a prospective clinical study. Journal of endodontics, 38(4), 442–444. https://doi.org/10.1016/j.joen.2011.12.009

Panitvisai, P., Parunnit, P., Sathorn, C., & Messer, H. H. (2010). Impact of a retained instrument on treatment outcome: a systematic review and meta-analysis. Journal of endodontics, 36(5), 775–780. https://doi.org/10.1016/j.joen.2009.12.029

Ramos Brito, A. C., Verner, F. S., Junqueira, R. B., Yamasaki, M. C., Queiroz, P. M., Freitas, D. Q., & Oliveira-Santos, C. (2017). Detection of Fractured Endodontic Instruments in Root Canals: Comparison between Different Digital Radiography Systems and Cone-beam Computed Tomography. Journal of endodontics, 43(4), 544–549. https://doi.org/10.1016/j.joen.2016.11.017

Sapmaz, Emrah, Toplu, Yuksel, & Somuk, Battal Tahsin. (2019). A new classification for septal perforation and effects of treatment methods on quality of life. Brazilian Journal of Otorhinolaryngology, 85(6), 716-723. Epub. https://dx.doi.org/10.1016/j.bjorl.2018.06.003

Sarao SK, Berlin-Broner Y & Levin L. (2020). Occurrence and risk factors of dental root perforations: a systematic review. International Dental Journal. https://doi.org/10.1111/idj.12602

Setzer, F. C., Shah, S. B., Kohli, M. R., Karabucak, B., & Kim, S. (2010). Outcome of endodontic surgery: a meta-analysis of the literature--part 1: Comparison of traditional root-end surgery and endodontic microsurgery. Journal of endodontics, 36(11), 1757–1765. doi: 10.1016/j.joen.2010.08.007

Ungerechts, C., Bårdsen, A., & Fristad, I. (2014). Instrument fracture in root canals - where, why, when and what? A study from a student clinic. International endodontic journal, 47(2), 183–190. https://doi.org/10.1111/iej.12131

Wang, H., Ni, L., Yu, C., Shi, L., & Qin, R. (2010). Utilizing spiral computerized tomography during the removal of a fractured endodontic instrument lying beyond the apical foramen. International endodontic journal, 43(12), 1143–1151. https://doi.org/10.1111/j.1365-2591.2010.01780.x

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Published

28/04/2021

How to Cite

RIBEIRO, K. H. C. .; SENA, N. T. .; MOTTA JUNIOR, J.; BRAGA, M. R. C. L. .; ROSENO, A. C. B. .; BARRETO, A. J. M. .; MATSUMOTO, M. A. . Accidental nasal fossa perforation during endodontic treatment - Case report. Research, Society and Development, [S. l.], v. 10, n. 5, p. e8010514645, 2021. DOI: 10.33448/rsd-v10i5.14645. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14645. Acesso em: 7 nov. 2024.

Issue

Vol. 10 No. 5

Section

Health Sciences

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Copyright (c) 2021 Kim Henderson Carmo Ribeiro; Neylla Teixeira Sena; Joel Motta Junior; Marcia Raquel Costa Lima Braga; Ana Carolyna Becher Roseno; Ana Julia Moreno Barreto; Mariza Akemi Matsumoto

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