Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece, Phone: +306987967892, e-mail:
J Contemp Dent Pract. 2022 May 1;23(5):558-565.
The aim of this systematic review is to accumulate the available evidence on management approaches as well as factors resulting in the development of paresthesia due to sealer extrusion.
A literature search was conducted in MEDLINE, EMBASE, and Web of Science and Cochrane Central Register of Controlled Trials up to March 2022, accompanied by a manual search of journals, textbooks, and grey literature. Inclusion criteria were studies on adult patients experiencing paresthesia related to sealer extrusion. The quality of included studies was appraised using a custom set of criteria.
A total of 102 publications were identified, and 9 of them fulfilled the inclusion criteria. All of the included studies were case reports describing a total of 10 patients. The predetermined data were independently extracted and evaluated by four reviewers.
Because of the low amount and quality of available evidence, conclusions on the factors resulting in paresthesia due to sealer extrusion cannot be drawn. The management approach remains empirical. The need for prospective studies is highlighted. The future case reports in endodontics ought to be reported in a uniform and methodological way.
Paresthesia as a result of endodontic sealer extrusion is an alarming complication of endodontic treatment that general dentists need to be aware of. Although worrying, for both clinician and patient, it is a manageable complication and early diagnosis is important; thus, dentists need to be educated on this topic.
本系统评价旨在收集有关管理方法的现有证据，以及导致密封剂挤出引起感觉异常的因素。
对 MEDLINE、EMBASE 和 Web of Science 以及 Cochrane 对照试验中心注册库进行了文献检索，截至 2022 年 3 月，并对期刊、教科书和灰色文献进行了手动搜索。纳入标准为研究与密封剂挤出相关的感觉异常的成年患者。使用一套定制的标准评估纳入研究的质量。
共确定了 102 篇出版物，其中 9 篇符合纳入标准。所有纳入的研究均为描述总共 10 名患者的病例报告。四名审查员独立提取和评估了预定数据。
由于可用证据的数量和质量较低，无法得出导致密封剂挤出引起感觉异常的因素的结论。管理方法仍然是经验性的。强调需要进行前瞻性研究。未来牙髓病学中的病例报告应该以统一和方法学的方式报告。
由于根管封闭剂挤出而导致的感觉异常是根管治疗的一个令人警惕的并发症，全科牙医需要对此有所了解。尽管令人担忧，无论是对于临床医生还是患者，这都是一种可以管理的并发症，早期诊断很重要；因此，需要对牙医进行这方面的教育。
