Evidence map›Paper›PMID 41959588›Full record

ArticleFrontiers in dental medicine2026

Inferior alveolar nerve injury following calcium hydroxide extrusion: a case report with preventive insights and three-year follow-up.

Sofia Drouri, Chaimae Ghouni, Khaoula Sadel, Hafsa El Merini

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In one paragraph

Article in Frontiers in dental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sofia DrouriDepartment of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Hassan II University, Casablanca, Morocco.
Chaimae GhouniDepartment of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Hassan II University, Casablanca, Morocco.
Khaoula SadelDepartment of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Hassan II University, Casablanca, Morocco.
Hafsa El MeriniDepartment of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Hassan II University, Casablanca, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Calcium hydroxide is commonly used in endodontics for its antimicrobial properties. However, accidental extrusion beyond the apex can cause severe complications, including injury to the inferior alveolar nerve (IAN), which provides sensory innervation to the lower lip, chin, and posterior mandibular region. Case presentation: A 35-year-old female undergoing root canal treatment of tooth 46 developed paresthesia of the lower lip and chin due to accidental extrusion of calcium hydroxide along the IAN canal, confirmed on initial cone-beam computed tomography (CBCT). Immediate management included anti-inflammatory therapy and vitamin B12 supplementation. Outcome: Over a three-year follow-up, symptoms markedly improved with partial sensory recovery and attenuation of hyperesthesia. Follow-up CBCT showed resorption of the extruded calcium hydroxide compared to the initial radiograph. Conclusion: This case highlights the critical importance of precise working length determination, controlled intracanal medicament delivery, and thorough anatomical knowledge of the IAN to prevent iatrogenic injuries during endodontic procedures.

Indexed as

accidental extrusionbarium sulphatecalcium hydroxideendodontic therapyinferior alveolar nerve

Identifiers

PMID41959588
PMCPMC13057485

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