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Pigmented Oral Lesion Associated with Root Canal Sealers: A diagnostic Dilemma

Journal: International Journal of Advanced Engineering Research and Science (Vol.5, No. 11)

Publication Date:

Authors : ;

Page : 17-20

Keywords : exogenous pigmentation; melanoma; oral mucosa pigmentation; root canal filling materials; root canal sealers.;

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Abstract

The mucosa exogenous pigmentation may occur in consequence of dental materials contact, such as amalgam pigmentation. Aim: This paper reports a rare case of oral pigmentation due to extrusion of N-Rickert root canal sealer from a pre-existing fistula associated with a lateral canal in a 47-year-old female patient. Subjects and Methods: The clinical presentation was a well-defined grayish macule of about 3 mm located in the attached gingiva close to the maxillary left central incisor. Analysis Used and Results: Upon identification of endodontic treatment and a mesial lateral canal, a CT scan was requested. According to the endodontist that performed the prior treatment the tooth was filled with Rickert Pulp Canal SealerTM (Sybron Endo) and there was a material extrusion through a fistula associated with the infected lateral canal at the time. Conclusion: The knowledge of exogenous pigmentations caused by dental materials is necessary to proper diagnosis.

Last modified: 2018-11-30 21:21:41