Chronic maxillary sinusitis caused by root canal overfilling of Calcipex II
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This is a case report of chronic maxillary sinusitis caused by root canal overfillingof Calcipex II (Techno-Dent). A 60 year-old male complained of dull pain in theright maxillary molar area after complicated endodontic treatment using Calcipex IIpaste and was finally diagnosed with a chronic maxillary sinusitis through a clinicaland radiological observation. In the biopsy examination, the periapical granulomacontained a lot of dark and translucent Calcipex II granules which were not stainedwith hematoxylin and eosin. They were usually engulfed by macrophages but rarelyresorbed, resulting in scattering and migrating into antral mucosa. Most of the CalcipexII granules were also accumulated in the cytoplasms of secretory columnar epithelialcells, and small amount of Calcipex II granules were gradually secreted into sinuslumen by exocytosis. However, chronic granulomatous inflammation occurred withoutthe additional recruitment of polymorphonuclear leukocytes (PMNs) and lymphocytes,and many macrophages which engulfed the Calcipex II granules were finally destroyedin the processes of cellular apoptosis. It is presumed that Calcipex II granules are likelyto have a causative role to induce the granulomatous foreign body inflammation in theperiapical region, and subsequently to exacerbate the chronic maxillary sinusitis in thisstudy.
Abstract
This is a case report of chronic maxillary sinusitis caused by root canal overfillingof Calcipex II (Techno-Dent). A 60 year-old male complained of dull pain in theright maxillary molar area after complicated endodontic treatment using Calcipex IIpaste and was finally diagnosed with a chronic maxillary sinusitis through a clinicaland radiological observation. In the biopsy examination, the periapical granulomacontained a lot of dark and translucent Calcipex II granules which were not stainedwith hematoxylin and eosin. They were usually engulfed by macrophages but rarelyresorbed, resulting in scattering and migrating into antral mucosa. Most of the CalcipexII granules were also accumulated in the cytoplasms of secretory columnar epithelialcells, and small amount of Calcipex II granules were gradually secreted into sinuslumen by exocytosis. However, chronic granulomatous inflammation occurred withoutthe additional recruitment of polymorphonuclear leukocytes (PMNs) and lymphocytes,and many macrophages which engulfed the Calcipex II granules were finally destroyedin the processes of cellular apoptosis. It is presumed that Calcipex II granules are likelyto have a causative role to induce the granulomatous foreign body inflammation in theperiapical region, and subsequently to exacerbate the chronic maxillary sinusitis in thisstudy.
참고문헌 (20)
- Kim JW, "Overfilling of calcium hydroxide-based paste Calcipex II produced a foreign body granuloma without acute inflammatory reaction", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107, pp.e73~e76 (2009)
- Hosoya N, "Effects of calcium hydroxide on physical and sealing properties of canal sealers", Int Endod J, 37, pp.178~184 (2004)
- Manisali Y, "Overfilling of the root. A case report", Oral Surg Oral Med Oral Pathol, 68, pp.773~775 (1989)
- Eda S, "Clinico-pathological studies on the healing of periapical tissues in aged patients by root canal filling using pastes of calcium hydroxide added iodoform", Gerodontics, 1, pp.98~104 (1985)
- Nurko C, "Evaluation of a calcium hydroxide", iodoform paste (Vitapex) in root canal therapy for primary teeth, 1999, pp.23, 289~294
- Mohammed M, "Role of calcium hydroxide in endodontics: a review", Glob J Med Public Health, 1, pp.66~70 (2012)
- 이지현, "인산 칼슘 근관 봉함재의 세포독성에 관한 연구", Restorative Dentistry and Endodontics, 28(4), pp.295~302 (2003), 대한치과보존학회
- Nair PN, "Therapyresistant foreign body giant cell granuloma at the periapex of a root-filled human tooth", J Endod, 16, pp.589~595 (1990)
- Segura JJ, "Calcium hydroxide inhibits substrate adherence capacity of macrophages", J Endod, 23, pp.444~447 (1997)
- Verdon C, "Root canal obturation based on Sealapex calcium hydroxide. A clinical and radiological follow-up after 1 year", Schweiz Monatsschr Zahnmed, 100, pp.829~834 (1990)
- Soares J, "Calcium hydroxide induced apexification with apical root development: a clinical case report", Int Endod J, 41, pp.710~719 (2008)
- De Moor RJ, "Periapical lesions accidentally filled with calcium hydroxide", Int Endod J, 35, pp.946~958 (2002)
- 이윤, "Effect of calcium hydroxide application time on dentin", Restorative Dentistry and Endodontics, 38(3), pp.186~186 (2013), 대한치과보존학회[DOI]
- Cruz EV, "Penetration of propylene glycol into dentine", Int Endod J, 35, pp.330~336 (2002)
- McIntosh MP, "In vitro and in vivo evaluation of a sulfobutyl ether beta-cyclodextrin enabled etomidate formulation", J Pharm Sci, 93, pp.2585~2594 (2004)
- Faergemann J, "Treatment of onychomycosis with a propylene glycol-urea-lactic acid solution", Mycoses, 32, pp.536~540 (1989)
- Horiguchi Y, "A case of allergic contact dermatitis from propylene glycol in an ultrasonic gel, sensitized at a leakage skin injury due to transcatheter arterial chemoembolization for hepatocellular carcinoma", Int J Dermatol, 44, pp.681~683 (2005)
- Nater JP, "Histological aspects of skin reactions to propylene glycol", Contact Dermat, 3, pp.181~185 (1977)
- Senthilmohan ST, "Real time analysis of breath volatiles using SIFT-MS in cigarette smoking", Redox Rep, 6, pp.185~187 (2001)
- Bledsoe KA, "Propylene glycol toxicity complicating use of barbiturate coma", Neurocrit Care, 9, pp.122~124 (2008)