EC Dental Science

Foreign bodies trapped in the oral cavity can elicit an inflammatory response, resulting in the formation of radiolucent lesions. Removal of such foreign bodies is necessary for complete healing. Here we present both non-surgical and surgical endodontic approaches for the successful removal of a foreign body and its associated lesion in the upper left region of the maxilla. Most of the older dental materials, including amalgam as a root-end filling material, are no longer used because of their toxicity. In the present case, the patient had a history of inappropriate surgical and nonsurgical endodontic treatment that was recognized clinically by a gingival scar line and radiographically by a short root canal filling; moreover, there was a radiopaque body surround by a radiolucent lesion between teeth #23 and #24. As a result, she experienced recurrent pain and swelling for several years. New treatment strategies involving the use of biocompatible bioceramic materials with osteoinductive properties for root-end fillings together with recent investigation tools and a staged treatment plan facilitated complete healing in this case.

 Keywords: Foreign Body Reaction; Oral Lesions; Maxillofacial Surgery; Dental Treatment Failures; Dental Treatment Procedural Errors

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