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

Camila Gonçalves Jezini Monteiro, Bruna Lavinas Sayed Picciani, Marilia Fagury Videira Marceliano-Alves, Fernanda Ximenes Amado Martins, Marcus Vinicius Neumann Brandão de Carvalho, Rosana Ximenes Lins, Abel Silveira Cardoso, Renata Ximenes Lins

exogenous pigmentation, melanoma, oral mucosa pigmentation, root canal filling materials, root canal sealers.

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.

10.22161/ijaers.5.11.5