Chronic maxillary sinusitis caused by root canal overfilling of Calcipex II
김진우, 조경모, 박세희, 이상신, 이석근,
소속 상세정보
김진우 ( Kim Jin-Woo ) - Gangneung-Wonju National University College of Dentistry Department of Conservative Dentistry
조경모 ( Cho Kyung-Mo ) - Gangneung-Wonju National University College of Dentistry Department of Conservative Dentistry
박세희 ( Park Se-Hee ) - Gangneung-Wonju National University College of Dentistry Department of Conservative Dentistry
이상신 ( Lee Sang-Shin ) - Gangneung-Wonju National University College of Dentistry Department of Oral Pathology
이석근 ( Lee Suk-Keun ) - Gangneung-Wonju National University College of Dentistry Department of Oral Pathology
KMID : 1034420140390010063
Abstract
This is a case report of chronic maxillary sinusitis caused by root canal overfilling of Calcipex II (Techno-Dent). A 60 year-old male complained of dull pain in the right maxillary molar area after complicated endodontic treatment using Calcipex II paste and was finally diagnosed with a chronic maxillary sinusitis through a clinical and radiological observation. In the biopsy examination, the periapical granuloma contained a lot of dark and translucent Calcipex II granules which were not stained with hematoxylin and eosin. They were usually engulfed by macrophages but rarely resorbed, resulting in scattering and migrating into antral mucosa. Most of the Calcipex II granules were also accumulated in the cytoplasms of secretory columnar epithelial cells, and small amount of Calcipex II granules were gradually secreted into sinus lumen by exocytosis. However, chronic granulomatous inflammation occurred without the additional recruitment of polymorphonuclear leukocytes (PMNs) and lymphocytes, and many macrophages which engulfed the Calcipex II granules were finally destroyed in the processes of cellular apoptosis. It is presumed that Calcipex II granules are likely to have a causative role to induce the granulomatous foreign body inflammation in the periapical region, and subsequently to exacerbate the chronic maxillary sinusitis in this study.
키워드
Calcipex II; Foreign body granuloma; Maxillary sinusitis
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