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Case Reports in Dentistry
Volume 2014, Article ID 698538, 5 pages
http://dx.doi.org/10.1155/2014/698538
Case Report

Iatrogenic Displacement of a Foreign Body into the Periapical Tissues

1Endodontic Postgraduate Program, CUCS, University of Guadalajara, Guadalajara, JAL 44340, Mexico
2Biomedical Sciences Research Institute, Endodontic Postgraduate Program, CUCS, University of Guadalajara, Guadalajara, JAL 44340, Mexico

Received 29 August 2014; Accepted 22 October 2014; Published 11 November 2014

Academic Editor: José López-López

Copyright © 2014 Hugo Plascencia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The presence of a foreign body in the periapical tissues can cause endodontic failure by triggering an inflammatory response and a subsequent foreign body reaction. This inflammatory response, which can occur to varying degrees, appears radiographically as a radiolucency that can remain asymptomatic for many years. A foreign object can reach the apical region by accident or iatrogenic procedures during dental procedures. The aim of the present case report is to describe the endodontic surgical treatment of an iatrogenic displacement of a foreign body (a metal fragment) into the periapical tissues and to describe its clinical and radiographic follow-up over a period of 52 months.