Abstract

There have been quite a few case reports of organic solvents accidentally being injected into the oral cavity during dental procedures. These solvents,which should be used with caution mostly are clear liquids which gets confused with local anesthetic solutions when not kept in proper container and thus accidents happen.There have been reports of sodium hypochlorite,chloroform being pushed as local anesthetic solution in the oral cavity.In a first of its kind report,here we discuss the accidental intra-oral injection of xylene being used for guttapercha solvent instead of local anesthetic agent and its management.

Highlights

  • Xylene is an aromatic hydrocarbon known for its wide usage in tissue processing, staining and cover slipping in the histology laboratory

  • There have been quite a few case reports of organic solvents accidentally being injected into the oral cavity during dental procedures

  • In a first of its kind report, here we discuss the accidental intraoral injection of xylene being used for guttapercha solvent instead of local anesthetic agent and its management

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Summary

Introduction

Xylene is an aromatic hydrocarbon known for its wide usage in tissue processing, staining and cover slipping in the histology laboratory. The need of the hour is retreatment in endodontic failures rather than extraction.[5] Here we discuss a rare case where during retreatment of root canal treated tooth xylene which was to be used as gutta percha solvent was given instead of local anesthesia for pain control. This is the first reported case to our knowledge where xylene was given accidentally in lieu of local anesthetic solution. The pain subsided once the drainage was done .Regular recalls (every three days) were advised and it took 25 days for complete healing

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