Root canal sealer extrusion: When to use surgical and non-surgical treatment approach

Extrusion of root canal sealers may cause irritation to the periapical tissues and lead to pain, swelling and paresthesia. An extensive search of the endodontic literature was made to identify publications related to extrusion of root canal sealer and the management in surgical and non-surgical approach. This review aims to gain an understanding of the management of root canal sealer extrusion. In conclusion, cases of root canal sealer extrusion can be treated both surgical and non-surgical.  Surgical treatment should be decided on only in association with clinical symptoms or with radiographic evidence of increasing periapical lesion. Wait and see and anti-inflammatory treatment considered to be the best choice in treating extruded root canal sealer with no apical symptoms.