Objectives. The aim of the present paper was to provide the clinician with valuable information about the most frequent adverse events in endodontic practice, from aetiology to diagnosis, by exploring treatment options, prevention strategies and prognosis. Materials and methods. A narrative review of the literature was performed and the most frequent adverse events in endodontics were analysed, meaning all the unexpected events (unintentional and undesirable) that may occur during treatment and may cause damage to the patient, both during non-surgical treatment and surgical approach. Results and conclusions. With regard to non-surgical treatments, extreme caution must be exercised during the preoperative phase, particularly when opening the pulp chamber, using root canal instrumentation, performing root canal disinfection and tridimensional sealing, and also in the postoperative phase. In non-surgical retreatments, the phase of post and sealing material removal should be considered the most dangerous. During surgical retreatments, major complications may occur both in the pre-operative and post-operative phase, and great caution must be placed while performing soft tissue management, ostectomy, and periapical curettage. Furthermore, the prevention of damages to nerves, vessels and anatomical structures, such as maxillary sinus membrane, should be considered mandatory.
ASJC Scopus subject areas
- Oral Surgery