Anaphylaxis after Treatment with an Endodontic Material Containing Polyethylene Glycol

J Endod. 2024 Nov;50(11):1649-1654. doi: 10.1016/j.joen.2024.09.002. Epub 2024 Sep 13.

Abstract

Polyethylene glycol (PEG) is sometimes included in temporary endodontic filling materials to modify viscosity. PEG is considered a low hazard chemical, but parenteral PEG exposure is associated with a risk of anaphylaxis. We report 2 cases of anaphylaxis after treatment with an endodontic temporary filling material containing PEG. One patient survived after hospital treatment, but the second case was fatal. Extensive investigations were needed to find the culprit. Allergic reactions to PEG are increasingly reported and have significant implications for the patient. Precautionary measures are discussed.

Keywords: Allergy; anaphylaxis; case reports; endodontics; polyethylene glycol.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anaphylaxis* / chemically induced
  • Fatal Outcome
  • Female
  • Humans
  • Male
  • Middle Aged
  • Polyethylene Glycols* / adverse effects
  • Root Canal Filling Materials* / adverse effects

Substances

  • Polyethylene Glycols
  • Root Canal Filling Materials