Endodontics · single question

Topical anesthetic used inside the root canal during endodontic treatment causes what problem?

  1. Increases perforation risk
  2. Causes irreversible pulpitis
  3. Increases ledge formation risk
  4. Coats the canal and prevents adequate obturation
Show answer and explanation

Correct answer: D. Coats the canal and prevents adequate obturation

Intracanal topical anesthetic coats the canal walls and prevents proper obturation — the oily vehicle contaminates walls and interferes with sealer bond.
  • A. ❌ Topical anesthetic does not increase perforation risk.
  • B. ❌ Topical anesthetic does not cause irreversible pulpitis.
  • C. ❌ Ledge formation is a mechanical complication unrelated to topical anesthetic.
  • D. ✅ CORRECT – The vehicle of topical anesthetic coats dentinal walls, preventing proper sealing during obturation.

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