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Journals / Aydın Dental Journal / 2017 / Cilt: 3 - Sayı: 1

ENDODONTİK SODYUM HİPOKLORİT KOMPLİKASYONLARININ DEĞERLENDİRİLMESİ VE BİR OLGU BİLDİRİSİ

Celalettin TOPBAŞ
İşıl KAYA BÜYÜKBAYRAM
Tarık TOKER
Nilay BUDAK
Rüstem Kemal SÜBAY
Pages
35–42
Publication Date
2017-04-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The dentists must apply the precautions of NaOCl irrigation during the root canal treatment and manage the treatment of this clinical complication

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This paper discusses the clinical complications of NaOCl solutions such as its extrusion through the root apex during canal irrigation and allergic reactions that may happen during the root canal treatments.
📊
Key Findings & Data:During the treatment under local anesthesia, the patient reported a slight to moderate acute pain and burning around the tooth.
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Conclusion & Impact:The dentists must apply the precautions of NaOCl irrigation during the root canal treatment and manage the treatment of this clinical complication
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Sodyum hipoklorit · apikal taşkınlık · irrigasyon solüsyonu

Abstract

This paper discusses the clinical complications of NaOCl solutions such as its extrusion through the root apex during canal irrigation and allergic reactions that may happen during the root canal treatments. In addition, a case of NaOCl extrusion that occurred during the treatment of a maxillary was presented left canine. During the treatment under local anesthesia, the patient reported a slight to moderate acute pain and burning around the tooth. The root canal was irrigated with copius sterile saline and the treatment was completed after cessation of the pain. The patient reported pain, swelling and paresthesia around the tooth following the treatment. The signs of chemical inflammation resolved in a week, but the paresthesia disappeared after 3 months. The extrusion of NaOCl into the periapical area may cause serious complications, such as acute severe pain, swelling and paresthesia. The dentists must apply the precautions of NaOCl irrigation during the root canal treatment and manage the treatment of this clinical complication

Özet

Bu makalede, NaOCl’in endodontik kullanımıma bağlı olarak gelişen, alerji ve kök ucundan periapikal dokulara taştığında oluşan komplikasyonlar değerlendirilmiştir. Makalede ayrıca bir olguda gelişen NaOCl taşkınlığı olgusu ve tedavisi sunulmuştur. Hastanın sol üst kanin dişinde eksik yapılmış kanal tedavisi ve periapikal lezyon varlığı saptanmış ve kanal tedavisinin tekrarlanmasına karar verilmiştir. Anestezi altında %5,25’lik NaOCl ile irrigasyon yapılırken, hasta yanma tarzında bir ağrı belirtmiştir, kanal bol miktarda steril salin solüsyonu ile yıkanmış ve kanal tedavisi aynı seansta tamamlanmıştır. Hastada tedavi sonrasında şişlik ve parastezi gelişmiştir. Oluşan şişlik 1 hafta sonra parestezi ise 3 ay sonra düzelmiştir. NaOCl’in periapikal dokulara taşması ile ciddi komplikasyonlar oluşabilmektedir. Uygun tedaviyle iltihaba bağlı şişlik, ekimoz gibi komplikasyonlar kısa sürede iyileşebilir fakat parestezinin çözülmesi uzun süre alabilmektedir. Diş hekimleri NaOCl kullanırken komplikasyonların gelişmemesi için çok dikkatli olmalı ve gerekli önlemleri almalıdır

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Cite This Article

TOPBAŞ, C., BÜYÜKBAYRAM, İ. K., TOKER, T., BUDAK, N., SÜBAY, R. K. (2017). ENDODONTİK SODYUM HİPOKLORİT KOMPLİKASYONLARININ DEĞERLENDİRİLMESİ VE BİR OLGU BİLDİRİSİ. Aydın Dental Journal, Cilt: 3 - Sayı: 1, 35–42. https://ajindex.com/articles/738458

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