ENDODONTİK TEDAVİ SIRASINDA SODYUM HİPOKLORİTİN YANLIŞLIKLA APİKALDEN YUMUŞAK DOKULARA EKSTRÜZYONU: OLGU BİLDİRİMİ

Yıl 2019, Cilt: 46 Sayı: 3, 167 - 172, 31.12.2019

Betül Aycan Uysal , Tuğçe Yuca Öztürk Mehmet Burak Guneser

Öz

Kök kanal tedavisi sırasında en çok kullanılan irrigasyon solüsyonu sodyum hipoklorittir. Sodyum hipokloritin antimikrobiyal özelliğine ek olarak en önemli avantajı iyi bir organik doku çözücü olmasıdır. Endodontide %0.5–6 konsantrasyon aralığında kullanılmaktadır ve yüksek konsantrasyonlarda, canlı dokular için son derece toksiktir. Dikkatsiz kullanımı ya da hastada mevcut olan anatomik/patolojik değişiklikler sonucu sodyum hipoklorit apikalden ekstrüze olabilir. Toksik etkisi nedeniyle dokuda ülserasyon, sinir hasarı, nekroz ve bazen geri dönüşümsüz hasarlara yol açabilir. Bu nedenle hastanın klinik ve radyolojik muayenesini detaylı yapmak, irrigasyon aşamasında dikkatli olmak ve oluşabilecek bir komplikasyonu yönetebilmek önemlidir.

Anahtar Kelimeler

sodyum hipoklorit, sodyum hipoklorit kazası, kök kanal tedavisi

Inadvertently Extrusion of Sodium Hypochlorite During Endodontic Treatment From Apical to Soft Tissues: A Case Report

Öz

The most commonly used irrigation solution during root canal treatment is sodium hypochlorite. In addition to the antimicrobial properties of sodium hypochlorite, the most important advantage is that it dissolves the organic tissues. It is used in the concentration range of %0.5-6 in endodontics and is highly toxic to vital tissues at high concentrations. As a result of careless use or anatomical/pathological changes in patient, sodium hypochlorite may be extrusion from the apical. It may cause ulceration, nerve damage, necrosis and sometimes irreversible injury due to toxic effect. Therefore, it is important to perform detailed clinical and radiological examination of the patient, to be careful during the irrigation phase and to manage a possible complication.

Anahtar Kelimeler

sodium hypochlorite, sodium hypochlorite accident, root canal treatment

Kaynakça

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