Gómez-Palma A, Betancourt-González LP

Language: Spanish
References: 15
Page: 45-49
PDF size: 1100.54 Kb.

ABSTRACT

During the conduct of root canals, also called endodontics, it is necessary to carry out a series of protocols for the proper execution of endodontic practice. These steps include duct irrigation consisting of washing, sweeping and cleaning in which the elimination of bacteria and organic and inorganic products located inside the root canals is achieved through the use of irrigating solutions that are introduced inside the root spaces by means of syringes and special needles to be able to reach the apical third and it is at this stage, where an accident happens that statistically is rare, but true. When trying to irrigate the apical third of the ducts, the infiltration of Sodium Hypochlorite (NaOCl) towards the periapical tissues is improperly achieved, achieving an extremely painful and inflammatory adverse effect in a very short time. We present a clinical case of female patient 33 years of age with accidental infiltration of sodium hypochlorite at the time of irrigation of the ducts, presenting severe pain and easy cellulitis with ecchymosis almost instantaneously. The symptoms were controlled and within 72 hours the dental organ was correctly instrumented, detecting an instrumentation outside the canal of the Mesiovestibular root of said piece, achieving the correct filling of the canal at the end. Intake of a series of medications was required to obtain a resolution as soon as possible and achieve the patient’s well-being.

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