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Acidentes e complicações com o hipoclorito de sódio na endodontia
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Advisor(s)
Abstract(s)
Este estudo teve por objetivo identificar os perigos decorrentes do uso do hipoclorito de sódio
como irrigante intracanal e os meios apropriados para seu manejo, procurando ainda, apresentar
os meios de prevenção de acidentes; apontar as intervenções mais adequadas conforme as
complicações com base na literatura.
Concluiu-se que a extrusão de hipoclorito de sódio pode danificar os tecidos saudáveis, além
de provocar dor, parestesia, edema ou até mesmo a obstrução respiratória e hipotensão grave
levando o paciente à hospitalização.
Os acidentes podem ser evitados com análise do histórico médico, teste alérgico, exames de
imagem, uso de localizadores para marcação do comprimento de trabalho, dique e batente de
borracha, agulhas de pressão negativa ou dispersão lateral com controle de velocidade de
ejeção. Antibióticos, anti-inflamatórios e analgésicos podem ser prescritos profilaticamente ou
para reduzir os efeitos das complicações quando não foi possível evitar o acidente.
This article was intended to identify the dangers arising from the use of sodium hypochlorite as a intracanal irrigator and the appropriate ways for its management, still seeking to present the ways of prevention of accidents; To point out the most appropriate interventions according to the complications on the basis of the literature. It was concluded that the extrusion of sodium hypochlorite may damage the healthy tissues, in addition to causing pain, paresthesia, edema or even respiratory obstruction and severe hypotension leading the patient to hospitalization. Accidents can be avoided with medical history analysis, allergy test, imaging scans, use of locators for marking the length of work, dike and rubber stop, negative pressure needles or lateral dispersion with control of Ejection velocity. Antibiotics, anti-inflammatory and analgesics can be prescribed prophylactically or to reduce the effects of complications when it was not possible to avoid the accident.
This article was intended to identify the dangers arising from the use of sodium hypochlorite as a intracanal irrigator and the appropriate ways for its management, still seeking to present the ways of prevention of accidents; To point out the most appropriate interventions according to the complications on the basis of the literature. It was concluded that the extrusion of sodium hypochlorite may damage the healthy tissues, in addition to causing pain, paresthesia, edema or even respiratory obstruction and severe hypotension leading the patient to hospitalization. Accidents can be avoided with medical history analysis, allergy test, imaging scans, use of locators for marking the length of work, dike and rubber stop, negative pressure needles or lateral dispersion with control of Ejection velocity. Antibiotics, anti-inflammatory and analgesics can be prescribed prophylactically or to reduce the effects of complications when it was not possible to avoid the accident.
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Keywords
Endodontia Hipoclorito de sódio Acidentes Complicações Manejo Endodontics Sodium hypochlorite Accident Complications Management