Köseoğlu Banu Gürkan, Tanrikulu Sinasi, Sübay Rüstem Kemal, Sencer Serra
Department of Oral and Maxillofacial Surgery, School of Dentistry, Istanbul University, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jun;101(6):803-6. doi: 10.1016/j.tripleo.2005.07.015. Epub 2006 Jan 4.
The surgical treatment of a case of anesthesia that occurred with the extrusion of Endomethasone root canal sealer into the mandibular canal is presented. Endomethasone is a neurotoxic root canal sealer containing paraformaldehyde and eugenol. The literature indicates immediate surgical decompression on the extrusion of Endomethasone into the mandibular canal. In our case, the decompression surgery was done 3 weeks after the endodontic mishap. The nearly complete resolution of anesthesia 4 months following the decompression surgery suggests that the neurotoxic effects of Endomethasone are still reversible after 3 weeks.
本文介绍了一例因地塞米松根管封闭剂挤出至下颌管而发生麻醉的手术治疗情况。地塞米松是一种含有多聚甲醛和丁香酚的神经毒性根管封闭剂。文献表明，地塞米松挤出至下颌管后应立即进行手术减压。在我们的病例中，减压手术在牙髓治疗事故发生3周后进行。减压手术后4个月麻醉几乎完全消退，这表明地塞米松的神经毒性作用在3周后仍可逆转。
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