Farook S A, Shah V, Lenouvel D, Sheikh O, Sadiq Z, Cascarini L, Webb R
Department of Oral and Maxillofacial Surgery, The North West London Hospitals NHS Trust, Northwick Park Hospital, Watford Road, Harrow, HA1 3UJ.
Department of Oral and Maxillofacial Surgery, King's College Hospital, Denmark Hill, London, SE5 9RS.
Br Dent J. 2014 Dec;217(12):679-84. doi: 10.1038/sj.bdj.2014.1099.
Sodium hypochlorite (NaOCl) is the most common irrigant used in modern endodontics. It is highly effective at dissolving organic debris and disinfecting the root canal system due to the high pH. Extravasation of NaOCl into intra-oral and extra-oral tissues can lead to devastating outcomes leading to long-term functional and aesthetic deficits. Currently no clear guidelines are available which has caused confusion among the dental and oral and maxillofacial (OMFS) surgical community how best to manage these patients. Following a literature review and considering our own experience we have formulated clear and precise guidelines to manage patients with NaOCl injury.
次氯酸钠(NaOCl)是现代牙髓病学中最常用的冲洗剂。由于其高pH值,它在溶解有机碎屑和消毒根管系统方面非常有效。NaOCl渗入口腔内和口腔外组织会导致毁灭性后果,造成长期的功能和美观缺陷。目前尚无明确的指南,这在牙科以及口腔颌面外科(OMFS)手术界引起了困惑,不知道如何最好地处理这些患者。在进行文献综述并考虑我们自己的经验后,我们制定了清晰准确的指南来处理次氯酸钠损伤患者。