Ben Rejeb H, Douki N
Odontostomatol Trop. 2015 Sep;38(151):50-6.
The high frequency of iatrogenic incidents during endodontic treatment is a source of stress for the practitioner. These incidents may occur during the different steps of a root canal treatment. During irrigation, extrusion of sodium hypochlorite beyond the apex is a rare but impressive accident. Sodium hypochlorite, is the most common irrigant used in modern endodontics, but when it comes in contact with the periapical tissue, it can cause complications ranging from mild discomfort to serious tissue damage such as the hematoma and hemato-emphysema. The aims of this article are to discuss through the presentation of two clinical cases: Etiological and predisposing factors; Signs guiding to suspicion of accidental injection of sodium hypochlorite. In this work, we focused on clinical keys that help the practitioner in better understanding this accident in order to prevent it or to manage it well when it occurs.
根管治疗期间医源性事件的高发生率给从业者带来了压力。这些事件可能发生在根管治疗的不同步骤中。在冲洗过程中，次氯酸钠超出根尖孔挤出是一种罕见但令人印象深刻的意外。次氯酸钠是现代牙髓病学中最常用的冲洗剂，但当它与根尖周组织接触时，可能会引起从轻微不适到严重组织损伤（如血肿和气肿）等并发症。本文的目的是通过两个临床病例的介绍来讨论：病因和诱发因素；提示次氯酸钠意外注射的体征。在这项工作中，我们重点关注有助于从业者更好地理解这一意外事件的临床要点，以便预防或在其发生时妥善处理。
