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腭部医源性氯仿黏膜烧伤的处理:一例报告

Management of iatrogenic chloroform mucosal burn in the palate: a case report.

作者信息

Taghavi Zenouz Ali, Katebi Katayoun, Ghavimi Mohammad Ali, Javadzadeh Farshad, Hosseinpour Sarmadi Maryam

机构信息

Department of Oral Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Adv Periodontol Implant Dent. 2022 Apr 10;14(1):46-49. doi: 10.34172/japid.2022.004. eCollection 2022.

DOI:10.34172/japid.2022.004
PMID:35919446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9339725/
Abstract

Chloroform is used widely in endodontic treatments for solving gutta-percha points, but it can have destructive effects if it comes in to contact with oral mucosa. This article presents a case of necrotic ulcer of palatal and buccal mucosa due to injudicious use of chloroform in endodontic treatment, which has caused severe destruction in maxilla. A conservative treatment method of repeated curettage and irrigation was used and although the lesion healed completely, it had major effects on the patient's quality of life including loss of two teeth. It is important that dentist be aware of the devastating effects of imprudent application of various chemicals used in dentistry. The conservative treatment used for this case can be helpful option for similar cases.

摘要

氯仿在牙髓治疗中广泛用于溶解牙胶尖,但如果接触到口腔黏膜,可能会产生破坏作用。本文介绍了一例因牙髓治疗中不慎使用氯仿导致腭部和颊部黏膜坏死性溃疡的病例,该病例对上颌造成了严重破坏。采用了反复刮治和冲洗的保守治疗方法,尽管病变完全愈合,但对患者的生活质量产生了重大影响,包括两颗牙齿缺失。牙科医生必须意识到在牙科治疗中不慎使用各种化学物质的毁灭性后果。该病例所采用的保守治疗方法对类似病例可能是一种有用的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/e0c19aeb7451/japid-14-46-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/a97049661d48/japid-14-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/7d9c213827c7/japid-14-46-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/af9703bc7314/japid-14-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/e0c19aeb7451/japid-14-46-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/a97049661d48/japid-14-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/7d9c213827c7/japid-14-46-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/af9703bc7314/japid-14-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/011c/9339725/e0c19aeb7451/japid-14-46-g004.jpg

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引用本文的文献

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本文引用的文献

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Oral chemical burn due to accidental ingestion of calcium oxide food desiccant in a patient with dementia.误食氧化钙食品干燥剂导致的口腔化学性烧伤——1 例痴呆患者的病例报告
J Int Med Res. 2020 Apr;48(4):300060520920065. doi: 10.1177/0300060520920065.
2
Injury to the oral mucosa by organophosphates without systemic toxicity: a rare case.有机磷酸酯对口腔黏膜造成损伤但无全身毒性:1例罕见病例
Br J Oral Maxillofac Surg. 2018 Oct;56(8):755-757. doi: 10.1016/j.bjoms.2018.07.016. Epub 2018 Aug 6.
3
Hazards of Improper Dispensary: Literature Review and Report of an Accidental Chloroform Injection.
不当配药的危害:文献回顾及氯仿意外注射报告。
J Endod. 2018 Jun;44(6):1042-1047. doi: 10.1016/j.joen.2018.02.024. Epub 2018 Apr 24.
4
Garlic burn of the oral mucosa: A case report and review of self-treatment chemical burns.口腔黏膜蒜烧伤:病例报告并复习自疗化学烧伤。
J Am Dent Assoc. 2017 Oct;148(10):767-771. doi: 10.1016/j.adaj.2017.02.053. Epub 2017 Apr 5.
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Tissue Necrosis due to Chloroform: A Case Report.氯仿导致的组织坏死:一例报告
Iran Endod J. 2013 Fall;8(4):208-9.
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The CARE guidelines: consensus-based clinical case reporting guideline development.CARE 指南:基于共识的临床病例报告指南制定。
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"Tetracycline hydrochloride chemical burn" as self-inflicted mucogingival injury: A rare case report.盐酸四环素化学灼伤作为自伤性龈黏膜损伤:一例罕见病例报告
J Indian Soc Periodontol. 2012 Apr;16(2):282-5. doi: 10.4103/0972-124X.99278.
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