Extrusión endodóntica de hipoclorito de sodio: Reporte de caso estandarizado.
Palabras clave:
Hipoclorito de sodio, Extrusión, accidente, Manejo clínico, Endodoncia, Irrigación, Tratamiento de conductos, citotoxicidad, Complicaciones dentales
Resumen
Mujer de 62 años, acude a la Especialidad en Endodoncia, de la Facultad de Odontología-Universidad Juárez del Estado de Durango, para su atención. Tras la exploración clínica se determinó diagnóstico pulpar y periapical en diente 1.1, siendo necrosis pulpar y periodontitis apical asintomática, respectivamente. Se establece plan de tratamiento con necropulpectomia, técnica de instrumentación manual, e irrigación con hipoclorito de sodio al 5.25%, a la irrigación este se extruye, la paciente exclama queja de dolor y malestar, con sangrado intraconducto, se aplicó lavado con solución fisiológica, sellado de conducto y cese de tratamiento inmediato. Se indican antibiótico, antiinflamatorios esteroideos, y antiinflamatorios no esteroideos por 7 días. La paciente manifestó dolor, equimosis y edema, desapareciendo por completo al día 21. Se termino el tratamiento endodóntico en segunda cita sin mayores incidentes. Lo anterior documentado de manera adecuada y actual.
Descargas
La descarga de datos todavía no está disponible.
Citas
Ali, A., Bhosale, A., Pawar, S., Kakti, A., Bichpuriya, A., Agwan, M. A., & Agwan, A. S. (2022). Current trends in root canal irrigation. Cureus, 14(5).
Al-Sebaei, M. O., Halabi, O. A., & El-Hakim, I. E. (2015). Sodium hypochlorite accident resulting in life-threatening airway obstruction during root canal treatment: a case report. Clinical, cosmetic and investigational dentistry, 41-44.
Basudan, S. O. (2019). Sodium hypochlorite use, storage, and delivery methods: A Survey. Saudi Endodontic Journal, 9(1), 27-33.
Bosch-Aranda, M. L., Canalda-Sahli, C., Figueiredo, R., & Gay-Escoda, C. (2012). Complications following an accidental sodium hypochlorite extrusion: A report of two cases. Journal of clinical and experimental dentistry, 4(3), e194.
Boutsioukis, C., & Arias‐Moliz, M. T. (2022). Present status and future directions–irrigants and irrigation methods. International Endodontic Journal, 55, 588-612.
Bowden, J. R., Ethunandan, M., & Brennan, P. A. (2005). Life-threatening airway obstruction secondary to hypochlorite extrusion during root canal treatment. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 101(3), 402-404.
Cai, C., Chen, X., Li, Y., & Jiang, Q. (2023). Advances in the Role of Sodium Hypochlorite Irrigant in Chemical Preparation of Root Canal Treatment. BioMed research international, 2023, 8858283. https://doi.org/10.1155/2023/8858283
Carrel, A., & Dakin, H. D. (1915). Traitement abortif de l'infection des plaies. Masson.
Coolidge, E. D. (1919). The diagnosis and treatment of conditions resulting from diseased dental pulps. The Journal of the National Dental Association, 6(4), 337-349. doi:10.14219/jada.archive.1919.00
Crane, A. B. (1920). A practicable root-canal technic. Lea & Febiger.
Estrela, C., Estrela, C. R., Barbin, E. L., Spanó, J. C. E., Marchesan, M. A., & Pécora, J. D. (2002). Mechanism of action of sodium hypochlorite. Brazilian dental journal, 13, 113-117.
Farook, S. A., Shah, V., Lenouvel, D., Sheikh, O., Sadiq, Z., & Cascarini, L. (2014). Guidelines for management of sodium hypochlorite extrusion injuries. British dental journal, 217(12), 679-684.
Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D., & CARE Group* (2013). The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. Global advances in health and medicine, 2(5), 38–43. https://doi.org/10.7453/gahmj.2013.008
Gatot, A., Arbelle, J., Leiberman, A., & Yanai-Inbar, I. (1991). Effects of sodium hypochlorite on soft tissues after its inadvertent injection beyond the root apex. Journal of endodontics, 17(11), 573–574. https://doi.org/10.1016/S0099-2399(06)81725-5
Guivarc'h, M., Ordioni, U., Ahmed, H. M., Cohen, S., Catherine, J. H., & Bukiet, F. (2017). Sodium Hypochlorite Accident: A Systematic Review. Journal of endodontics, 43(1), 16–24. https://doi.org/10.1016/j.joen.2016.09.023
Haapasalo, M., Shen, Y., Wang, Z., & Gao, Y. (2014). Irrigation in endodontics. British dental journal, 216(6), 299-303.
Marín Botero, M. L., Gómez Gómez, B., Cano Orozco, A., Cruz López, S., Castañeda Peláez, D. A., & Castillo Castillo, E. Y. (2019). Sodium hypochlorite used as duct irrigation. Clinical case, and literature review. AVANCES EN ODONTOESTOMATOLOGÍA, 35(1).
Muñoz-Castellanos, Laila Nayzzel, Borrego-Loya, Alejandra, Villalba-Bejarano, Cindy Viviana, González-Escobedo, Román, Orduño-Cruz, Nuvia, Villezcas-Villegas, Grisel Paloma, Rodríguez-Roque, María Janeth, Avila-Quezada, Graciela Dolores, & Vargas-Arispuro, Irasema. (2021). El cloro y su importancia en la inactivación de bacterias, ¿Puede inactivar virus?. Revista mexicana de fitopatología, 39(spe), 198-206.
Özdemir, O., Hazar, E., Koçak, S., Sağlam, B. C., & Koçak, M. M. (2022). The frequency of sodium hypochlorite extrusion during root canal treatment: an observational clinical study. Australian Dental Journal, 67, S57-S64.
Pai, A. V. (2023). Factors influencing the occurrence and progress of sodium hypochlorite accident: A narrative and update review. Journal of Conservative Dentistry and Endodontics, 26(1), 3-11.
Patel, E., & Gangadin, M. (2017). Managing sodium hypochlorite accidents: the reality of toxicity. South African Dental Journal, 72(6), 271-274.
Ponzano, G. P. (2007). Sodium hypochlorite: history, properties, electrochemical production. In Disinfection by sodium hypochlorite: dialysis applications (Vol. 154, pp. 7-23). Karger Publishers.
Reyes-Carmona, J. (2023). Irrigation protocols effects on radicular dentin: Cleaning, disinfection and remaining ultrastructure. Odovtos International Journal of Dental Sciences, 25(1), 14-21.
Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., von Schoen-Angerer, T., Tugwell, P., Kiene, H., Helfand, M., Altman, D. G., Sox, H., Werthmann, P. G., Moher, D., Rison, R. A., Shamseer, L., Koch, C. A., Sun, G. H., Hanaway, P., Sudak, N. L., Kaszkin-Bettag, M., Carpenter, J. E., … Gagnier, J. J. (2017). CARE guidelines for case reports: explanation and elaboration document. Journal of clinical epidemiology, 89, 218–235. https://doi.org/10.1016/j.jclinepi.2017.04.026
Rutala, W. A., & Weber, D. J. (1997). Uses of inorganic hypochlorite (bleach) in health-care facilities. Clinical microbiology reviews, 10(4), 597-610.
Salvadori, M., Venturi, G., Bertoletti, P., Francinelli, J., Tonini, R., Garo, M. L., & Salgarello, S. (2022). Sodium hypochlorite accident during canal treatment: report of four cases documented according to new standards. Applied Sciences, 12(17), 8525.
Shetty, S. R., Al-Bayati, S. A. A. F., Narayanan, A., Hamed, M. S., Abdemagyd, H. A. E., & Shetty, P. (2020). Sodium hypochlorite accidents in dentistry. A systematic review of published case reports. Stomatologija, 22(1), 17-22.
Spencer, H. R., Ike, V., & Brennan, P. A. (2007). Review: The Use of Sodium Hypoclorite in Endodontics–Potential Complications.
Tonini, R., Salvadori, M., Audino, E., Sauro, S., Garo, M. L., & Salgarello, S. (2022). Irrigating solutions and activation methods used in clinical endodontics: a systematic review. Frontiers in oral health, 3, 838043.
Van der Sluis, L. W., Verhaagen, B., Macedo, R., & Versluis, M. (2016). The role of irrigation in endodontics. Lasers in Endodontics: Scientific Background and Clinical Applications, 45-69.
Al-Sebaei, M. O., Halabi, O. A., & El-Hakim, I. E. (2015). Sodium hypochlorite accident resulting in life-threatening airway obstruction during root canal treatment: a case report. Clinical, cosmetic and investigational dentistry, 41-44.
Basudan, S. O. (2019). Sodium hypochlorite use, storage, and delivery methods: A Survey. Saudi Endodontic Journal, 9(1), 27-33.
Bosch-Aranda, M. L., Canalda-Sahli, C., Figueiredo, R., & Gay-Escoda, C. (2012). Complications following an accidental sodium hypochlorite extrusion: A report of two cases. Journal of clinical and experimental dentistry, 4(3), e194.
Boutsioukis, C., & Arias‐Moliz, M. T. (2022). Present status and future directions–irrigants and irrigation methods. International Endodontic Journal, 55, 588-612.
Bowden, J. R., Ethunandan, M., & Brennan, P. A. (2005). Life-threatening airway obstruction secondary to hypochlorite extrusion during root canal treatment. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 101(3), 402-404.
Cai, C., Chen, X., Li, Y., & Jiang, Q. (2023). Advances in the Role of Sodium Hypochlorite Irrigant in Chemical Preparation of Root Canal Treatment. BioMed research international, 2023, 8858283. https://doi.org/10.1155/2023/8858283
Carrel, A., & Dakin, H. D. (1915). Traitement abortif de l'infection des plaies. Masson.
Coolidge, E. D. (1919). The diagnosis and treatment of conditions resulting from diseased dental pulps. The Journal of the National Dental Association, 6(4), 337-349. doi:10.14219/jada.archive.1919.00
Crane, A. B. (1920). A practicable root-canal technic. Lea & Febiger.
Estrela, C., Estrela, C. R., Barbin, E. L., Spanó, J. C. E., Marchesan, M. A., & Pécora, J. D. (2002). Mechanism of action of sodium hypochlorite. Brazilian dental journal, 13, 113-117.
Farook, S. A., Shah, V., Lenouvel, D., Sheikh, O., Sadiq, Z., & Cascarini, L. (2014). Guidelines for management of sodium hypochlorite extrusion injuries. British dental journal, 217(12), 679-684.
Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D., & CARE Group* (2013). The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development. Global advances in health and medicine, 2(5), 38–43. https://doi.org/10.7453/gahmj.2013.008
Gatot, A., Arbelle, J., Leiberman, A., & Yanai-Inbar, I. (1991). Effects of sodium hypochlorite on soft tissues after its inadvertent injection beyond the root apex. Journal of endodontics, 17(11), 573–574. https://doi.org/10.1016/S0099-2399(06)81725-5
Guivarc'h, M., Ordioni, U., Ahmed, H. M., Cohen, S., Catherine, J. H., & Bukiet, F. (2017). Sodium Hypochlorite Accident: A Systematic Review. Journal of endodontics, 43(1), 16–24. https://doi.org/10.1016/j.joen.2016.09.023
Haapasalo, M., Shen, Y., Wang, Z., & Gao, Y. (2014). Irrigation in endodontics. British dental journal, 216(6), 299-303.
Marín Botero, M. L., Gómez Gómez, B., Cano Orozco, A., Cruz López, S., Castañeda Peláez, D. A., & Castillo Castillo, E. Y. (2019). Sodium hypochlorite used as duct irrigation. Clinical case, and literature review. AVANCES EN ODONTOESTOMATOLOGÍA, 35(1).
Muñoz-Castellanos, Laila Nayzzel, Borrego-Loya, Alejandra, Villalba-Bejarano, Cindy Viviana, González-Escobedo, Román, Orduño-Cruz, Nuvia, Villezcas-Villegas, Grisel Paloma, Rodríguez-Roque, María Janeth, Avila-Quezada, Graciela Dolores, & Vargas-Arispuro, Irasema. (2021). El cloro y su importancia en la inactivación de bacterias, ¿Puede inactivar virus?. Revista mexicana de fitopatología, 39(spe), 198-206.
Özdemir, O., Hazar, E., Koçak, S., Sağlam, B. C., & Koçak, M. M. (2022). The frequency of sodium hypochlorite extrusion during root canal treatment: an observational clinical study. Australian Dental Journal, 67, S57-S64.
Pai, A. V. (2023). Factors influencing the occurrence and progress of sodium hypochlorite accident: A narrative and update review. Journal of Conservative Dentistry and Endodontics, 26(1), 3-11.
Patel, E., & Gangadin, M. (2017). Managing sodium hypochlorite accidents: the reality of toxicity. South African Dental Journal, 72(6), 271-274.
Ponzano, G. P. (2007). Sodium hypochlorite: history, properties, electrochemical production. In Disinfection by sodium hypochlorite: dialysis applications (Vol. 154, pp. 7-23). Karger Publishers.
Reyes-Carmona, J. (2023). Irrigation protocols effects on radicular dentin: Cleaning, disinfection and remaining ultrastructure. Odovtos International Journal of Dental Sciences, 25(1), 14-21.
Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., von Schoen-Angerer, T., Tugwell, P., Kiene, H., Helfand, M., Altman, D. G., Sox, H., Werthmann, P. G., Moher, D., Rison, R. A., Shamseer, L., Koch, C. A., Sun, G. H., Hanaway, P., Sudak, N. L., Kaszkin-Bettag, M., Carpenter, J. E., … Gagnier, J. J. (2017). CARE guidelines for case reports: explanation and elaboration document. Journal of clinical epidemiology, 89, 218–235. https://doi.org/10.1016/j.jclinepi.2017.04.026
Rutala, W. A., & Weber, D. J. (1997). Uses of inorganic hypochlorite (bleach) in health-care facilities. Clinical microbiology reviews, 10(4), 597-610.
Salvadori, M., Venturi, G., Bertoletti, P., Francinelli, J., Tonini, R., Garo, M. L., & Salgarello, S. (2022). Sodium hypochlorite accident during canal treatment: report of four cases documented according to new standards. Applied Sciences, 12(17), 8525.
Shetty, S. R., Al-Bayati, S. A. A. F., Narayanan, A., Hamed, M. S., Abdemagyd, H. A. E., & Shetty, P. (2020). Sodium hypochlorite accidents in dentistry. A systematic review of published case reports. Stomatologija, 22(1), 17-22.
Spencer, H. R., Ike, V., & Brennan, P. A. (2007). Review: The Use of Sodium Hypoclorite in Endodontics–Potential Complications.
Tonini, R., Salvadori, M., Audino, E., Sauro, S., Garo, M. L., & Salgarello, S. (2022). Irrigating solutions and activation methods used in clinical endodontics: a systematic review. Frontiers in oral health, 3, 838043.
Van der Sluis, L. W., Verhaagen, B., Macedo, R., & Versluis, M. (2016). The role of irrigation in endodontics. Lasers in Endodontics: Scientific Background and Clinical Applications, 45-69.
