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Published in French in Tropical Dental Journal Volume 38 - September 2015 pages 50-56
Article Open access
Authors : H. Ben Rejeb, N. Douki - Tunisia
La fréquence élevée des erreurs iatrogènes au cours d'un traitement endodontique est pour le praticien une source quotidienne de stress, de fatigue et de frustration.
Des incidents de parcours peuvent se produire pendant les différentes étapes d'un traitement canalaire. Au cours de l'irrigation, une extrusion accidentelle de l'hypochlorite de sodium au-delà du péri-apex est un accident rare mais impressionnant.
L'hypochlorite de sodium (NaOCl), est la solution d’irrigation de choix en endodontie, mais lorsque ce dernier entre en contact avec les tissus péri-apicaux, il peut entraîner des complications allant d'un léger inconfort à des lésions tissulaires graves telles que l'hématome et l'hémato-emphysème.
L'objectif de cet article est de discuter à travers la présentation de deux cas cliniques :
Ceci en vue de faire acquérir au praticien une meilleure connaissance de ce type de situation pour pouvoir prévenir et gérer cet accident.
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:
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.
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