Protocolo para el manejo del accidente por extrusión de hipoclorito de sodio durante la terapia endodóntica.

Sodium hypochlorite is the irrigant agent with the best characteristics and efficacy in root canal treatment due to its potent antimicrobial action and ability to dissolve organic and necrotic tissue. However, its use can cause severe complications when this irrigant is extruded beyond the root apex...

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Autor Principal: Bonilla Merino, Katherine Belen (author)
Formato: bachelorThesis
Idioma:spa
Publicado: 2025
Subjects:
Acceso en liña:http://dspace.unach.edu.ec/handle/51000/15364
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Summary:Sodium hypochlorite is the irrigant agent with the best characteristics and efficacy in root canal treatment due to its potent antimicrobial action and ability to dissolve organic and necrotic tissue. However, its use can cause severe complications when this irrigant is extruded beyond the root apex. The present study aimed to identify the most effective protocol for managing sodium hypochlorite extrusion accidents during endodontic therapy. The methodology that was implemented was through a literature review based on the PRISMA methodology; 27 scientific articles in the dental field were obtained, compiled from databases such as PubMed, SciELO, ProQuest, Lilacs, and Scopus, systematically, with a focus on the last 5 years. It was concluded that early identification of clinical manifestations, prevention, and adequate management of sodium hypochlorite extrusion accidents during endodontic therapy is essential to reduce complications that affect the standard endodontic procedure. Implementing preventive measures, complemented by a structured management protocol, not only helps reduce the risk of extrusion but also ensures an effective and timely response, significantly improving patient safety and well-being.