Lesiones en la cavidad bucal provocadas por el uso de la clorexidina y el hipoclorito de sodio al 0.5% como sustancia irrigadora: causas y recomendaciones
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2014-07
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La irrigación del sistema de conductos es de gran importancia en la limpieza y desinfección del mismo, y es una parte integral del procedimiento de preparación del conducto. Las soluciones irrigadoras en la práctica endodóntica cumplen una función esencial porque son un elemento coadyuvante en la debridación de nuestro sistema de conductos radiculares, estas soluciones siempre debe estar presentes mientras utilicemos cualquier tipo de instrumentos la solución irrigadora tiene como efecto principal actuar como lubricante y la irrigación durante el tratamiento endodóntico es fundamental para conseguir la limpieza adecuada del conducto. En la actualidad, existen varios irrigantes, pero los más usados son el hipoclorito sódico en concentraciones de 0,5% y la clorexidina. Debido a sus propiedades, tienen la capacidad de disolver, bacterias y tejidos, sin embargo, es conocida su alta toxicidad cuando entra en contacto con los tejidos periradiculares por la existencia de ápices anchos o abiertos, la incorrecta medición de la longitud, el enclavamiento de la aguja, reabsorciones radiculares y a la perforación del canal durante su apertura o desbridamiento los efectos adversos por los irrigadores, no son muy frecuentes, el objetivo del trabajo de investigación es identificar cuáles son los efectos que causa el hipoclorito de sodio al 0.5 y la clorexidina en los tejidos del periápice, con este trabajo trataremos de encontrar que tipo de tratamiento es recomendable en este tipo de accidentes
The irrigation of the duct system is of great importance in the cleaning and disinfection thereof, and is an integral part of the preparation process of the conduit. The irrigating solutions in endodontic practice play a key role because they are a contributing element in our debridement of the root canal system, these solutions must always be present while any type of instruments we use the irrigating solution has the main effect act as a lubricant and irrigation during endodontic treatment is essential for proper duct cleaning. At present, several irrigants, but the most used are the concentrations of sodium hypochlorite at 0.5% chlorhexidine. Because of their properties, are capable of dissolving, bacteria and tissues, however, is known to high toxicity when contacted with the peri-radicular tissues for the presence of wide or open apices, the faulty measurement of the length, the locking needle, root resorption and perforation canal debridement during opening or adverse effects irrigators are not very frequent, the aim of the research is to identify what are the effects caused by sodium hypochlorite and chlorhexidine 0.5 periapical tissues, this work will try to find that kind of treatment is recommended in such accidents.
The irrigation of the duct system is of great importance in the cleaning and disinfection thereof, and is an integral part of the preparation process of the conduit. The irrigating solutions in endodontic practice play a key role because they are a contributing element in our debridement of the root canal system, these solutions must always be present while any type of instruments we use the irrigating solution has the main effect act as a lubricant and irrigation during endodontic treatment is essential for proper duct cleaning. At present, several irrigants, but the most used are the concentrations of sodium hypochlorite at 0.5% chlorhexidine. Because of their properties, are capable of dissolving, bacteria and tissues, however, is known to high toxicity when contacted with the peri-radicular tissues for the presence of wide or open apices, the faulty measurement of the length, the locking needle, root resorption and perforation canal debridement during opening or adverse effects irrigators are not very frequent, the aim of the research is to identify what are the effects caused by sodium hypochlorite and chlorhexidine 0.5 periapical tissues, this work will try to find that kind of treatment is recommended in such accidents.
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Palabras clave
IRRIGANTES DEL CONDUCTO RADICULAR, HIPOCLORITO DE SODIO, ENDODONCIA, CLORHEXIDINA
Citación
León Andaluz., Leonidas Alexander (2014) : Lesiones en la cavidad bucal provocadas por el uso de la clorexidina y el hipoclorito de sodio al 0.5% como sustancia irrigadora: causas y recomendaciones