Application of low-level laser as auxiliary therapeutic of swelling areas caused by apical accidental extrusion of sodium hypochlorite: case report
Carregando...
Data
2014
Título da Revista
ISSN da Revista
Título de Volume
Editor
Resumo
Aim: To discuss an apical accidental extrusion of 2.5% sodium
hypochlorite (NaOCl) with assistance of low-level laser. Case
Report: A 39-year-old female was referred to the undergradu-
ate clinic and during root canal preparation (RCP) reported an
immediate burning sensation, which was accompanied by an
acute and severe pain. After 3 hours, the patient returned with
persistent spontaneous and severe pain in the area of the maxil-
lary incisor and pronounced swelling in her upper lip. The diag-
nosis hypothesis was accident with extrusion of NaOCl beyond
of apex root. The patient immediately received a single oral dose
of 8 mg of corticosteroids, and also was prescribed amoxicilin, and anti-inflammatory. To assist the control of inflammation, low
level laser therapy was performed. Results: The patient returned
18 hours after the first appointment and the pain and swelling
gradually decreased, and although there was extensive ecchy-
mosis, no skin necrosis was observed. After 4 days, the patient
presented no pain and the swelling area had total remission on
day 11. The 17 months follow-up showed clinical aspect with
normal appearance. Conclusions: The therapy with antibiotics,
anti-inflammatory and LLLT for severe tissue damage caused by
NaOCl reduced the severe manifestations of pain and edema.
Descrição
Palavras-chave
Endodontics, Accident prevention, Root canal irrigants, Sodium hypochlorite, Endodontia, Prevenção de acidentes, Irrigantes do canal radicular, Hipoclorito de sódio
Citação
PEREIRA, Key F. S. et al. Application of low-level laser as auxiliary therapeutic of swelling areas caused by apical accidental extrusion of sodium hypochlorite: case report. Robrac: revista odontologica do Brasil Central, Goiânia, v. 23, n. 67, p. 202-206, 2014.