Manejo clínico de pacientes con accidentes de hipoclorito de sodio durante la terapia endodóntica. Revisión sistemática.

Abstract

Introduction: Sodium hypochlorite accidents are rare, the intensity of side effects depends on the concentration of NaOCl that escapes through the apical foramen Objective: To determine the clinical management of patients with sodium hypochlorite accidents during endodontic therapy Materials and methods: Systematic review of an analytical, descriptive, transversal and retrospective type, with a deductive method; Using metasearch engines: Pubmed, Google Scholar, Scielo, Cochrane Library, a review of 421 articles, 50 related articles were studied by inclusion and exclusion criteria Analysis and discussion of results: sodium hypochlorite is an effective antimicrobial agent, excellent organic solvent, lubricant and toxic in high concentrations, 42% of American endodontists have experienced a hypochlorite accident; common in maxilla, women; However, there are three types of accidents: maxillary sinus, beyond the apex, iatrogenic injection; Related to different causes, the symptoms are acute and sudden onset, complications take months to resolve and treatment consists of the use of anti-inflammatories, steroids and cold compresses in addition to prevention. Conclusion: the sodium hypochlorite accident is a complication that requires importance on the part of the endodontist as it will allow the professional to make a good decision regarding the choice of irrigant administration techniques to achieve patient safety and root canal cleaning.