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Reliability of Artificial Intelligence-Based Cone Beam Computed Tomography Integration with Digital Dental Images
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Sodium hypochlorite accident with evaluation by cone beam computed tomography.
K T Behrents1, M L Speer, M Noujeim
1Department of Comprehensive Dentistry, University of Texas health Science Center, San Antonio, TX, USA.
International Endodontic Journal
|January 31, 2012
Summary
Accidental sodium hypochlorite injection into soft tissues causes distinct radiographic changes. Early diagnosis and endodontic emergency treatment are crucial for managing this dental complication.
Area of Science:
- Dentistry
- Endodontics
- Oral and Maxillofacial Radiology
Background:
- Sodium hypochlorite is a common irrigant in endodontic therapy.
- Accidental extrusion beyond the apical foramen can lead to severe soft tissue damage.
Observation:
- A case report detailing a patient experiencing sodium hypochlorite extrusion into soft tissues.
- Radiographic imaging, including Cone Beam Computed Tomography (CBCT), was utilized to visualize the extent of the damage.
- Clinical presentation included acute pain and facial swelling within one hour of the accident.
Findings:
- The study demonstrates the characteristic radiographic appearance of sodium hypochlorite in soft tissues.
- Early intervention with endodontic emergency treatment and supportive care led to resolution of swelling and pain.
- CBCT provided detailed anatomical information crucial for understanding the complication.
Implications:
- Highlights the importance of meticulous technique during endodontic procedures to prevent sodium hypochlorite extrusion.
- Emphasizes the diagnostic value of advanced imaging modalities like CBCT in managing endodontic emergencies.
- Underscores the need for prompt recognition and management of soft tissue complications arising from endodontic treatment.
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