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Izpiranje koreninskega kanala, možni zapleti, njihovo preprečevanje in zdravljenje = Root canal irrigation, possible complications, their prevention and treatment
Klemenc, Franek
Root canal irrigation is a component of the endodontic triad. The most common endodontic irrigants are saline solution, ethylenediaminetetraacetic acid (EDTA), 3% hydrogen peroxide and 2.5% sodium ...hypochlorite. Saline solution provides mechanical rinsing only. It is used in immunocompromised and hypersensitive patients, and in order to neutralize other fluids present in the root canal and periapical region. EDTA binds calcium ions and causes softening of dentine. It also provides mechanical rinsing. No complications have been reported in connection with its use. Hydrogen peroxide releases oxygen when in contact with tissues. It acts as a disinfectant and has a mechanical rinsing effect. When used in excessive quantities, it may cause airemphysema. Potassium hypochlorite is the irrigant of choice for root canal irrigation: it disinfects the root canal and dissolves organic material. Complications associated with its use include hypersensitivity reactions and irritation of the oral mucosa. Inadvertent handling may cause damage to the patient's eyes and discoloration of clothing. The complications are prevented with a detailed history, the use of a rubber dam and appropriate irrigation technique.
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