Powikłania leczenia endodontycznego podczas opracowywania kanałów (...)

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MS 2021; 7-8: 51-59.

Cykl: powikłania w leczeniu endodontycznym związane z opracowaniem systemu kanałowego. Część 1

Powikłania leczenia endodontycznego podczas opracowywania kanałów niklowo‑tytanowymi systemami maszynowymi. Przegląd piśmiennictwa

Root canal treatment complications after instrumentation with nickel‑titanium rotary files – a literature review

Wiktor Krużyński, Ewa Zawrzykraj, Mateusz Radwański

Streszczenie
Pomimo ciągłego rozwoju niklowo‑tytanowych narzędzi maszynowych leczenie endodontyczne z ich wykorzystaniem nadal obarczone jest ryzykiem powikłań. Przemieszczenie masy opiłków zębiny poza otwór wierzchołkowy oraz zwiększona ekspresja neuropeptydów przyczyniają się do występowania bólu pozabiegowego oraz stanu zapalnego ozębnej. Defekty mechaniczne zęba, w postaci pęknięć i złamań korzenia oraz transportacji kanałowych i nadmiernego poszerzenia wierzchołkowego, a także defekty narzędzi, w postaci złamania pilników, wymuszają bardziej skomplikowane lub radykalne metody postępowania leczniczego. Celem pracy jest przybliżenie czytelnikowi powikłań towarzyszących leczeniu endodontycznemu z wykorzystaniem niklowo‑tytanowych systemów maszynowych.

Abstract
Despite constant evolution of Ni‑Ti rotary files, root canal treatment is still associated with complications. Apical extrusion and increased expression of neuropeptides cause postoperative pain and inflammation of periodontal ligament. Dentinal microcracks and root fractures, canal transportation and apical overpreparation, as well as instruments’ fractures, result in more difficult and invasive treatment methods. The purpose of the article is to present complications that occur during mechanical preparation with rotary files.

Hasła indeksowe: powikłania leczenia endodontycznego, transportacja, pęknięcia zębiny, złamania narzędzi

Key words: endodontic treatment complications, transportation, dentinal cracks, files separation

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