Etiologija i terapija emfizema nastalog kao posljedica endodontskog liječenja

master's thesis

• Title (english): Etiology and therapy of emphysema caused by endodontic treatment
• Author: Ines Jakić
• Mentor: Vlatko Pandurić (mentor)
• Committee member: Vlatko Pandurić (predsjednik povjerenstva)
• Committee member: Silvana Jukić Krmek (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Endodontics and Restorative Dentistry); Zagreb
• Defense date and country: 2016-09-02, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Subkutani emfizem je abnormalno nakupljanje zraka pod tlakom u potkožnom tkivu. Uzroci nastanka emfizema su raznovrsni. Kao posljedica stomatološkog liječenja javlja se rijetko. Može se pojaviti tijekom oralnokirurškog, restaurativnog, protetskog te endodontskog liječenja.
Potencijalni uzroci nastanka emfizema tijekom endodontskog liječenja su agresivna irigacija i neadekvatno sušenje korijenskih kanala te oralnokirurški zahvati povezani s endodoncijom (apikotomija). Razvoj emfizema prati nagli nastanak otekline, eritem te krepitacije, koje su patognomoničan znak i osnovni diferencijalno-dijagnostički pokazatelj. Komplikacije su rijetke, no ako nastanu, očituju se u obliku infekcije, venske embolije, dispneje, pneumotoraksa, pneumomedijastinuma i pneumoperitoneuma. Liječenje emfizema sastoji se od observacije pacijenta, mirovanja te ordiniranja antibiotika i analgetika. Povlači se kroz desetak dana.

Abstract (english)

Subcutaneous emphysema is an abnormal accumulation of air under pressure in subcutaneous tissue. There are many causes of emphysema and dental treatment is rarely one of them. It can occur during oral surgery, restorative, prosthetic dentistry and endodontics.
Potential causes of emphysema of endodontic origin are aggressive irrigation, inadequate drying of tooth canals and oral surgery treatments in endodontics (apicotomy). The evolution of emphysema is characterised by sudden swelling, redness and crepitus, which is a pathognomonic sign and the main differential diagnostic indicator. Complications appear rarely and if they do appear, they come in the form of an infection, vein embolism, dispnea, pneumotorax, pneumomediastinum and pneumoperitoneum. The treatment includes the observation of a patient, the patient's bed rest and an antibiotic and analgetic prescription. The resolution of emphysema happens within ten days.

• Keywords: endodoncija; subkutani emfizem
• Keywords (english): endodontics; subcutaneous emphysema
• Language: croatian
• URN:NBN: urn:nbn:hr:127:738105
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-09-19 10:04:45