使用含有聚乙二醇的牙髓材料治疗后出现过敏性休克。

IF 3.6 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of endodontics Pub Date : 2024-11-01 Epub Date: 2024-09-13 DOI:10.1016/j.joen.2024.09.002

Marie Alnæs MD , Torgeir Storaas MD, PhD , Hilde Kristin Vindenes MD, PhD , Anne Berit Guttormsen MD , Lars Björkman DDS, PhD

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引用次数: 0

摘要

临时牙髓充填材料中有时会加入聚乙二醇 (PEG)，以改变粘度。PEG 被认为是一种低危害的化学物质，但肠道外接触 PEG 会引起过敏性休克。我们报告了两例使用含有 PEG 的牙髓临时充填材料进行治疗后发生过敏性休克的病例。其中一名患者在医院治疗后存活了下来，但第二例患者却是致命的。需要进行广泛的调查才能找到罪魁祸首。对 PEG 过敏反应的报道越来越多，对患者有重大影响。本文讨论了预防措施。

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Anaphylaxis after Treatment with an Endodontic Material Containing Polyethylene Glycol

Polyethylene glycol (PEG) is sometimes included in temporary endodontic filling materials to modify viscosity. PEG is considered a low hazard chemical, but parenteral PEG exposure is associated with a risk of anaphylaxis. We report 2 cases of anaphylaxis after treatment with an endodontic temporary filling material containing PEG. One patient survived after hospital treatment, but the second case was fatal. Extensive investigations were needed to find the culprit. Allergic reactions to PEG are increasingly reported and have significant implications for the patient. Precautionary measures are discussed.

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来源期刊

Journal of endodontics 医学-牙科与口腔外科

CiteScore

8.80

自引率

9.50%

发文量

224

审稿时长

42 days

期刊介绍： The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.