1.根管預備和沖洗步驟即刻停止。
2.告知并安慰病人事故的本質(zhì)。
3.根管必須開放1天利于減壓。
4.于術區(qū)放置冰塊以減少腫脹和痛苦。
5.應用抗生素和鎮(zhèn)痛藥。
6.第二天讓患者復診用蒸餾水或生理鹽水或氯己定沖洗根管，然后棉球+氧化鋅暫封。
7.建議病人溫水漱口促進組織愈合。每天電話復診狀況。
8.癥狀消失以后，用蒸餾水或生理鹽水或氯己定沖洗根管，然后充填根管。
原文：
1- The irrigation and shaping procedure must be interrupted.
2- Inform and reassure the patient about the nature of the accident.
3- The tooth must be left open, for one day, to optimize the drainage.
4- Place cold compress on the affected extraoral region, for a period of 2 hours, in order to reduce the swelling and to relieve the pain.
5- Prescribe antibiotics and analgesics. (corticosteroids use is uncertain)
6- The second day, recall the patient to irrigate the canal with distilled water or saline or chlorhexidine, then fill the coronal cavity with a cotton and temporary filling7- Recommend the patient to effect intraoral irrigation with warm water to encourage tissue perfusion.
7- Keep in a daily contact with the patient through the phone.
8- Once the symptoms disappear, accomplish the root canal treatment by irrigating with distilled water or saline or chlorhexidine, and finally fill the canal(s).Usually, everything comes back to normal within 2 weeks.
來源于：口腔精英
