Complication of improper management of sodium hypochlorite accident during root canal treatment.

J Int Soc Prev Community Dent

Department of Plastic and Reconstructive Surgery, Al-babtain Centre, Kuwait.

Published: October 2016

AI Article Synopsis

  • Sodium Hypochlorite (NaOCl) is widely used in root canal treatments due to its antibacterial and tissue dissolving abilities, but it can cause severe complications.
  • A case was reported where a young male suffered a chemical burn and partial necrosis after NaOCl accidentally leaked into surrounding tissues during a dental procedure.
  • To minimize risks, precautions should be taken during NaOCl use, and prompt recognition and management of any accidents are crucial for optimal recovery.

Article Abstract

Sodium Hypochlorite (NaOCl) is a common irrigation solution used in root canal treatment. It has strong antibacterial and tissue dissolving properties. Nevertheless, it has some serious complications, some of which are life-threatening. A young male presented with severe chemical burn of the right infraorbital area and partial necrosis of the hard palate resulting from extrusion of NaOCl during root canal treatment of the upper right 2 molar tooth. The patient had a facial scar, and mucosal damage healed nearly completely. Several precautions must be taken during NaOCl use to prevent the spread of the solution into surrounding tissues. Early recognition of NaOCl accident and proper immediate management are important to achieve the best possible outcome.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5109866PMC
http://dx.doi.org/10.4103/2231-0762.192939DOI Listing

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