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Tissue damage after sodium hypochlorite extrusion during root canal treatment

Journal
Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology
Publisher
Elsevier - Mosby
Publication Date
Jan 01, 2009
Volume
108
Issue
1
Identifiers
DOI: 10.1016/j.tripleo.2008.12.024
Disciplines
  • Medicine
License
Unknown

Abstract

Sodium hypochlorite solution is toxic to vital tissues, causing severe effects if extruded during endodontic treatment. This paper presents a report on the tissue damage related to inadvertent extrusion of concentrated sodium hypochlorite solution during root canal treatment. A 65-year-old woman was referred with moderate pain, ecchymosis, and severe swelling of the right side of the face. These symptoms appeared immediately after a root canal treatment of the maxillary right canine, which had been started 21 hours earlier. It was diagnosed as air emphysema related to sodium hypochlorite solution extravasation during the endodontic treatment. To avoid this, an initial radiograph should be taken to determine the correct canal working length and confirm root canal integrity.

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