Sodium Hypochlorite Extrusion Accidents: Management and Medico-Legal Considerations

Author:

Kanagasingam Shalini12,Blum Igor R.2

Affiliation:

1. Senior Clinical Lecturer, Course Lead MSc and MClinDent in Endodontology School of Dentistry, Faculty of Clinical and Biomedical Sciences, University of Central Lancashire, Preston, UK

2. Consultant and Specialist in Restorative Dentistry; Reader in Primary Dental Care and Advanced General Dental Practice, Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, UK

Abstract

Sodium hypochlorite is considered the most widely used irrigant in endodontics as it exhibits effective antimicrobial activity and has potent tissue-dissolving ability. Whilst it is considered safe when used within the confines of the root canal system, it can cause serious complications when inadvertent periradicular extrusion occurs. This article outlines the complications of sodium hypochlorite extrusion and reviews the appropriate management based on the contemporary evidence. Preventive measures are suggested and the relevant medico-legal considerations are outlined.

Publisher

SAGE Publications

Subject

General Medicine

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